Addiction: What Happens to Your Brain  

 

Some behaviors, especially those that produce rapid, positive changes in how we feel have the potential of becoming compulsive because of the way our brain reacts to them. These behaviors include ingesting substances like alcohol or drugs or engaging in behaviors like gambling or pornography. Repeatedly engaging in these highly “rewarding” activities can cause physical changes in our brains.

Neurological Changes

  • Reward

    Our brains have evolved to encourage seeking out rewards crucial to survival. Many call this our “Reward System.” Addictive behaviors change this system.

  • Cognitive Ability

    Addictive behaviors change the way we think, relate to others, and pursue our dreams and goals.

  • Memory

    What we remember changes when we engage in addictive behavior.

Unfortunately, these changes can happen very quickly and can be influence by genetic vulnerability and environmental stressors. Stress increases the amount of harmful substances that can enter the brain leading to a stronger “high,” greater toxicity, and increased risk of overdose. Stress also renders the brain less likely to return to normal once drug use begins. Stress intensifies cravings and increases the risk of relapse.  

Even more unfortunate is that the time it takes the brain to reverse these changes is significantly longer. Exposure to the drugs and their cues even after years of abstinence can trigger bouts of intense desire and craving for the drug. However, scientist now believe that the brain can heal with strenuous and consistent therapy. All brain cells are capable of growing new pathways which helps the brain bypass damaged areas. Certain parts of the brain are capable of cell neurogenesis (growing new cells) throughout our life.  

References 

Advokat, Claire D. Ph.D.; Comaty, Joseph E.  Ph.D., M.P.; Julien, Robert M.  M.D., Ph.D. (2019). Julien’s Primer of Drug Action, A Comprehensive Guide to the Actions, Uses, and Side Effects of Psychoactive Drugs, Fourteenth Edition. Worth Publishers. 

Miller, Shannon. (2019) The ASAM Principles of Addiction Medicine, sixth addition, Wolters  Kluwer. 

Reiter, Michael D. (2019) Substance Abuse and the Family. Routledge. 

Sussman, Steve (2020). The Cambridge Handbook of Substance and Behavioral Addictions. Cambridge University Press.