Psychological Dependence vs Physical Dependence
Fundamental processes of plant physiology include photosynthesis, respiration, plant nutrition, tropisms, nastic movements, photoperiodism, photomorphogenesis, circadian rhythms, seed germination, dormancy, and stomata function and transpiration. Although there are differences between animal, plant, and microbial toosie pink coke cells, the basic physiological functions of cells can be divided into the processes of cell division, cell signaling, cell growth, and cell metabolism.citation needed The Nobel Prize in Physiology or Medicine is awarded by the Royal Swedish Academy of Sciences for exceptional scientific achievements in physiology related to the field of medicine. Central to physiological functioning are biophysical and biochemical processes, homeostatic control mechanisms, and communication between cells.
- Another fundamental aspect of dependence in humans is the occurrence of relapse to alcohol and other drug (AOD) use during periods of protracted abstinence (Spanagel and Kiefer 2008).
- Between 1757 and 1766 he published eight volumes entitled Elementa Physiologiae Corporis Humani (Elements of Human Physiology); all were in Latin and characterized his definition of physiology as anatomy in motion.
- Both forms of dependence develop together and affect each other as an individual’s mind and body grows accustomed to a particular substance.
- However, CRF is produced not only in the hypothalamus but also is found in other brain areas (Cummings et al. 1983).
- This means that individuals struggling with alcohol addiction experience psychiatric disorders such as anxiety, depression, post-traumatic stress disorder (PTSD), or bipolar disorder.
- However, receptors from mice that lack another PKC variant, or from mice in which that PKC variant is inhibited, showed increased sensitivity to ethanol and benzodiazepine potentiation (Hodge et al. 1999; Proctor et al. 2003; Qi et al. 2007).
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Pharmacologic or genetic modulation of serotonin systems also has been found to alter ethanol consumption. Much of this research has been done in animal models that are designed to reflect various aspects of alcohol dependence in humans. This discussion also takes into consideration the role of reduced reinforcement, enhanced anxiety, and increased sensitivity to stress as contributors to relapse drinking in the context of the neurobiological changes observed in alcohol-dependent people. The CRF system, which is sensitive to alcohol’s acute and chronic effects and is an important mediator of stress and anxiety, also is discussed. These adaptive neurochemical changes, as well as morphological changes in some brain regions,4 can contribute to relapse to drinking.
Because the influx of cations through iGluRs during excitatory neurotransmission is critical for inducing plasticity, it is not surprising that acute ethanol exposure negatively affects the induction of NMDA-dependent long-term potentiation as well as promotes long-term depression (Blitzer et al. 1990; Hendricson et al. 2002). Group II and Group III mGluRs can regulate glutamate release from the presynaptic axon by inhibiting certain enzymes essential for glutamate release (e.g., PKA). For example, Group I receptors (i.e., mGluR1 and mGluR5) can enhance NMDAR function by activating a signaling molecule called protein kinase C (PKC); moreover, these receptors are physically linked to the NMDA receptors (Fagni et al. 2000; Tu et al. 1999).
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Rats readily self-administer shocks to brain regions that What Alcohol Does are important in mediating the rewarding properties of alcohol. In this procedure, alcohol is available to the animals via normal drinking bottles in the home cage. For example, rats will respond for alcohol infusions directly into the stomach (Fidler et al. 2006), blood stream (Grupp 1981), or brain (Gatto et al. 1994). Thus, people may drink to prevent or alleviate the anxiety they experience during alcohol withdrawal. Chronic exposure to high doses of alcohol produces counteradaptive neural changes that affect the motivational properties of alcohol and drive subsequent alcohol-seeking behavior. These techniques are used in conjunction with animal models that mimic various components of alcohol dependence in humans.
Involving evolutionary physiology and environmental physiology, comparative physiology considers the diversity of functional characteristics across organisms. Due to the frequent connection between form and function, physiology and anatomy are intrinsically linked and are studied in tandem as part of a medical curriculum. Much of the foundation of knowledge how long does heroin stay in your system in human physiology was provided by animal experimentation. The endocrine and nervous systems play major roles in the reception and transmission of signals that integrate function in animals. Absorption of water by roots, production of food in the leaves, and growth of shoots towards light are examples of plant physiology.
Neurobiology of Alcohol Dependence
Again, symptoms of dependence are augmented when animals repeatedly are withdrawn from the alcohol diet (Overstreet et al. 2002). However, alcohol’s negative reinforcing effects may contribute to alcohol-drinking behavior at this stage in people who suffer from coexisting psychiatric disorders and use alcohol to self-medicate these disorders. The positive reinforcing effects of alcohol generally are accepted as important motivating factors in alcohol-drinking behavior in the early stages of alcohol use and abuse. Alcohol-drinking behavior is driven by both positive and negative reinforcement, although their relative contributions change during the transition from alcohol use to abuse to dependence. Alcoholism, also called dependence on alcohol, is a chronic relapsing disorder that is progressive and has serious detrimental health outcomes.
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As a foundation for this discussion, the following sections briefly introduce some of the neural circuits relevant to alcohol dependence, categorized by neurotransmitter systems; however, this discussion is by no means exhaustive. Following chronic exposure, these interactions result in changes in neuronal function that underlie the development of sensitization, tolerance, withdrawal, and dependence. Although alcohol withdrawal symptoms vary in severity according to the history of the individual, they are qualitatively similar across species.
These findings suggest that whereas stress-induced relapse may involve the CRF system, alcohol cue-induced relapse may be mediated by the endogenous opioid system. Conversely, a CRF receptor antagonist, but not naltrexone, blocked stress-induced reinstatement. Thus, the opioid antagonist naltrexone, but not a CRF receptor antagonist, blocked cue-induced reinstatement. For example, one elegant experiment showed that stressors and alcohol-paired cues, both individually and additively, reinstated previously extinguished responding on an alcohol-paired lever; however, the pharmacological basis of each situation was unique. That behavior then is extinguished—that is, the animal no longer receives alcohol for pressing a lever until the animal no longer attempts to press the lever at all. In these models, animals first are trained to respond (e.g., press a lever) for alcohol in an operant situation.
- Together, these findings suggest that ethanol-mediated enhancement of GABAA receptor function or GABA release (which would produce an anxiolytic effect) promotes alcohol consumption (Koob 2004).
- The agent naltrexone, a subtype-nonspecific opioid receptor antagonist, currently is approved as a treatment for alcoholism in humans and is particularly effective in reducing heavy drinking.
- Chronic exposure to high doses of alcohol produces counteradaptive neural changes that affect the motivational properties of alcohol and drive subsequent alcohol-seeking behavior.
- After chronic alcohol exposure and during withdrawal, glutamate release at the synapse is enhanced and the number of synaptic N-methyl-d-aspartate receptors (NMDARs) and α-amino-3-hydroxy-5-methylisoxazole-4-proprionic acid receptors (AMPARs) is increased.
- These symptoms usually begin several hours after drinking stops and can last up to 24 hours.
- While at rehab, clients participate in a variety of therapy modalities to treat their substance dependency and any other mental health issues they’re suffering from.
- Chronic use of alcohol can contribute to the development or worsening of psychiatric disorders, including depression, anxiety, and increased risk of suicide.
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Similarly, CRF itself can promote GABA release in the amygdala via the CRF1 receptor (Bagosi et al. 2008). Moreover, activation of the CRF2 receptor resulted in decreased alcohol self-administration in dependent animals (Funk and Koob 2007; Sommer et al. 2008). In contrast to the CRF1 receptor, production of the CRF2 receptor (as determined by measuring mRNA levels) is decreased in the amygdala of alcohol-dependent animals. When these rats drink alcohol, the production of the CRF1 receptor is decreased (Hansson et al. 2007). Another study (Lowery et al. 2008) recently found that a CRF1 receptor antagonist also can reduce stress-induced increases in alcohol consumption by nondependent mice. Acute alcohol exposure can activate this axis, and recent studies (Lee et al. 2004; Li et al. 2005) suggest that alcohol’s effect on the HPA axis requires, among other factors, the presence of CRF in the hypothalamus.
Read our related article to discover how long it takes your brain to rewire after addiction, and learn more about inpatient addiction treatment at Sequoia. Individuals can experience relief from their substance dependence with the help from mental health professionals. Psychological and physical dependence both lead to uncomfortable or painful symptoms when the substance isn’t used. The frequency and severity of these symptoms can vary depending on an individual’s brain chemistry, mental health issues, and environment.
Such receptor trafficking can involve movement of the receptor from synaptic to extrasynaptic regions of the cell as well as uptake of receptor molecules into the cell (Bogdanov et al. 2006). Many different classes of receptor subunits—known as α, β, γ, δ, ɛ, θ, and π subunits—have been identified, and for some classes there is more than one type of subunit (e.g., α1 to α6, and β1 to β3). The GABAA receptor, which is expressed widely in the central nervous system, is a protein complex that is linked to a chloride channel. In postsynaptic neurons, GABA generally makes it more difficult to generate an electrical signal, thereby interfering with further signal transmission. It acts both on the axon terminal region of presynaptic neurons and on the synaptic region of postsynaptic neurons.
Drugs and alcohol can flood the brain with dopamine, creating a euphoric high that far surpasses natural rewards. To truly understand physiological addiction, we need to dive into the intricate workings of the brain. This is distinctly different from psychological addiction, which primarily involves emotional and mental dependence on a substance or behavior.
A) Acute alcohol can induce β-endorphin release, resulting in activation of μ receptors on the GABAergic neurons in VTA. Endogenous opioids, however, can act on μ receptors on the GABAergic neurons, thereby inhibiting GABA transmission, and ultimately leading to increased dopamine release. Endogenous opiates, however, can act on μ receptors on the GABAergic neurons, thereby inhibiting GABA transmission and ultimately leading to increased dopamine release (Di Chiara and North 1992; Margolis et al. 2003).
Withdrawal
Conversely, different GABAA receptor antagonists decreased ethanol-induced intoxication (i.e., ataxia) (Martz et al. 1983; Suzdak et al. 1986) and sedation (Givens and Breese 1990). In general, these studies found that acute alcohol exposure enhances GABAergic neurotransmission (see figure 5B). Alcohol has sedative and anxiety-reducing (i.e., anxiolytic) effects, similar to those of barbiturates and benzodiazepines, which are known to act at the GABAA receptor.
However, clinical studies testing a CB1 receptor antagonist, rimonabant, for weight loss have noted side effects of severe depression, anxiety, and increased risk of suicide, which could limit the use of such antagonists. Finally, a CB1 receptor antagonist reduced cue-induced alcohol reinstatement and the alcohol deprivation effect in rats (Colombo et al. 2007). In fact, the 5-HT3 receptor antagonist ondansetron has had some success in reducing alcohol consumption and increasing abstinence in alcohol-dependent people (Ait-Daoud et al. 2001; Johnson et al. 2000; Kranzler et al. 2003), as has the 5-HT1A partial agonist buspirone (Kranzler et al. 1994). Conversely, inhibition of the 5-HT3 receptor substantially reduced alcohol consumption (Hodge et al. 2004). However, both increases and decreases in 5-HT1B receptor production can increase ethanol consumption (Hoplight et al. 2006; Risinger et al. 1999), with overproduction of the 5-HT1B receptor reportedly producing the most significant changes. These studies found that serotonin transmission is increased after acute alcohol administration and reduced during alcohol withdrawal (Tabakoff and Hoffman 1977).
This does not mean the patient has a substance use disorder — it just means they need medication to have a higher quality of life. Additionally, physiological dependencies are most commonly formed with prescription medication that is not abused by the patient. In truth, addiction doesn’t happen overnight and it rarely happens if you take an opioid once. Did you know that there are many stages that lead up to addiction?
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Alcohol and opiate drugs, such as heroin, produce classic physiological dependence. The physical and mental aspects of dependence should always be considered together, even if an individual presents primarily with a physiological component of dependence. Drugs of abuse can vary in the extent to which they produce physiological and psychological dependence. These changes are observed when a person experiences a drug-specific withdrawal syndrome, which is a set of unpleasant symptoms experienced when the drug is abruptly discontinued. This can involve the use of substitute medications that share some effects with the original substance.
The philosophy of addiction delves into these complex interactions between physical dependence, psychological factors, and societal influences. Dopamine addiction, for instance, isn’t just about the physical craving for a substance. While we’ve focused primarily on the physiological aspects of addiction, it’s crucial to recognize that addiction is a biopsychosocial disorder.