The Disease of Addiction Ken Roy, MD, FASAM Addiction Recovery Resources of New Orleans River Oaks...
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Transcript of The Disease of Addiction Ken Roy, MD, FASAM Addiction Recovery Resources of New Orleans River Oaks...
The Disease of Addiction
Ken Roy, MD, FASAM
Addiction Recovery Resources of New Orleans
River Oaks Hospital
Tulane Department of Psychiatry
www.arrno.org
Disease
Identifiable set of symptoms Predictable Course Common Cause
Symptoms
Compulsion Loss of control Continued use in the face of adverse consequences
Course
Chronic Progressively more devastating Ultimately affects all major aspects of life Usually associated with what we die from
Primarily a disease of relationships Based on dishonesty in the form of Denial
Dishonest Relationships
Beginning with self and Spirit Moving to problems in the relationship with those
with whom we SHOULD be intimate Involving ever widening circles of people In the context of repeated intoxication Resulting in CHAOS and Soap Opera lives
Genetic disorder
Experience Twin Studies Adoption Studies One disease
Model
Make molecular biology understandable Simplified language
Animal studies – one system Difference over time
Different research Stability over time
Difference between addicts and “normal” people
The Brain Two brains – “Reptilian” and Higher Thought
Reptilian Brain
Stronger than/Dominant over Higher Thought
i.e. Cannibalism
Reptilian Brain Where Our feelings live
NormalEuphoric
Terminal
Dopamine
Reptilian Brain Not too bright
NormalEuphoric
Terminal
i.e. Suicide
The Brain
Dominant over Higher Thought
Where our feelings live Not too bright
Your Drug of Choice Alcohol
NormalEuphoric
Terminal
ETOH
Too much
Drunk = Clumsy + Stupid
Drunk
Normal People Eric
NormalEuphoric
Terminal
ETOH
People with Addictive Disease Joe
NormalEuphoric
Terminal
ETOH
4X ConcentrationOf Dopamine
Gene
The Misunderstanding Eric (et. al.) doesn’t know this happens to Joe Joe thinks that this happens to Eric too
NormalEuphoric
Terminal
ETOH
4X ConcentrationOf Dopamine
Gene
The Natural History of Addictive Disease
NormalEuphoric
Terminal
ETOH
4X ConcentrationOf Dopamine
Gene
N
H
B
We don’t grow up!!!
Factory failure = Dopamine
The Story of Joe’s Bottom
NormalEuphoric
Terminal
ETOH
4X ConcentrationOf Dopamine
Gene
N
H
B
Denial
Is Addiction a Disease? Does anyone remember the day they
decided to have a denial system? Does anyone remember deciding that
“When I grow up I’m going to be an alcoholic?” Or, “A drug addict?”
Are there any “bad” people in the room; any toss-outs or throw-aways?
Addiction is a Disease!