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Understanding Drug Dependency

Although the initial decision to take drugs is voluntary, after long term drug use, the impacts to the brain, affect the user's ability to resist intense urges to use.

 

Fortunately, treatments are available to help. Research shows that combining addiction treatment medications with behavioural therapy can provide successful results for many people and can result in lasting change and recovery.

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Like other chronic, relapsing diseases, such as diabetes, asthma, or heart disease, drug addiction can be managed successfully. And like with other chronic diseases, it is not uncommon for a person to relapse and begin abusing drugs again. Relapse, however, does not signal treatment failure—rather, it shows that treatment should be reinstated or adjusted or that an alternative treatment is needed to help the person regain control and recover.

What Is Drug Dependency?

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  • Chronic, often relapsing condition

  • Compulsive drug seeking and use, despite harmful consequences

  • Difficulty resisting impulses to use, due to brain impacts over longterm use

 

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What Happens to Your Brain When You Take Drugs?

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  • Chemicals in drugs tap into the brain’s communication system

  • These chemicals disrupt the way nerve cells normally send, receive, and process information

  • 2 ways to disrupt:

(1) Imitating the brain’s natural chemical messengers 

(2) Overstimulating the “reward circuit” of the brain

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How Different Drugs Affect Brain

 

 

Marijuana & Heroin

 

  •  Similar structure to chemical messengers (neurotransmitters)naturally produced by brain

  •  “Fool” the brain’s receptors & activate nerve cells to send abnormal messages

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Cocaine or Methamphetamine

 

  • Cause nerve cells to release abnormally large amounts of natural neurotransmitters (mainly dopamine)

  • Stop the normal recycling of these brain chemicals needed to shut off the signalilng between neurons

  • Brain flooded with dopamine

  • Dopamine is present in brain regions that control movement, emotion, motivation, and feelings of pleasure

  • Overstimulation of reward system, that usually responds to natural behaviours linked to survival (eating, spending time with loved ones, etc.) produces euphoric effects in response to drug

  • Reaction sets up reinforcing pattern that “teaches” people to repeat the rewarding behaviour of abusing drugs​

  • After long term use, brain adapts to flooding of dopamine by producing less dopamine or reducing the number of dopamine receptors in the reward circuit

  • Leads to less impact from dopamine on reward circuit

  • Abuser experiences less affect from drug & less enjoyment in other events that used to bring pleasure

  • Addicted person keeps using to bring dopamine function back to normal

  • Addicted person needs more of drug to get same effect (tolerance)

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​​​Other impacts from long-term drug use

 

  • Glutamate is a neurotransmitter that influences the reward circuit & ability to learn

  • When optimal concentration of glutamate is affected by drug abuse, the brain compensates = , cognitive impairment

  • Brain imaging studies show changes in areas of the brain critical to judgment, decision making, learning & memory & behaviour control

  • These changes lead abuser to seek out & take drugs compulsively despite negative consequences

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Why Do Some People Get Addicted While Other People Don't?

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Risk for addiction influenced by:

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  • Biology

  • Social environment

  • Age or stage of development.

  • The more risk factors a person has, the greater the chance taking drugs will lead to addiction

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Biology

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  • Genes that people are born with & environmental influences = 1/2 addiction vulnerability

  • Gender, ethnicity & presence of other mental disorders 

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Environment

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  • Family and friends

  • Socioeconomic status

  • Quality of life in general

  • Peer pressure

  • Physical & sexual abuse

  • Stress

  • Quality of parenting 

 

Development

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  • Genetic and environmental factors interact with critical developmental stages in a person’s life

  • Earlier that drug use begins, the more likely it will progress to more serious abuse

  • Adolescents vulnerable,  as areas in their brains that control decision making, judgment & self-control are still developing

  • Adolescents may be therefore prone to risk-taking behaviours, such as trying drugs 

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