1. Substance abuse reveiw

2. Medical, social, economic
We see it as a mental health disorder and we now try and prevent it.
biology and environment
Dopamine decrease, drugs take the place of dopamine for pleasure
Teen 12-17
Adults rely on frontal cortex and teen rely more on the amygdala
Higher DA receptors the less likely you will become addicted, the lower DA receptors the more likely you will become addicted.
Risk of developing more mental health disorder disorders: anxiety, depression
Stress, physical and sexual abuse, witnessing violence, peers who use, availability
Prevention, knowledge of risk, research
Disease transmission, IV drug use, impaired judgement, disease progression

3. 12. Dopamine levels decrease making the need for drug use increase 13
12. Dopamine levels decrease making the need for drug use increase 13. A reduction in the levels of dopamine receptors, which reduces the ability to sense pleasure 14. Drugs have damaged the part of the brain that controls decision making skills. 15. Doctors are over-prescribing 16. Heroin in pill form 17. Chronic, often relapsing brain disease that causes compulsive drug seeking and use 18. Addiction changes the brain in fundamental ways: ability to control impulses 19. Run in families, environmental conditions, respond to treatment 20. In a twelve month period, failure to meet obligations, engaging in reckless activities, encountering legal troubles, continuing to use despite personal problems

4. 21. Three or more criteria from a set that includes two physiological factors and five behavioral patterns over a twelve month period 22. tolerance, withdrawal 23. Unable to stop, exceeding self-imposed limits, curtailing time spent on other activities, spending excessive time using or getting drugs, taking a drug despite deteriorating health

5. 24.

6. 25.