Podcast
Questions and Answers
What brain structure is primarily associated with the reward pathway during the binge/intoxication stage of addiction?
What brain structure is primarily associated with the reward pathway during the binge/intoxication stage of addiction?
- Amygdala
- Insula
- Prefrontal Cortex
- Basal Ganglia (correct)
During the withdrawal/negative affect stage, which brain structure is activated, leading to increased negative mood?
During the withdrawal/negative affect stage, which brain structure is activated, leading to increased negative mood?
- Basal Ganglia
- Cerebellum
- Limbic System (correct)
- Prefrontal Cortex
Which process is directly influenced by the formation of drug-cue associations leading to cravings?
Which process is directly influenced by the formation of drug-cue associations leading to cravings?
- B process activation (correct)
- HPA axis deactivation
- Dopamine release in response to natural rewards
- Impulse control enhancement
What impaired cognitive function is a result of hypofrontality due to drug use during the preoccupation/anticipation stage?
What impaired cognitive function is a result of hypofrontality due to drug use during the preoccupation/anticipation stage?
Which brain structure is primarily responsible for forming habits associated with drug use?
Which brain structure is primarily responsible for forming habits associated with drug use?
Flashcards
Binge/Intoxication Stage
Binge/Intoxication Stage
Initial stage of addiction where drug use triggers dopamine release in the reward pathway, forming associations of drug use with cues, leading to habit formation.
Withdrawal/Negative Affect Stage
Withdrawal/Negative Affect Stage
Addiction stage marked by the brain's reward pathway becoming insensitive to rewards, triggering stress response and negative mood. It's when the "anti-reward" or the "dark side" develops
Preoccupation/Anticipation Stage
Preoccupation/Anticipation Stage
Addiction stage featuring impaired decision-making (hypofrontality) due to drug use; the brain is more sensitive to drug cues than natural rewards.
Basal Ganglia (Striatum)
Basal Ganglia (Striatum)
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Incentive Salience
Incentive Salience
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Study Notes
Addiction Stages and Brain Circuitry
- Binge/Intoxication Stage:
- The basal ganglia (striatum) and reward pathway are activated.
- Initial drug exposure triggers dopamine release in the reward pathway.
- Drug-cue associations form, leading to habit formation ("autopilot") in the basal ganglia.
- Dopamine release occurs in response to drug cues, not the drug itself.
- Reward deficiency may exist, where fewer D2 receptors lead to increased pleasure from stimulants.
- Withdrawal/Negative Affect Stage:
- The limbic system (amygdala) and stress system (HPA axis) are involved.
- An "anti-reward" or "dark side" develops.
- The reward pathway becomes less responsive to rewards (even natural ones).
- Brain stress systems and amygdala activity increase negative mood.
- Preoccupation/Anticipation Stage:
- The prefrontal cortex (PFC), stress system (HPA axis), basal ganglia, and insula are key.
- Executive function impairment occurs due to hypofrontality (reduced PFC activity) from drug use.
- The PFC becomes less responsive to natural rewards but more sensitive to drug cues, worsening cravings.
- The insula is sensitive to cravings (interoception).
- The stress system and basal ganglia "autopilot" remain active.
- Cravings arise from drug-cue associations triggering the "B process"
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Description
Explore the intricate stages of addiction and their impact on brain circuitry. This quiz delves into how the brain's reward pathways and stress systems are affected during binge/intoxication, withdrawal, and preoccupation stages. Test your knowledge on the neurological changes that occur at each stage of addiction.