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Whats Up-The Neurobiology of Learning and Adolescent Substance Abuse Merrill Norton Pharm.D.,D. Ph.,...

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What’s Up-The Neurobiology What’s Up-The Neurobiology of Learning and Adolescent of Learning and Adolescent Substance Abuse Substance Abuse Merrill Norton Pharm.D.,D. Ph., Merrill Norton Pharm.D.,D. Ph., NCAC II, CCS NCAC II, CCS Clinical Associate Professor Clinical Associate Professor University of Georgia University of Georgia College of Pharmacy College of Pharmacy Athens,Georgia 30602 Athens,Georgia 30602 706-542-5371 706-542-5371 [email protected] [email protected]
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Page 1: Whats Up-The Neurobiology of Learning and Adolescent Substance Abuse Merrill Norton Pharm.D.,D. Ph., NCAC II, CCS Clinical Associate Professor University.

What’s Up-The Neurobiology of What’s Up-The Neurobiology of Learning and Adolescent Substance Learning and Adolescent Substance

AbuseAbuse

Merrill Norton Pharm.D.,D. Ph., NCAC II, CCSMerrill Norton Pharm.D.,D. Ph., NCAC II, CCS

Clinical Associate ProfessorClinical Associate Professor

University of GeorgiaUniversity of Georgia

College of PharmacyCollege of Pharmacy

Athens,Georgia 30602Athens,Georgia 30602

706-542-5371706-542-5371

[email protected]@rx.uga.edu

Page 2: Whats Up-The Neurobiology of Learning and Adolescent Substance Abuse Merrill Norton Pharm.D.,D. Ph., NCAC II, CCS Clinical Associate Professor University.

Neurobiology and Behavior

How are human behaviors and neurobiology related?

Page 3: Whats Up-The Neurobiology of Learning and Adolescent Substance Abuse Merrill Norton Pharm.D.,D. Ph., NCAC II, CCS Clinical Associate Professor University.

LearningLearning

““......relatively permanent changes in behavior relatively permanent changes in behavior produced by experienceproduced by experience””– Learning involves changes in the nervous Learning involves changes in the nervous

system produced by experiencessystem produced by experiences– Nervous system changes are physicalNervous system changes are physical– Learning allows us to adapt our behaviors to Learning allows us to adapt our behaviors to

the environment the environment – Learning involves interactions among the Learning involves interactions among the

motor, sensory, and memory systemsmotor, sensory, and memory systems

14.3

Page 4: Whats Up-The Neurobiology of Learning and Adolescent Substance Abuse Merrill Norton Pharm.D.,D. Ph., NCAC II, CCS Clinical Associate Professor University.

Forms of LearningForms of Learning

PerceptualPerceptual learning functions to identify objects learning functions to identify objects and situationsand situations

Stimulus-ResponseStimulus-Response learning involves making a learning involves making a response when a particular stimulus is presentresponse when a particular stimulus is present– Classical conditioningClassical conditioning– Operant ConditioningOperant Conditioning

MotorMotor learning involves forming new circuits in learning involves forming new circuits in motor systemmotor system

Relational Relational learning involves identifying learning involves identifying connections between stimuliconnections between stimuli

14.4

Page 5: Whats Up-The Neurobiology of Learning and Adolescent Substance Abuse Merrill Norton Pharm.D.,D. Ph., NCAC II, CCS Clinical Associate Professor University.

Overview of LearningOverview of Learning

14.5

Page 6: Whats Up-The Neurobiology of Learning and Adolescent Substance Abuse Merrill Norton Pharm.D.,D. Ph., NCAC II, CCS Clinical Associate Professor University.

Relational LearningRelational Learning Relational learningRelational learning involves connections between involves connections between

individual stimuliindividual stimuli Examples of relational learning includeExamples of relational learning include

– Forming an association between the image of an Forming an association between the image of an object and the sounds of that objectobject and the sounds of that object

– Knowing the content of a space and the relationship Knowing the content of a space and the relationship between the objects in that space (between the objects in that space (spatial learningspatial learning))

– Remembering sequences of events (Remembering sequences of events (episodic learningepisodic learning))– Viewing and recalling the actions of another person Viewing and recalling the actions of another person

((observational learningobservational learning))

14.6

Page 7: Whats Up-The Neurobiology of Learning and Adolescent Substance Abuse Merrill Norton Pharm.D.,D. Ph., NCAC II, CCS Clinical Associate Professor University.

The Hebb RuleThe Hebb Rule Donald Hebb argued that synapses that are Donald Hebb argued that synapses that are

active at the same time that the postsynaptic active at the same time that the postsynaptic neuron fires, are strengthened over timeneuron fires, are strengthened over time– Implies that repeated neural activity will produce Implies that repeated neural activity will produce

physical changes in the nervous systemphysical changes in the nervous system Rats exposed to enriched environments Rats exposed to enriched environments

exhibit neural changes:exhibit neural changes:– Thicker cortexThicker cortex– More glial cellsMore glial cells– More Acetylcholine(Long term Memory)More Acetylcholine(Long term Memory)

14.7

Page 8: Whats Up-The Neurobiology of Learning and Adolescent Substance Abuse Merrill Norton Pharm.D.,D. Ph., NCAC II, CCS Clinical Associate Professor University.

Neurobiological Foundations Neurobiological Foundations of Mental Health and Illnessof Mental Health and Illness

(Modified from Andreasen and Black, 2001)(Modified from Andreasen and Black, 2001)

Thoughts, Feelings, and BehaviorThoughts, Feelings, and Behavior

MindMind//BrainBrain SystemsSystems (mental/cognitive systems such as emotion or (mental/cognitive systems such as emotion or

language, chemical systems such as dopamine or serotonin).language, chemical systems such as dopamine or serotonin).

CircuitsCircuits

CellsCells

MembranesMembranes

MoleculesMolecules

GenesGenes

Page 9: Whats Up-The Neurobiology of Learning and Adolescent Substance Abuse Merrill Norton Pharm.D.,D. Ph., NCAC II, CCS Clinical Associate Professor University.
Page 10: Whats Up-The Neurobiology of Learning and Adolescent Substance Abuse Merrill Norton Pharm.D.,D. Ph., NCAC II, CCS Clinical Associate Professor University.

Limbic Cortex and Limbic Cortex and HypothalamusHypothalamus

Page 11: Whats Up-The Neurobiology of Learning and Adolescent Substance Abuse Merrill Norton Pharm.D.,D. Ph., NCAC II, CCS Clinical Associate Professor University.

• Planning• Attention• Judgment• Reflection• Prioritizing• Self control• Strategizing• Sequencing• Anticipation• Organization• Impulse control• Second thought• Working memory• Modulating mood• Response flexibility• Goal-directed behavior• Foresee consequences

Brain CEO: Frontal Cortex

Page 12: Whats Up-The Neurobiology of Learning and Adolescent Substance Abuse Merrill Norton Pharm.D.,D. Ph., NCAC II, CCS Clinical Associate Professor University.

The “Oops” Center–anterior cingulate gyrus

• The cingulate is responsible for helping focus attention

• Links cingulate and emotional hippocampus for integrating reason & emotion to guide decisions

• May involve ability to empathize

• Undergoes high myelination (doubles) during adolescence

• “Oops center” anticipates risk, detects and keeps us from making errors

Page 13: Whats Up-The Neurobiology of Learning and Adolescent Substance Abuse Merrill Norton Pharm.D.,D. Ph., NCAC II, CCS Clinical Associate Professor University.

Myelin DevelopmentMyelin Development

Page 14: Whats Up-The Neurobiology of Learning and Adolescent Substance Abuse Merrill Norton Pharm.D.,D. Ph., NCAC II, CCS Clinical Associate Professor University.

Developmental Model of Psychopathology

2 4-5 6-7 12 14 21

0

Autism SchizoidReactiveAttachmentSeparationAnxiety

ODDConductDisorder

TourettesPDDMentalRetardationAnxiety

ODDADHDSeparationAnxietyOveranxious

ConductDisorderAbuse/Dependence

EatingDisorderSchizophreniaDepressionAbuse/Dependence

EatingDisorderIdentityDisorderAbuse/Dependence

6MOS

Page 15: Whats Up-The Neurobiology of Learning and Adolescent Substance Abuse Merrill Norton Pharm.D.,D. Ph., NCAC II, CCS Clinical Associate Professor University.
Page 16: Whats Up-The Neurobiology of Learning and Adolescent Substance Abuse Merrill Norton Pharm.D.,D. Ph., NCAC II, CCS Clinical Associate Professor University.

Mood Chart of the Human Brain

Mania

Euphoria

Normal

Sadness

Depression

Homeostasis

Page 17: Whats Up-The Neurobiology of Learning and Adolescent Substance Abuse Merrill Norton Pharm.D.,D. Ph., NCAC II, CCS Clinical Associate Professor University.

How Drugs WorkHow Drugs Work

Interact with neurochemistryInteract with neurochemistry

Results:Results:

- Feel Good – Euphoria/reward- Feel Good – Euphoria/reward

- Feel Better – Reduce negative - Feel Better – Reduce negative feelingsfeelings

Page 18: Whats Up-The Neurobiology of Learning and Adolescent Substance Abuse Merrill Norton Pharm.D.,D. Ph., NCAC II, CCS Clinical Associate Professor University.

Dopamine Spells REWARDDopamine Spells REWARD

Release

Activate

Recycle

Page 19: Whats Up-The Neurobiology of Learning and Adolescent Substance Abuse Merrill Norton Pharm.D.,D. Ph., NCAC II, CCS Clinical Associate Professor University.

What memories do you associate with this image?

visual-colour -shape

smell

emotionsauditory

taste

language

Page 20: Whats Up-The Neurobiology of Learning and Adolescent Substance Abuse Merrill Norton Pharm.D.,D. Ph., NCAC II, CCS Clinical Associate Professor University.

Basal Ganglia- “The Basal Ganglia- “The Secretary”Secretary”

Page 21: Whats Up-The Neurobiology of Learning and Adolescent Substance Abuse Merrill Norton Pharm.D.,D. Ph., NCAC II, CCS Clinical Associate Professor University.

Limbic System- “The Driver”Limbic System- “The Driver”

Page 22: Whats Up-The Neurobiology of Learning and Adolescent Substance Abuse Merrill Norton Pharm.D.,D. Ph., NCAC II, CCS Clinical Associate Professor University.

Brain Development/AgingBrain Development/Aging

Recent research(imaging studies) have Recent research(imaging studies) have given scientists an estimate of brain given scientists an estimate of brain chemistry development:chemistry development:

Age 11 - 50% complete (pre-puberty)Age 11 - 50% complete (pre-puberty) Age 18 - 75% complete(post puberty)Age 18 - 75% complete(post puberty) Age 24-34 - 100% completeAge 24-34 - 100% complete Age 44 - 75% Age 44 - 75% Age 60 - 50%Age 60 - 50%

Page 23: Whats Up-The Neurobiology of Learning and Adolescent Substance Abuse Merrill Norton Pharm.D.,D. Ph., NCAC II, CCS Clinical Associate Professor University.

Addiction Risk FactorsAddiction Risk Factors

GeneticsGenetics Young Age of OnsetYoung Age of Onset Childhood Trauma (violent, sexual)Childhood Trauma (violent, sexual) Learning Disorders (ADD/ADHD)Learning Disorders (ADD/ADHD) Mental IllnessMental Illness

– DepressionDepression– Bipolar DisorderBipolar Disorder– PsychosisPsychosis

Page 24: Whats Up-The Neurobiology of Learning and Adolescent Substance Abuse Merrill Norton Pharm.D.,D. Ph., NCAC II, CCS Clinical Associate Professor University.
Page 25: Whats Up-The Neurobiology of Learning and Adolescent Substance Abuse Merrill Norton Pharm.D.,D. Ph., NCAC II, CCS Clinical Associate Professor University.
Page 26: Whats Up-The Neurobiology of Learning and Adolescent Substance Abuse Merrill Norton Pharm.D.,D. Ph., NCAC II, CCS Clinical Associate Professor University.
Page 27: Whats Up-The Neurobiology of Learning and Adolescent Substance Abuse Merrill Norton Pharm.D.,D. Ph., NCAC II, CCS Clinical Associate Professor University.

Diagam_Brain Normal C.Diagam_Brain Normal C.Diagam_Brain Normal C.

 

Cortex

HICC Hypothalamic Instinctual Control Centers

Midbrain 

Personality & Perception

1

2

3

PlanningInhibitionsSensorium

Thinking Brain

6 F’SFood Intake FeelingsFluid Intake FightFlirtations Flight

                 

     

“Rational Animals

NORMAL BRAIN

NORMAL BRAIN FUNCTIONS  Diagam_Brain Normal C.

Page 28: Whats Up-The Neurobiology of Learning and Adolescent Substance Abuse Merrill Norton Pharm.D.,D. Ph., NCAC II, CCS Clinical Associate Professor University.

““The Necessary Nine”The Necessary Nine” Norepinephrine/Epinephrine-Norepinephrine/Epinephrine-

stimulant,anger,fear,anxiety,fight,flightstimulant,anger,fear,anxiety,fight,flight SerotoninSerotonin-depressant,sleep,calm,pleasure-depressant,sleep,calm,pleasure GABAGABA-relaxant,stress reduction,seizure threshold-relaxant,stress reduction,seizure threshold EndorphinsEndorphins-pain relief,pleasure-pain relief,pleasure AcetylcholineAcetylcholine-involutary actions,memory,motivation-involutary actions,memory,motivation AnandamideAnandamide-memory,new learning,calmness-memory,new learning,calmness GlutamateGlutamate-organization of brain -organization of brain

signaling,memory,painsignaling,memory,pain DopamineDopamine-perception,movement,pleasure-perception,movement,pleasure PIPPIP- loving of one’s self,others,GOD- loving of one’s self,others,GOD

Page 29: Whats Up-The Neurobiology of Learning and Adolescent Substance Abuse Merrill Norton Pharm.D.,D. Ph., NCAC II, CCS Clinical Associate Professor University.
Page 30: Whats Up-The Neurobiology of Learning and Adolescent Substance Abuse Merrill Norton Pharm.D.,D. Ph., NCAC II, CCS Clinical Associate Professor University.

Alcohol

Benzodiazepines

Valium

Xanax

Ativan

Non benzodiazepine

Ambien

Sonata

Barbiturates

Fiorinal

Soma

Cocaine

Amphetamine

Methamphetamine

Ephedrine

Ritalin

Ecstasy

Mescaline

DOM

LSD

Psilocibin

DMT

Ibogaine

PCP

Ketamine

Opioids

Opiates

Heroin

Buprenex

Oxycontin

Nicotine

Marijuana

GABA norepinephrineserotonin cannabinoid

opiateNMDA

acetylcholine

GHB

Page 31: Whats Up-The Neurobiology of Learning and Adolescent Substance Abuse Merrill Norton Pharm.D.,D. Ph., NCAC II, CCS Clinical Associate Professor University.

Thinking Brain

Judgment Brain

Instinctual Brain

Pleasure Brain

“I want a beer”

“It makes me feel goooood”

“Miller Lite”

Page 32: Whats Up-The Neurobiology of Learning and Adolescent Substance Abuse Merrill Norton Pharm.D.,D. Ph., NCAC II, CCS Clinical Associate Professor University.

Neurotransmitters of Dependence

PIPDopamineGlutamate

AcetylcholineAnandamide

Endorphins / EnkelphinsGABA

SerotoninEpinephrine / Norepinephrine

Dependence Recovery

Depletion may take less than 12

months

Replenishment may take 5 to 7 years

Page 33: Whats Up-The Neurobiology of Learning and Adolescent Substance Abuse Merrill Norton Pharm.D.,D. Ph., NCAC II, CCS Clinical Associate Professor University.

Alcohol and the Adolescent Brain

Page 34: Whats Up-The Neurobiology of Learning and Adolescent Substance Abuse Merrill Norton Pharm.D.,D. Ph., NCAC II, CCS Clinical Associate Professor University.

Alcohol 25 yrsAlcohol 25 yrsCocaine 2 yrsCocaine 2 yrs

Marijuana 12 Marijuana 12 yrsyrs

NormalNormal

SPECT SCANSSPECT SCANS

Page 35: Whats Up-The Neurobiology of Learning and Adolescent Substance Abuse Merrill Norton Pharm.D.,D. Ph., NCAC II, CCS Clinical Associate Professor University.
Page 36: Whats Up-The Neurobiology of Learning and Adolescent Substance Abuse Merrill Norton Pharm.D.,D. Ph., NCAC II, CCS Clinical Associate Professor University.

Endorphins

The Hijacking of the Brain and the HPA Axis

Cortisol

Exercise,Food,Psychoactive Chemicals

Page 37: Whats Up-The Neurobiology of Learning and Adolescent Substance Abuse Merrill Norton Pharm.D.,D. Ph., NCAC II, CCS Clinical Associate Professor University.

Psychoactive ChemicalsPsychoactive Chemicals

AlcoholAlcohol Ecstasy/MethamphetamineEcstasy/Methamphetamine MarijuanaMarijuana

Page 38: Whats Up-The Neurobiology of Learning and Adolescent Substance Abuse Merrill Norton Pharm.D.,D. Ph., NCAC II, CCS Clinical Associate Professor University.

Alcohol as a Reinforcer: Neural Alcohol as a Reinforcer: Neural SystemsSystems

Activation of mesocorticolimbic system

The Secretary

The Driver

Page 39: Whats Up-The Neurobiology of Learning and Adolescent Substance Abuse Merrill Norton Pharm.D.,D. Ph., NCAC II, CCS Clinical Associate Professor University.

MethamphetamineMethamphetamine

Page 41: Whats Up-The Neurobiology of Learning and Adolescent Substance Abuse Merrill Norton Pharm.D.,D. Ph., NCAC II, CCS Clinical Associate Professor University.
Page 42: Whats Up-The Neurobiology of Learning and Adolescent Substance Abuse Merrill Norton Pharm.D.,D. Ph., NCAC II, CCS Clinical Associate Professor University.

Before and AfterBefore and After

Page 43: Whats Up-The Neurobiology of Learning and Adolescent Substance Abuse Merrill Norton Pharm.D.,D. Ph., NCAC II, CCS Clinical Associate Professor University.
Page 44: Whats Up-The Neurobiology of Learning and Adolescent Substance Abuse Merrill Norton Pharm.D.,D. Ph., NCAC II, CCS Clinical Associate Professor University.
Page 45: Whats Up-The Neurobiology of Learning and Adolescent Substance Abuse Merrill Norton Pharm.D.,D. Ph., NCAC II, CCS Clinical Associate Professor University.
Page 46: Whats Up-The Neurobiology of Learning and Adolescent Substance Abuse Merrill Norton Pharm.D.,D. Ph., NCAC II, CCS Clinical Associate Professor University.
Page 47: Whats Up-The Neurobiology of Learning and Adolescent Substance Abuse Merrill Norton Pharm.D.,D. Ph., NCAC II, CCS Clinical Associate Professor University.
Page 48: Whats Up-The Neurobiology of Learning and Adolescent Substance Abuse Merrill Norton Pharm.D.,D. Ph., NCAC II, CCS Clinical Associate Professor University.
Page 49: Whats Up-The Neurobiology of Learning and Adolescent Substance Abuse Merrill Norton Pharm.D.,D. Ph., NCAC II, CCS Clinical Associate Professor University.
Page 50: Whats Up-The Neurobiology of Learning and Adolescent Substance Abuse Merrill Norton Pharm.D.,D. Ph., NCAC II, CCS Clinical Associate Professor University.
Page 51: Whats Up-The Neurobiology of Learning and Adolescent Substance Abuse Merrill Norton Pharm.D.,D. Ph., NCAC II, CCS Clinical Associate Professor University.
Page 52: Whats Up-The Neurobiology of Learning and Adolescent Substance Abuse Merrill Norton Pharm.D.,D. Ph., NCAC II, CCS Clinical Associate Professor University.
Page 53: Whats Up-The Neurobiology of Learning and Adolescent Substance Abuse Merrill Norton Pharm.D.,D. Ph., NCAC II, CCS Clinical Associate Professor University.

Is Marijuana Addicting?Is Marijuana Addicting?

Page 54: Whats Up-The Neurobiology of Learning and Adolescent Substance Abuse Merrill Norton Pharm.D.,D. Ph., NCAC II, CCS Clinical Associate Professor University.
Page 55: Whats Up-The Neurobiology of Learning and Adolescent Substance Abuse Merrill Norton Pharm.D.,D. Ph., NCAC II, CCS Clinical Associate Professor University.

The Brain’s Marijuana Receptor The Brain’s Marijuana Receptor SitesSites

                                          

        

The “Secretary”

“Fight or Flight”

Coordination

Page 56: Whats Up-The Neurobiology of Learning and Adolescent Substance Abuse Merrill Norton Pharm.D.,D. Ph., NCAC II, CCS Clinical Associate Professor University.

Brain Cannabinoid ReceptorsBrain Cannabinoid Receptors

Basal GangliaBasal Ganglia– Unconscious muscle movementsUnconscious muscle movements

Limbic SystemLimbic System– HippocampusHippocampus

Short term memory processed into long term memoryShort term memory processed into long term memory

– AmygdalaAmygdala Controls rage, lust, fear and other strong emotionsControls rage, lust, fear and other strong emotions

– CerebellumCerebellum Balance and planning of movementBalance and planning of movement

Page 57: Whats Up-The Neurobiology of Learning and Adolescent Substance Abuse Merrill Norton Pharm.D.,D. Ph., NCAC II, CCS Clinical Associate Professor University.

AnandamideAnandamide

Sanskrit ananda means “bliss”Sanskrit ananda means “bliss” Chemical messenger involved in mood, Chemical messenger involved in mood,

memory, pain perception and appetitememory, pain perception and appetite Natural molecular keyNatural molecular key THC fits same receptorTHC fits same receptor Anandamide is fragile and breaks down Anandamide is fragile and breaks down

quicklyquickly– No intense high like THCNo intense high like THC

ChocolateChocolate

Page 58: Whats Up-The Neurobiology of Learning and Adolescent Substance Abuse Merrill Norton Pharm.D.,D. Ph., NCAC II, CCS Clinical Associate Professor University.

MJ use Lowers Glucose MJ use Lowers Glucose Metabolism in Frontal and Metabolism in Frontal and

Temporal LobesTemporal Lobes

P. hipp.

Medial OFC

Superior

Middle

Inferior

Temporal Gyri

Page 59: Whats Up-The Neurobiology of Learning and Adolescent Substance Abuse Merrill Norton Pharm.D.,D. Ph., NCAC II, CCS Clinical Associate Professor University.

Marijuana Makes People Stupid…

and they stay stupid..

Page 60: Whats Up-The Neurobiology of Learning and Adolescent Substance Abuse Merrill Norton Pharm.D.,D. Ph., NCAC II, CCS Clinical Associate Professor University.

Multiple Neurotransmitter Receptor Sites For Marijuana

Anandamide

GABADopamine

Glutamate

Page 61: Whats Up-The Neurobiology of Learning and Adolescent Substance Abuse Merrill Norton Pharm.D.,D. Ph., NCAC II, CCS Clinical Associate Professor University.

The Blood-Brain Barrier

THC Binds To Glial Cells of BBB

Page 62: Whats Up-The Neurobiology of Learning and Adolescent Substance Abuse Merrill Norton Pharm.D.,D. Ph., NCAC II, CCS Clinical Associate Professor University.

The learned helplessness that results from exposure to the absence of control generalizes to other situations. Marijuana creates the state of learned helplessness.

Page 63: Whats Up-The Neurobiology of Learning and Adolescent Substance Abuse Merrill Norton Pharm.D.,D. Ph., NCAC II, CCS Clinical Associate Professor University.

PSYCHOACTIVE CHEMICAL DEPENDENCE IS A PSYCHOACTIVE CHEMICAL DEPENDENCE IS A COMPLEX ILLNESSCOMPLEX ILLNESS

www.drugabuse.gov


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