For the brain, the difference between normal rewards and
drug rewards can be described as the difference between
someone whispering into your ear and someone shouting
into a microphone. Just as we turn down the volume on a
radio that is too loud, the brain adjusts to the overwhelming
surges in dopamine (and other neurotransmitters) by
producing less dopamine or by reducing the number of
receptors that can receive signals. As a result, dopamine’s
impact on the reward circuit of the brain of someone who
abuses drugs can become abnormally low,
and that person’s ability to experience any pleasure is reduced. This is why a person who abuses drugs eventually feels flat, lifeless, and depressed, and is unable to enjoy things that were previously pleasurable. Now, the person needs to keep taking drugs again and again just to try and bring his or her dopamine function back up to normal—which only makes the problem worse, like a vicious cycle. Also, the person will often need to take larger amounts of the drug to produce the familiar dopamine high—an effect known as tolerance.
and that person’s ability to experience any pleasure is reduced. This is why a person who abuses drugs eventually feels flat, lifeless, and depressed, and is unable to enjoy things that were previously pleasurable. Now, the person needs to keep taking drugs again and again just to try and bring his or her dopamine function back up to normal—which only makes the problem worse, like a vicious cycle. Also, the person will often need to take larger amounts of the drug to produce the familiar dopamine high—an effect known as tolerance.
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