Motivation and drive in addiction

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Presentation transcript:

Motivation and drive in addiction

Behavioral activation Motivation Motivation Vigor Persistence Effort Behavioral activation DA Volkow, N. D., Wang, G. J.,et al(2015). Addiction Circuitry in the Human Brain. Focus, 13(3), 341-350.

Increased motivation in addiction DA Dysregulated dopamine signaling Koob, G & Kandel, D et al. (2015). Pathophysiology of Addiction. In Tasman, A. . Psychiatry. West Sussex, England: Wiley Blackwell.

Increased motivation in addiction DA Drug-taking: primary motivational drive Dysregulated dopamine signaling Koob, G & Kandel, D et al. (2015). Pathophysiology of Addiction. In Tasman, A. . Psychiatry. West Sussex, England: Wiley Blackwell.

Motivation: neuroanatomy Dorsolateral PFC (DLPFC) PFC Nutt, D. & Nestor, L. (2013). Addiction. Oxford New York, NY: Oxford University Press.

Motivation: neuroanatomy Dorsolateral PFC (DLPFC) PFC Orbitofrontal cortex (OFC) Nutt, D. & Nestor, L. (2013). Addiction. Oxford New York, NY: Oxford University Press.

Motivation: neuroanatomy Anterior cingulate cortex (ACC) Nucleus Accumbens (NAc) Volkow, N. D., Wang, G. J.,et al(2015). Addiction Circuitry in the Human Brain. Focus, 13(3), 341-350.

Motivation: neuroanatomy Anterior cingulate cortex (ACC) Amygdala Nucleus Accumbens (NAc) Volkow, N. D., Wang, G. J.,et al(2015). Addiction Circuitry in the Human Brain. Focus, 13(3), 341-350.

Motivational deficits in drug addiction Acute withdrawal and protracted abstinence Motivational deficits Dysphoria Malaise Depression-like symptoms Koob, G & Kandel, D et al. (2015). Pathophysiology of Addiction. In Tasman, A. . Psychiatry. West Sussex, England: Wiley Blackwell.

The “antireward” system

The “antireward” system CRF Corticotropin-releasing factor Dysphoria Drug craving DYN Dynorphin NE Norepinephrine Volkow, N. D., Koob, G. F., & McLellan, A. T. (2016). Neurobiologic advances from the brain disease model of addiction. New England Journal of Medicine, 374(4), 363-371.

The “antireward” system Volkow, N. D., Koob, G. F., & McLellan, A. T. (2016). Neurobiologic advances from the brain disease model of addiction. New England Journal of Medicine, 374(4), 363-371.

The “antireward” system CRF NE DYN Stress Volkow, N. D., Koob, G. F., & McLellan, A. T. (2016). Neurobiologic advances from the brain disease model of addiction. New England Journal of Medicine, 374(4), 363-371.

The “antireward” system Dysphoria Stress Craving Volkow, N. D., Koob, G. F., & McLellan, A. T. (2016). Neurobiologic advances from the brain disease model of addiction. New England Journal of Medicine, 374(4), 363-371.