Addiction (Oxford Psychiatry Library) by David Nutt, Liam Nestor

By David Nutt, Liam Nestor

A part of the Oxford Psychiatry Library sequence, this pocketbook is a transparent and entire review of the mind technological know-how underpinning habit and the way this is helping clarify the present and destiny therapeutics for the variety of addictions, utilizing complete color photographs to augment figuring out. Addiction specializes in the character of habit as a mind ailment that features a variety of alternative behavioural characteristics comparable to impulsivity and present dependence, and discusses the serious function of kinetic and pharmacological elements. The textual content explains how the first pharmacological goals of substances of abuse are actually understood, the relation to the variable nature of habit to various components, and the way this can result in new techniques to remedy.

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Extra resources for Addiction (Oxford Psychiatry Library)

Sample text

Over time, the motivation to use switches to a desire to minimize withdrawal. Withdrawal usually refers to physiological symptoms experienced upon the abrupt termination of the substance. The response that follows the stage of drug intoxication differs markedly across drugs and is influenced by the chronicity and frequency of its abuse. For some drugs, such as opiates, alcohol, and sedative hypnotics, drug discontinuation in chronic users can trigger an intense, 50 acute physical withdrawal syndrome.

Liking’ a substance can become conditioned to substance-related cues. ‘Wanting’ a substance can occur at the expense of ‘liking’ the substance. Excessive ‘wanting’ can lead to a loss of control of substance use. Substance use habits are unconsciousness—they are automatic. Withdrawal from substances of abuse leads to repeated use. Craving for substances may occur following prolonged abstinence. Craving may trigger substance relapse. g. 1). Elements of addiction during the addiction trajectory are a reflection of changes in brain homeostasis.

This results in compulsive substance use and recurrent relapse in addiction. Reprinted from Trends Mol Med, 12(12), Baler, R. , & Volkow, N. , Drug addiction: the neurobiology of disrupted self-control, 559–566, Copyright (2006), with permission from Elsevier. 2). Anomalies within these circuits may also pre-date the addiction state and facilitate the progress from experimentation to substance addiction. The subsequent excessive and chronic use of substances further exacerbates these abnormalities.

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