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Behavioral Addictions: Are they Really Addictions? Thomas E. Legere, Ph.D.
How do we Decide?
Old School: DSM
We Need a NEW Model! From THREE Sources…
Source #1: The DSM
Source #2: What Those Who Suffer From the Disease Say
Source #3: Neurobiology
Three TYPES of Addictions
I. HARD Addictions: Alcohol & Drugs
II. SOFT Addictions: Nicotine & Caffeine
III. BEHAVIORAL Addictions
Three Levels of Addiction: Mild Mild Moderate Moderate Severe Severe
Soft Addictions: Soft for a Reason
Proposed Behavioral Addictions: Sex Sex Love Love Gambling Gambling Exercise Exercise Eating Eating
What Makes them Real Addictions (or not)?
Need Common Criteria for Hard Addictions & Behavioral Addictions
Honestly: The DSM is Not Buying Behavioral Addictions
DSM: Compulsive Disorders Compulsive Disorders Pathological Behavior Pathological Behavior Eating Disorders Eating Disorders
Twelve Integrated Criteria (DSM, Experience, Neurobiology)
1. Pleasure Pathway In the Brain
2. Same Brain Chemicals Involved Dopamine Gaba Dopamine Gaba Serotonin Glutamate Serotonin Glutamate Endorphins Cortisone Endorphins Cortisone Norepinephrine Corticotrophin Norepinephrine Corticotrophin Epinephrine Histamine Epinephrine Histamine Enkephalins Anandamide Enkephalins Anandamide Acetylcholine Acetylcholine
4. Use to Intoxication: I Cant Stop!
5. Obsessive Dimension
7. Continued Use Despite Adverse Consequences
8. Progressive Escalation of Intake and Problems
9. Repeated Attempts To Control Use
11. Incurable (Only Remission)
12. Effectiveness of 12 Step Program
How the Brain Works 1. Background: The Synapse 2.
E.4 Neurotransmitters and Synapses. E4.1 Postsynaptic Responses Pre-synaptic neurons can inhibit or excite the post synaptic neuron by releasing excitatory.
Addictions: objectives Define addiction Distinguish between addictions and habits Identify signs of addiction Be able to describe the addictive process.
Neurotransmitters Chemicals that influence the firing of nerve cells Can “excite”-make firing more likely Or “inhibit” make firing less likely.
Understanding Substance Use Disorders
Addiction: Wise: Drug dependence-- cluster of cognitive, behavioral
Alan M. Yorker, LMFT August 26, 2014 GSAS Conference
Copyright Vera Ingrid Tarman, 2010 DANGEROUSLIAISONS: Comfort and Food by Vera Ingrid Tarman MD, M.Sc. FCFP, CASAM copyright 2011.
“continued involvement with a substance or activity despite its ongoing negative consequences”Donatelle, pg 192 Classified by APA as a mental.
The Importance of Knowing Addiction as a Brain Disease
Widely Found and Studied Neurotransmitters Glutamate – has excitatory functions 4 Ascending activating systems are very important Cholinergic System.
NANCY LONG SIEBER, PH.D. SEPT. 13, 2010 A bit about lupus and then Neuropathophysiology I.
Addiction: What is it or what is it Not
The Neurobiology of Addiction
Substance-Use Disorders Lori Ridgeway PSYC What is abuse? Criteria Failure to meet responsibilities Use despite potential dangers Legal problems.
Neuron Anatomy. Neurons Neuron is a nerve cell that communicates with the entire body (glands, muscles…). Cell Body produces energy for the cell to.
Specification. An addiction is… “A state of Addiction is a state of periodic or chronic intoxication produced by repeated consumption of a drug, natural.
Neurotransmitters, Mood and Behaviour
What are converging neural pathways and their involvement in light sensitivity? What are diverging neural pathways and their involvement in fine motor.
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