NIDA for Teens: The Science Behind Drug Abuse
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Dopamine

Addicted to French Fries: Is Food a Drug?

According to the American Heart Association, about one in three kids and teens in the United States is overweight or obese. Obesity can lead to chronic health problems like heart disease, diabetes, and high blood pressure. Obesity can even shorten your life. You probably already heard this in the news. But, did you know that a diet high in saturated fats, refined sugars, corn syrup, and carbohydrates literally tricks our brains into craving more unhealthy stuff? Brains React to Food Most people don’t just consume food for “fuel” or energy. Most of us enjoy eating, especially our favorite foods. Science backs this up: Consuming tasty foods can satisfy the natural brain reward system, releasing the chemical dopamine in the brain to add to overall feelings of contentment and satisfaction. This is good for our survival since we have to eat to survive. Overeating is different, but is also based in the brain. Scientists now understand that, for a growing number of people, certain foods trick the brain into wanting more. Pizza, French fries, chocolate, and colas are high on the list of foods that trigger dopamine. In this way, food causes reactions in the brain similar to those caused by some drugs, like cocaine, methamphetamine, and marijuana, which also affect dopamine levels and lead to compulsive drug seeking and use. According to NIDA Director Dr. Nora D. Volkow, “We are finding tremendous overlap between drugs in the brain and food in the brain.” Steps You Can Take It’s important to balance your diet with healthy choices and right-sized portions to ensure you get all the nutrition you need to be healthy. Here are a few tips from Michelle Obama’s Let’s Move! Campaign:
  • Try new fruits and veggies. Add variety to your meals to make eating healthier, fun, and interesting.
  • Drink smart. Skip soda and other drinks flavored with sugar or high-fructose corn syrup. Choose water—make it more exciting by adding a splash of lemon or a few mint leaves.
  • Move every day. Walk or bike to your destination. Turn off the TV and go outside.
Now you tell us: What do you do to eat well, keep fit, and stay healthy? French fries

HBO's "The Weight of the Nation": Obesity on the Brain

SBB has talked a lot about how drug addiction is a complicated brain disease. But it’s not the only one. Obesity also involves the brain and is the subject of an HBO special that takes a serious look at this complex problem. The 4-hour documentary series “The Weight of the Nation” covered everything from fatty liver disease in overweight children to how humans are wired to find pleasure in food to how our food supply has changed over the years. If you missed it in mid-May, you can go to HBO’s Web site and see it for free. To get a better idea of the obesity problem, check out this creative infographic, “Obesity: Complex But Conquerable,” from the Institute of Medicine. Our Brains: Wired To Find Pleasure in Food You may see overweight people and wonder, “Why don’t they just stop eating so much?” If the solution were that simple, then nearly two-thirds of the U.S. population would not be either overweight or obese. NIDA Director Nora D. Volkow, M.D., spoke in the HBO series about how brain science relates to obesity. She noted how early in human civilization, when a person’s survival depended on the ability to hunt and gather, our brains associated tasty food, like bananas, with pleasure, making it more likely that a person would climb a tree to get the fruit. Today, that powerful connection still exists between food and pleasure, except now we don’t have to work so hard for our food. For some people, the rush of dopamine associated with eating a food they like may cause them to overeat impulsively—a brain reaction they cannot control, according to Dr. Volkow. It is a similar response to what happens in drug addiction when people compulsively seek and use drugs despite the negative consequences. Nature AND Nurture The documentary emphasized that our society—with its overabundance of fast food restaurants, massive portion sizes, and schools serving foods like French fries and pizza—makes it easy for people to make poor food choices. To reverse this bad health trend, we need to change our environment and make better choices. Our stomachs, livers, and hearts aren’t the only organs affected by obesity—the brain also takes a hit. Dr. Volkow said, “Obesity negatively affects the function of the brain. The greater the problem of obesity, the less activity in areas of the brain that are extremely important for cognitive (thinking) operations.” Find out more about what other experts from the National Institutes of Health had to say about obesity, and preview a clip from the documentary:

Chasing the Runner's High

Dr. Nora Volkow, Director of NIDA, is an avid runner—6 miles a day!

We all know the benefits of physical activity on the body, but as a neuroscientist, Dr. Volkow is also interested in how exercise helps the brain.

Working your body can definitely make you feel good—but can you really get a “high” without drugs?

Doing exercise like running actually stimulates the brain's reward system and releases the same feel-good brain chemicals that drugs do. The best part of “getting high” through exercise is that you avoid the negative health effects of drugs, while also making your body stronger.

What causes this natural high?  Here are a couple theories from research:

Theory 1: Endorphins and Dopamine

The body produces its own kind of opioids—chemicals closely related to the drugs morphine or heroin—called endorphins. Endorphins are produced when we feel excitement or love, or when we eat tasty food. The brain also produces endorphins during intense workouts.

The release of endorphins stimulates the brain's reward system to release dopamine—the brain’s #1 feel-good chemical. Increased dopamine in the brain causes the euphoria people get from drugs and may explain the runner’s high too.

Theory 2: Endocannabinoids

Other research suggests that a different class of chemicals, called cannabinoids, are also released by exercise and may contribute to the runner’s high.

Your body actually makes cannabinoids—called endocannabinoids—that act on the same brain receptors as the THC in marijuana. It’s no surprise then that cannabinoids are associated with the pleasant sensation, reduced anxiety, and pain reduction that marijuana can bring.

The runner’s high might even help people who are addicted to drugs. NIDA is supporting research to find out how exercise and the release of those feel-good brain chemicals might help prevent substance abuse, or even encourage people who do drugs to replace one habit with another—in a good way.

So, does knowing that exercise can make you feel happy make you want to pop in your earbuds and take a run??

Girl Running

Prescription Stimulants Affect People With ADHD Differently

There’ve been lots of headlines lately about the dangers of prescription drug abuse—like taking a friend’s.

From this positron emission tomography (PET) scan, you can see how natural dopamine levels are different in people with and without ADHD. The scan on the left shows the brain of someone without ADHD, and the scan on the right shows the brain of someone with ADHD. The greater concentration of yellow, orange, and red in the nucleus accumbens in the scan on the left reflects a higher amount of dopamine.

BUT—for people who do not have ADHD, stimulants flood the brain with dopamine, causing a dopamine overload. So instead of having a calming effect as they would on people with ADHD, stimulants taken without a medical reason can disrupt brain communication and cause euphoria. It might feel good at first, but repeated abuse of stimulants can:

  • Increase blood pressure, heart rate, and body temperature.
  • Decrease appetite and sleep.
  • Cause feelings of hostility and paranoia.
  • Increase a person’s risk for addiction.

Doctors take many factors into account when prescribing a drug for a person who needs it: dose size, the person’s weight and height, how long the drug should be taken, and much more. The bottom line is that drugs affect everyone differently. Want to see how abusing Adderall could affect you physically and academically? Choose Your Path.

Word of the Day: Dopamine

Imagine this: You're playing basketball; it's the last quarter. In fact, you only have 30 seconds to make the winning shot. You shoot, it soars through the air, you hear the buzzer go off...and then you see the swoosh.

You just won the game for your team. How do you feel?

The answer to that question involves a chemical in your brain, called dopamineour word of the day. Dopamine delivers important messages between neurons (brain cells). That's why it's called a "neurotransmitter." Dopamine is an especially important neurotransmitter, because it helps to control movement, motivation, emotions, and sensations like pleasure.

Back to the basketball game. After you made that winning basket, dopamine sent "messages" to your neurons to help you feel happy, pumped, and overjoyed that you made that winning shot. Dopamine would also be working away in your teammates' brains as they ran out onto the court to celebrate, and in the brains of the cheering fans jumping up and down in the stands.

But it doesn't stop there. Dopamine is at work all the time, delivering messages to neurons and motivating you to participate in the more basic activities of life, like eating foods you like or spending time with family and friends. How dopamine works in the brain is especially important in teens since teens' brains are still developing. When dopamine levels are affected by drugs like cocaine, it can affect the brain's "wiring," causing important messages to get lost in translation. Messing with dopamine can affect your motivation to go to prom or ability to make that winning basketball shot,—even your ability to feel happiness. And that's why drugs might cost you more than just the basketball game.

For more in-depth resources and other brainy words, check out NIDA's interactive glossary that fuels my "Words of the Day."

Basketball going through basketball hoop.

Real Life: The Choices We Make

A lot of celebrities are making headlines lately for all the wrong reasons. First we hear about tennis star Andre Agassi admitting to meth (a toxic stimulant drug) use when he was on the tennis circuit (what was he thinking?) and now Tiger Woods, with everyone speculating about his personal problems. All of this news has made SBB think a lot about how we make choices in our lives. Why do intelligent, successful people make bad choices when they have so much to lose—even (and maybe especially) superstars?

We look at this question of personal choices and self control a lot at NIDA while we study drug abuse. Initially, taking drugs is a choice. Over time, drug abuse can become a disease we call addiction. But what makes us risk the consequences of making the choice to try drugs? Not everyone becomes addicted to them, but many do, so why do people risk it?

To find answers, scientists are studying the brain chemical called dopamine. Dopamine gives us a feeling of euphoria, a physical surge of pleasure in response to things we enjoy, which are different for different people. From healthy pleasures, like eating a good meal or scoring a goal, to unhealthy ones, like doing drugs or stealing from stores. Once you become addicted to that rush of dopamine it is hard to stop the behavior. And, once you become addicted it is hard to feel pleasure from the simple things in life—like a great piece of music, holding hands with someone you really like, spending a fun day with the family, or having a laugh with friends.

So how do we avoid making bad choices in the first place? SBB suggests focusing on the genuine pleasures in your life. Fill your day with them. Go shopping with your sister, watch a game with friends, join a club at school, see a movie, read a great book…Protect the simple pleasures in your life—and when it comes to drugs, maybe think about what you might lose.

Quote from Harry Potter about our choices and our abilities; Image Courtesy of Garland Cannon

Word of the Day: Euphoria

Euphoria: A feeling of well-being or elation.

Euphoria is that excitement you get from getting a perfect score on a test, or attention from someone you have a crush on. It can come from a roller coaster ride or as the rush from a physical activity like downhill skiing, especially the first time. These feelings of euphoria are all healthy and natural.

What's not healthy or natural is taking drugs to feel "euphoric." Drugs of abuse artificially produce euphoria by manipulating your brain chemistry to make it seem that something exciting is happening. To get this feeling again, you may choose to use the drugs again-and again. And that can lead to craving and addiction.

Over time, the brain needs more of the drug to get the same feelings of pleasure. Why? The drug causes surges, like waves, of the brain chemical dopamine, which initially produce the euphoria. After repeated hits, though, the brain adjusts to this higher level of dopamine by making less of it and by reducing the number of receptors that can receive and transmit the signals it sends. Pretty soon, the drug abuser is taking the drug just to bring the dopamine functions back up to normal and to avoid the horrible craving that compels them to seek and use drugs even when their lives and health are falling apart. That is really the essence of addiction.

People jumping in the air.

But the good news is that natural, healthy experiences of euphoria don't wreck the brain's chemistry. So think about what you do in life that makes you feel good. Spending time with friends, playing with your dog, doing sports, seeing a good movie? Any of these activities can create a natural euphoria by triggering the brain's reward system the way it was meant to work.

So don't let drugs fool your brain, and then wreck it.

image of Euphoria

Word of the Day: Brain Reward System

A reward is a great way to encourage someone to do something. For example, if you offer a $300 reward to find your lost dog, people may be more likely to look for and return him or her. Or, if your parents offer to reward you for keeping your room clean or getting good grades, you have an incentive to do it. Our brain has its own reward system. When we do certain things, the brain rewards us by making us feel good. The brain reward system is a brain circuit that causes feelings of pleasure when it is “turned on” by something we enjoy (see figure), like eating good food or being in love.

Whenever this reward circuit is activated, our brains note that something important is happening that is worth remembering and repeating. Drugs activate the brain reward system in a similar manner. However, most drugs set off a surge of the brain chemical dopamine and therefore produce a much stronger and longer-lasting “artificial” pleasure sensation than natural highs. The effect of such a powerful reward strongly motivates people to take drugs again and again, even when they no longer really want to. That can happen because drugs can actually reprogram the brain, so that every time a person takes the drug, the effect is a little weaker, and so they have to take more and more of it to get the same feeling. Eventually, a person can become addicted to the drug and compulsively use it, not so much to feel good but to keep from feeling bad. That’s the “sneaky” part of addiction. NIDA provides lots of information about the how drug abuse targets the brain’s pleasure center:

Meet Dr. Nora Volkow, Director, National Institute on Drug Abuse

First, a quiz. What doesn’t belong in this list? a) World History b) Running c) Dark Chocolate d) Brain Science Dr. Nora Volkow is a Mexican-born psychiatrist who fell in love with the brain very early in her scientific career, thanks to an article she read as a medical student in Mexico about a new brain technology, Positron Emission Tomography—or PET scans. With PET scans, scientists were able to peer into people’s brains to map what kind of connections are inside a living, breathing human being, and to see where certain behaviors were linked to that map. It was more than just looking at a photograph of the brain, it was looking at snapshots of emotions, desires, and thoughts, and it set her on a path towards understanding the triggers in the brain that lead to abuse—or addiction—to everything from prescription drugs to chocolate to the computer game Tetris. What could such different things possibly have in common? According to an interview in the New York Times, Dr. Volkow has a one-word response: dopamine. The surge of this hormone through the body stimulates the brain’s pleasure and reward system, tricking the brain into wanting more. This feeling of getting “high” makes it harder for some people to experience the normal pleasures in life—including friends, family, and healthy activities. Dr. Volkow’s scientific career includes not only directing the National Institute on Drug Abuse at NIH, but also conducting brain research at Brookhaven National Laboratory in New York. In case you’re curious about how a researcher can also run a government institute, as Dr. Volkow says, “Science and politics are intertwined.” So have you figured out the answer to our quiz: What doesn’t belong in this list? Aha, a trick question! The correct answer is they all belong—a, b, c, and d are all things that can describe Dr. Nora Volkow. a) Her great-grandfather was Leon Trotsky, one of the architects of the Russian Revolution who went into exile in Mexico City. b) Running is the activity that Dr. Volkow indulges in that produces the “runners high” caused by an exercise-induced dopamine reward in the brain. c) Chocolate, for Dr. Volkow, is its own reward. d) Brain science is what she loves even more than chocolate. In fact, neuroscience (the science of the brain) is emerging as the key to creating treatments to counteract the drug-induced brain changes that can lead to addiction, a belief held by many policy experts and researchers like Dr. Volkow. Dr. Nora Volkow, Director, National Institute on Drug Abuse