ADDICTION Prefrontal Cortex Affect Dysregulation Window of - - PowerPoint PPT Presentation
NEUROBIOLOGY OF ADDICTION Prefrontal Cortex Affect Dysregulation Window of Tolerance Internal Working Model Developing Brain Shame psychologically =Unseen Neurologically = Ventral Tegmental In high
Shame psychologically =“Unseen”
Neurologically = Ventral Tegmental – In
high stress environments the dopaminergic system over pruning occurs in the first 3 years of life. Therefore, while constitutional factors (DNA) start the production of neurons, it is the environment which is responsible for the “Blooming & Pruning” of neurons and neural networks. Siegel 1999
That is the development of neural-networks
(structure) and the beginnings of psychological structure
Avoidance and Fear Conditioning
Shame – Dan Siegel, MD
Shame – Alan Schore, Ph.D
Functions:
Affects from substance abuse:
Hyper-arousal: Anxiety, Anger, Rage, High Alert, and Manic thoughts/behaviors. Arousal zone: a person is able to function most effectively. When people are within this zone, they are typically able to readily receive, process, and integrate information and otherwise respond to the demands of everyday life without much difficulty. Hypo-arousal: Tired/Lazy, Sadness/Depression, and Suicidal thoughts/Suicidal.
John Bowlby: Attachment is a biological imperative:
Reasons for denial: Shame/Guilt Examples of Denial:
Avoidance Blaming Justifying Rationalizing Minimizing
National Institute on Drug Abuse
WHEEZING THAT IS NOT RELATED TO ANOTHER HEALTH CONDITION, SUCH AS BRONCHITIS OR ASTHMA DRY COUGH SHORTNESS OF BREATH OR DIFFICULTY BREATHING DEEPLY, ESPECIALLY WITH PHYSICAL ACTIVITY UNEXPLAINED EXHAUSTION RAPID BREATHING PERSISTENT SKIN, EYE, MOUTH, OR NOSE IRRITATION IF CAUSED BY A CHEMICAL
LONG TERM AFFECTS FROM VAPING
When inhaled, diacetyl causes bronchiolitis obliterans - more commonly referred to as "popcorn lung" - a scarring of the tiny air sacs in the lungs resulting in the thickening and narrowing of the
lung, this chemical is found in many e-cigarette flavors.
NATIONAL INSTITUTE ON DRUG ABUSE (NIDA)
When asked, only about 1 in 14 teens say they used marijuana in
the past month.1 So, if you were thinking everyone uses marijuana, they don’t.
Some think marijuana is okay to use because it's "natural." But not
all natural plants are good for you—take tobacco, for example.
Some teens believe marijuana can't be that harmful if states are
legalizing it. Legal or not, one real risk is addiction.
In 2016, around 4 million people ages 12 and older had a
marijuana use disorder. The most severe form also is known as an addiction.1
Research also shows that marijuana can harm the developing
teen brain.
Marijuana users
Proposition 64 legalized the recreational use of marijuana for adults aged 21 years or older, permitting smoking in a private home or at a business licensed for on-site marijuana
tobacco is, and in all public places. Up to 28.5 grams of marijuana and 8 grams of concentrated marijuana are legal to possess under this measure. However, possession on the grounds of a school, day care center, or youth center while children are present remains
area is locked and not visible from a public place.[3]
Marijuana sellers
According to this proposition, businesses needed to acquire a state license to sell marijuana for recreational use. Local governments could also require them to obtain a local license. Businesses were not authorized by the proposition to sell within 600 feet of a school, day care center, or youth center.[3] The initiative also prevented licenses for large-scale marijuana businesses for five years in order to prevent "unlawful monopoly power."[8]
Marijuana regulation
The Bureau of Medical Cannabis Regulation was renamed the Bureau of Marijuana Control and became responsible for regulating and licensing marijuana businesses.[3]
Counties and municipalities were empowered to restrict where marijuana businesses could be located. Local governments were also allowed to completely ban the sale of marijuana from their jurisdictions. Moreover, local jurisdictions were allowed by the measure to "reasonably regulate" the personal growth, possession, and use of marijuana plants allowed by Prop. 64.
Absorption Time can be 45 Minutes What happens when kids don’t feel the desired
effect after 15 minutes?
Dosing – Grain of rice Panic attacks Psychosis Watch! “The other side of cannabis documentary”
2 Years to leave the brain
NATIONAL INSTITUTE ON ALCOHOL ABUSE AND ALCOHOLISM
Where you do it?
Rave Music Festivals Dances
Long term affects:
Anxiety Depression Memory loss
NATIONAL INSTITUTE ON DRUG ABUSE (NIDA)
Hallucinogens are a diverse group of
drugs that alter perception, thoughts, and feelings. They cause hallucinations, or sensations and images that seem real though they are not. Some hallucinogens also cause users to feel out of control or disconnected from their body and environment.
People use hallucinogens in a wide
variety of ways, including smoking, snorting, and absorbing through the lining in the mouth.
Hallucinogens interfere with actions of
brain chemicals responsible for functions that include: mood
sensory perception sleep body temperature muscle control pain perception memory
12 HOURS. ALONG WITH HALLUCINATIONS, OTHER SHORT-TERM GENERAL EFFECTS OF HALLUCINOGENS INCLUDE: INCREASED HEART RATE NAUSEA INTENSIFIED FEELINGS AND SENSORY EXPERIENCES CHANGES IN SENSE OF TIME PERSISTENT PSYCHOSIS AND FLASHBACKS ARE TWO LONG-TERM EFFECTS ASSOCIATED WITH SOME HALLUCINOGENS. EVIDENCE INDICATES THAT CERTAIN HALLUCINOGENS CAN BE ADDICTIVE OR THAT PEOPLE CAN DEVELOP A TOLERANCE TO THEM. LONG TERM AFFECTS- SPEECH PROBLEMS, MEMORY LOSS, WEIGHT LOSS, AND DEPRESSION/SUICIDAL THOUGHTS.
Lean/ purple juice, dirty sprite Xanax-Bars/ zanz, zani bars,
school bus, yellow boys, holks, bicycle parts, sticks, and bars
36
Experimentation
A one time event
Misuse
Infrequent use
Substance Abuse Using despite consequences
Emotional illness Values Change Stops emotional growth Distortion of emotions “I don’t care”-attitude
Chemical Dependency
Preoccupation Consequences Loss of control
Stages of Substance Abuse
#1 predictor of addiction in current research
Early on-set of first use
#2 predictor of addiction in current research
An undeveloped brain
Combination of drugs
In an adolescent’s environment, the purpose of use is for intoxication
Media, Propositions, Systems
accelerate the progression
10 20 30 40 50 60 13 14 15 16 17 18 19 20 21 Individual With Family History
% of Addiction Age of First Use Age At Onset of First
Family Money School Sports Legal Health Mental Health Friends Self Spirituality Sexuality Additional Examples
There must be logical
Family must be willing to
follow through with the predetermined consequences..
Family must work together
No Drug Use
Consequences: Grounded until test clean
No Paraphernalia
Loss of financial support
Drug Testing
Loss of privlidges
Follow Tx Plan Home Rules School Rules
Centers for Disease Control & Prevention Ballotpedia – Law on Prop 64 World Health Organization (WHO) National Alliance on Mental Health (NAMI) Addiction Professional National Institute on Drug Abuse American Society of Addiction Medicine Psychology Today National Survey of Drug Use & Health Substance Abuse & Mental Health Services (SAMHSA) TEDS Reports NSDUH (Pregnant Women & Addiction) CASA Columbia (Parents in need of rehab) Monitoring the Future Survey Today’s Geriatric Population Psych Central National Resource Center on Domestic Violence National Center for PTSD Americans with Disabilities Act National Coalition for Homeless Journal of Ethnicity & Substance Abuse