The Neuroscience of Addiction 

Learn what's actually happening in the brain during the cycle of addiction. Addiction begins when these drugs and addictive substances produce a more intense feeling of pleasure than other healthy activities and substances meant to trigger the dopamine reward pathway.
brain

brainAddiction exists in all of our lives be, it through media representations or personal experiences. While you may be able to recognize the behavioral aspects of an individual battling addiction, it is not as common to understand what is actively going on in their brain. 

Within our brains are chemicals called neurotransmitters that are passed back and forth by neurons allowing connections to form and messages to be communicated. The neurotransmitters attach to their specific receptor on the next neuron, and the message continues to be transmitted. One of these neurotransmitters called dopamine is part of the reward pathway in the brain. When an individual uses a drug or other addictive substance, dopamine is released into the reward pathway to stimulate a feeling of happiness and pleasure. Normally, this pathway is used for life sustaining activities such as eating healthy food, but drugs and alcohol can also produce the same rewarding effect. 

Addiction begins when these drugs and addictive substances produce a more intense feeling of pleasure than other healthy activities and substances meant to trigger the dopamine reward pathway. This overflow of dopamine from using drugs results in the feeling of being high. As an individual continues to use these drugs, this overflow of dopamine will trigger the dopamine receptors on the neurons within the reward pathway to decrease in number. Since there is a significantly larger amount of dopamine in this pathway while the individual is using the addictive substance, less dopamine receptors are needed in order to feel the same amount of pleasure that an individual would feel normally with healthy activities such as eating a good lunch or doing well on an exam. 

Once these receptors have decreased an individual will struggle to feel the same feelings of pleasure and reward when they are sober. There are now less receptors to receive this pleasurable neurotransmitter, so when drugs or addictive substances aren’t being used the individual cannot get enough pleasure and happiness from activities that they used to be able to. Another downside of this decrease in dopamine receptors is how addicted individuals will now need to use a greater amount of the addictive substance in order to feel the same amount of high that they originally did with a lesser amount of that substance. 

Think of it as throwing a ball into a hoop. Originally there are twenty hoops, so when you are throwing your ball (representing dopamine) you were likely to get it into a hoop (representing the next neuron in the dopamine reward pathway), which results in a feeling of pleasure. When you use addictive drugs, the amount of hoops you have decreases overtime. When you only have ten hoops, you are less likely to get your ball into the hoop and therefore you feel the need to increase the amount of balls you are throwing, which represents increasing the amount of drugs you need to take in order to be able to successfully achieve the same high as you originally did when you started doing drugs.

Our brains are powerful learners, and once they receive an addictive substance such as drugs or alcohol they will learn that this substance means pleasure. Overtime you will begin to find less pleasure in things that used to make you happy since none of these original activities produce the same amount of dopamine as drugs now do. This cycle is extremely hard to break, and can lead to extremely negative consequences in both your life and the lives of those around you, so the best thing to do is to avoid these addictive drugs in the first place. 

– Haidyn Emmerich
Nourish Your Mind Blog Contributor
Neuroscience & Psychology Student – Syracuse University
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BIO

Cameryn (Cam) received her Master’s degree in Clinical Mental Health Counseling from Marist College. Prior to joining Nourish Your Mind, she worked in private practice, primarily serving children, teens, and their families. During this time, she developed a passion for helping clients navigate their unique challenges through the transformative power of play and expressive arts therapy. Cam believes that every individual deserves a safe, nurturing space where they can authentically express themselves. She is dedicated to empowering her clients by identifying and utilizing their inherent strengths to help them achieve their personal goals.

In her therapeutic approach, Cam integrates a holistic wellness model with strengths- and mindfulness-based methods. She employs a variety of evidence-based techniques, including DBT and Nondirective Play Therapy, and she recognizes the importance of tailoring interventions to meet the specific needs of each individual and family.

BIO

Brianna earned her Bachelor of Social Work degree from Siena College and her Master of Social Work degree from Adelphi University. Throughout her education and early career, she worked with at-risk adolescents experiencing trauma and maladaptive coping as both a clinician and crisis interventionist. She later spent several years in emergency services, specializing in trauma-informed care for adolescents and adults. Brianna has extensive experience working with individuals struggling with trauma, anxiety, depression, mood dysregulation, self-esteem, and relationship challenges.

Brianna takes a strength-based, integrative approach to therapy, empowering clients to discover their own path toward healing and self-acceptance. She believes that while we cannot change the past, we can change our relationship with it. She is passionate about helping clients develop effective coping skills, reconnect with their inner resilience, and build lives that extend beyond surviving trauma.

Brianna believes healing is not only a journey of the mind, but a whole-body experience. She is a Registered Yoga Teacher (RYT-200) and thoughtfully incorporates mind-body practices into therapy to support nervous system regulation, mindfulness, and emotional awareness. She is also certified in Accelerated Resolution Therapy (ART), an evidence-based trauma treatment that helps clients process distressing experiences, and Ketamine-Assisted Psychotherapy (KAP), offering a holistic approach for individuals seeking deeper healing from trauma, depression, anxiety, and other emotional challenges. By integrating traditional psychotherapy with somatic approaches and specialized trauma treatments, Brianna helps clients create lasting, meaningful change.

Above all, Brianna is dedicated to creating a safe, compassionate, and authentic therapeutic environment where clients feel seen, supported, and empowered to reconnect with their truest selves.

BIO

Ashley received her Master’s Degree in Mental Health Counseling from SUNY New Paltz. While attending her graduate program, Ashley worked as a supervisor at a Crisis Intervention Program and interned at an Adolescent Partial Hospitalization Program, gaining valuable skills in crisis management and group therapy. Before joining Nourish Counseling, she spent several years working in a long-term outpatient care clinic specializing in children, adolescents and their families. Ashley has expertise in partnering with those suffering from depression, anxiety, trauma, family conflict, and personality disorders.

Ashley believes that each client is their own expert. She provides an integrative approach that focuses on both the thoughts and behaviors her clients may be struggling with in order to help them find balance and build resiliency. She works with clients in a person-centered and skill building approach to help determine and reach their own individual goals. Following a Dialectical Behavioral and Cognitive Behavioral Therapy approach, she encourages and supports clients to reach their full potential.
BIO

Amanda is a Certified Clinicial Trauma Professional with a deep commitment to guiding clients through their healing and discovery. She believes that you are the expert of your own life, and she is dedicated to building a safe, collaborative space where you feel both validated and motivated for change. 

Amanda specializes in treating those with Complex Trauma, Grief and Loss, Anxiety and Depression, Chronic Illness, Infertility, Infant/Pregnancy Loss, Women’s Health and Neurodivergent Disorders. She works with individuals aged 5 and up. 

Amanda’s unique, holistic approach to psychothreapy is rooted in evidence-based practices and tailored to fit your specific clinical needs. She seamlessly integrates practices like mindfulness and meditation with powerful theraputic modalities, including Accelerated Resolution Therapy (ART), Dialectical Behavior Therapy (DBT), Cognitive Behavioral Therapy (CBT), Motivational Interviewing, and Internal Family Systems Therapy.