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What can pass the Blood Brain Barrier?
Transporter proteins → shuttle specific molecules across membranes
Dissolving through the blood vessel cell walls → Hydrophobic (lipophilic) molecules can pass through the hydrophobic lipid bilayer (oxygen, drugs)
What is substance use disorder?
compulsive pattern of drug use despite negative consequences (involves physical and psychological dependence)
Physiological dependence
involves changes in normal bodily functions and withdrawal upon cessation of use
Psychological dependence
emotional need for the drug
Tolerance
occurs when a person requires more and more of a drug to achieve effects previous experienced at lower doses; linked to physiological dependence
Withdrawal
negative symptoms experienced when a drug use is discontinued
GABA (Gamma-aminobutyric acid)
The major inhibitory neurotransmitter in the brain and spinal cord
What does GABA do?
Blocks the signals of excitatory neurotransmitters
What happens as a result of low levels of GABA?
Low levels may be responsible for anxiety and panic
Glutamate
The primary excitatory neurotransmitter in the mammalian brain
What does glutamate do?
Important for longer term processes and learning and memory
Other neurotransmitters are:
Acetylcholine, endorphins, dopamine, norepinephrine, and serotonin
Acetylcholine
muscle action and memory
Endorphins
pain and pleasure
Dopamine
mood, sleep, and learning
Norepinephrine
heart, intestines, alertness
Serotonin
mood and sleep
Effects of Depressants
suppress central nervous system activity
Examples of depressants
alcohol, barbiturates, benzodiazepines
What do depressants do to GABA receptors?
GABA agonists have a quieting effect on the brain
Work by binding to GABA receptors, which makes the neuron less likely to fire.
What are the effects of alcohol?
Decreases reaction time and visual acuity
Lowers levels of alertness
Reduces behavioral control
Can result in complete loss of consciousness
Effects of Stimulants
increase overall levels of neural activity
Examples of stimulants
cocaine, amphetamine, cathinones (bath salts), MDMA
What do stimulants do to dopamine receptors?
Usually dopamine agonists, which work by preventing the reuptake of dopamine.
Dopamine activity is associated with reward and craving, therefore these drugs can be highly addictive.
Dopamine agonists such as cocaine and amphetamines block the reuptake of dopamine from the synapse into the presynaptic cell
Results in a larger amount of dopamine in the synapse
Effects of caffeine
Involves antagonizing adenosine activity
Increases levels of alertness and arousal
Effects of nicotine
Interacts with acetylcholine receptors
Highly addictive
Plays a role in arousal and reward mechanisms
Effects of opioids
serve as analgesics (decrease pain) through their effects on the endogenous opioid neurotransmitter system and are highly addictive.
Examples of opioids
heroine, morphine, methadone, codeine, fentanyl
Effects of Hallucinogens
Causes changes in sensory and perceptual experiences. It can involve vivid hallucinations.
Variable with regards to the specific neurotransmitter systems they affect.
What do Mescaline and LSD do?
They are serotonin agonists
What do PCP and ketamine do?
They are NMDA glutamate receptor antagonists
Circadian rhythm
a biological rhythm that occurs over approximately 24 hours.
What is the circadian rhythm generated by?
It is generated by the suprachiasmatic nucleus (SCN)
What is the hypothalamus responsible for?
maintaining homeostasis
Homeostasis
Tendency to maintain a balance, or optimal level, within a biological system
Suprachiasmatic Nucleus (SCN)
In the hypothalamus
Serves as the brain's clock mechanism
Clock sets itself with the light information received through projections from the retina, allowing it to synchronize with the outside world.
What does Melatonin do?
regulates our sleep wake cycle
is stimulated by darkness, making us sleepy and inhibited by daylight
Pineal Gland
The gland that releases melatonin
Adaptive function (evolutionary hypothesis)
Sleep is essential to restore resources that are expended during the day
Sleep is an adaptive response to predatory risks, which increase in the darkness
There is little evidence to support these explanations (they are hypotheses)
Cognitive Function:
focuses on sleep’s importance for cognitive function and memory formation
What does sleep deprivation result in?
results in disruptions in cognition and memory deficits, which become more severe as it increases
What is slow wave sleep essential for?
effective memory formation
Jet Lag
symptoms resulting from mismatches between our internal circadian cycles and the environment
Symptoms of jet lag
Fatigue, sluggishness, irritability, insomnia
Light Exposure
Bright light can be used to realign our biological clocks with the external environment
What does light exposure do?
Helps people maintain a regular circadian cycle
Helpful for people working night shifts or those affected by seasonal variations in light
Sleep debt
result of insufficient sleep on a chronic basis
Sleep rebound
a sleep deprived individual will tend to take a shorter time to fall asleep during subsequent opportunities for sleep
What are the five types of brain waves?
Gamma, Beta, Alpha, Theta, Delta
Gamma Waves
insight, peak experiences, synchronization
Beta Waves
alertness, concentration, thinking
Alpha Waves
meditation, creativity, relaxation
Theta Waves
visualization, trances, dreaming
Delta Waves
deep sleep, transcendence, restoration
What are the sleep stages?
Stages 1 and 2, stages 3 and 4, REM sleep
Stage 1 (Alpha Waves)
Transitional phase between wakefulness and sleep
Rates of respiration and heartbeat slow down
Overall muscle tension and core body temperature decrease
Stage 2 (Theta Waves)
Body goes into deep relaxation
Characterized by appearance of sleep spindles and K-complexes
Sleep spindles → rapid burst of high frequency brainwaves
K-complexes → very high amplitude pattern of brain activity
Stages 3 and 4 – Deep Sleep (Delta Waves)
Known as slow-wave sleep
Respiration and heart rate slow down further
Rapid Eye Movement (REM) Sleep
paralysis of voluntary muscles; dreams; brain waves are similar to those seen during wakefulness.
Insomnia
difficulty falling or staying asleep for at least 3 nights a week for at least one month’s time
Most common sleep disorder and may be associated with symptoms of depression
What are contributing factors to insomnia?
age, drug use, exercise, mental status, bedtime routines
What are some treatment options for insomnia?
Stress management techniques
Changes in problematic behaviors that could contribute to insomnia
CBT, which focuses on cognitive processes and problem behaviors.