The
death of actor Philip Seymour Hoffman has raised many queries about drug addiction. Over the past 20 years, researcher has identified several chemical
and physical changes to the brain brought on by addictive substances.
There’s
a wad of nerve cells in the central part of your brain, measuring about half an
inch across, called the nucleus accumbens. When you eat a doughnut, have sex or
do something else your brain associates with anointing and breeding, this region
is inundated with dopamine, a neurotransmitter.
This
chemical transaction is partly responsible for the experience of pleasure you
get from these activities.
Drugs
such as Heroin also trigger this response, but the dopamine surge from drugs is
faster and long-lasting.
When
a person repeatedly subjects his nucleus accumbens to this narcotic-induced
flood, the nerve cells that dopamine acts upon become exhausted. The brain
reacts by dampening its response -- not just to Heroin or Cocaine, but probably
to all forms of pleasure. In addition, some of the receptors themselves take
place to die off.
As
a result, hyper-stimulating drugs become the only way to trigger a palpable
dopamine response. Drug addicts seek larger hits to achieve an ever-diminishing
pleasure experience, and have unease feeling pleasure from the things healthy
people enjoy.
Behavioral
conditioning also plays a role. Once your brain becomes used to the idea that
eating a doughnut or having sex will give pleasure, just seeing a doughnut or
an attractive potential mate triggers the dopamine cascade.
That's
part of the reason it is so difficult to recover drug addicts to stay clean.
Sights, sounds and smells associated with the high -- needles, for example, or
friends with whom they used to get high -- prime this dopamine response, and
the inspiration to seek a drug hit builds.
Research
suggests that the connection between these cues and the inspiration to seek a
high strengthens over time in the brain of hardened addicts.
Peter
Kalivas, a neuroscientist at the Medical University of South Carolina, has a
laboratory full of rats addicted to heroin, cocaine, nicotine and other drugs.
When he sounds a tone and flicks on a light, the rats know their next hit will
soon be attainable. The more times the rat experiences the routine, the more
efficiently a chemical signal is dispatched in the brain, solidifying the
neural pathway between the cue and the desire for drugs.
While
the drug-seeking pathway strengthens in the brain of addicted animals, their
ability to make alternative pathways diminishes. Researchers refer to this as a
loss of plasticity.
"Cues
that are not coding directly for the drug cannot produce good plasticity in the
brain of an addict," says Kalivas. "The system can't learn."
People
long addicted to drugs accumulate a large number of cues that lead them to seek
a high. Eventually, so much of their life becomes associated with getting high
that it becomes nearly impossible for them to resist.
Some
pharmaceuticals may help demote transmission along the neural pathway that
leads from the cue to the craving for drugs. But until there is a medical
solution, it helps to replace the negative voice in an addict's head with the
supportive voices of friends and family. The plasticity of an addicted brain is
diminished -- not eliminated.
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