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Psychoactive Drug
a chemical substance that acts on the brain to impact behavior, perceptions, moods, or mental processes
Blood-brain barrier (BBB)
blocks certain material in the blood from entering brain tissues
-> semi permeable membrane between blood and interstitial of brain
Substance use disorders
the persistent use of drugs despite substantial harm and adverse consequences to self and others
Characteristics of dependence
tolerance, addiction, physical dependence, psychological dependence, withdrawal
Tolerance
results in the need for greater amount of the drug to experience initial effects
Addiction
state of psychological and or physical dependence on drugs or other substances
Physical dependence
user has intense cravings and a biological need for the drug
- need to alleviate pain
Psychological dependence
spend time thinking about next high
- need to use drug for relieving mental stress
Withdrawal
painful side effects that occur after the end of long term use
- body may produce less neurotransmitters that were supplemented by the drug
Depressants
slow nervous system activity
ex: alcohol, barbiturates, opiates
Alcohol
acts as a depressant on the frontal lobe reducing inhibitions and slurred speech (Broca's area)
- GABA agonist (mimics GABA)
Barbiturates
Downers, GABA agonist
- often used to treat insomnia, can interfere with sleep patterns and cause dependence
Opiates
suppress pain and induce sleep while also producing a sate of euphoria
ex: opium, morphine, oxycodone, heroine
- endorphins agonist
Hallucinogens
alter one's perceptions, causing dramatic hallucinations
ex: LSD, PCP, THC (marijuana), MDMA (ecstasy)
LSD
produces hallucination and delusions similar to a psychotic state
- can result in psychosis, memory loss, paranoia, panic attacks, nightmares and aggression
THC
the active ingredient in marijuana, produces mild hallucinations, euphoria, relaxation
-long term use can shrink areas of the brain associated with memory and emotions
-cannabinoid agonist
Stimulants
activate the nervous system and essentially increase levels of arousal and activity while suppressing appetite
-ex: nicotine (tobacco), caffeine, cocaine, amphetamines
Caffeine
increases alertness, can cause anxiety, heart palpitations, insomnia, and diarrhea
Nicotine
Acetylcholine agonist, boosts release of dopamine
arousal - boosts alertness and mental efficiency
calming effect - reduces anxiety and sensitivity to pain
Amphetamines
chemically similar to epinephrine, increased alertness and sense of well-being
-can cause euphoria followed by a crash of severe depression
MDMA (ecstacy)
stimulant and mild hallucinogen
- produces a euphoric high and can damage serotonin producing neurons resulting in a permanent deflation of mood and impairment of memory
Cocaine
- blocks reabsorption of dopamine (dopamine agonist)
- produces increased alertness, motivation, and euphoria
- crash leads to depression, anxiety, and strong cravings
Substance use vs abuse
use = using a substance that does not yet interfere with a person's life
abuse = pattern of drug use that diminishes one's ability to fulfill responsibilities
Dependence Criteria
Need 4 out of 7
- developing a tolerance
- experiencing withdrawal
- using for longer period or in greater quantities than needed
- presence of a desire or repeated attempts to cut back on use
- spending a lot of time obtaining/using substance
- reduction/cessation of usual activities
- repeated use despite knowing it causes harm