The Neurocircuitry of Substance Use Disorder, Treatment, and Change: A Resource for Clinical Psychiatrists
American Journal of Psychiatry – October 09, 2024
Source: OpenAlex
Summary
Substance use disorder (SUD) often goes untreated in Psychiatry, despite its significant impact. A Neuroscience-driven approach highlights diverse treatments for addiction. Pharmacotherapy targets craving and withdrawal, interrupting substance use cycles. Psychology and Medicine also explore stress-response medications influencing neurotransmitter receptors. Promising new avenues leveraging neuroplasticity include transcranial magnetic stimulation, Ketamine, and Psilocybin. These Psychedelics and Drug Studies offer innovative strategies for substance abuse, informing comprehensive care.
Abstract
Substance use disorder (SUD) is common in psychiatric patients and has a negative impact on health and well-being. However, SUD often goes untreated, and there is a need for psychiatrists, of all specialties, to address this pervasive clinical problem. In this review, the authors' goal is to provide a resource that describes treatments for SUD, using neuroscience as a framework. They discuss the effect of pharmacotherapy on craving, intoxication, and withdrawal and its ability to interrupt the cycle of substance use in SUD. The neuroscience of stress is reviewed, including medications targeting neurotransmitter systems activated by alarm and fear. Neuroplasticity and promising treatments that use this mechanism, including ketamine, psilocybin, and transcranial magnetic stimulation (TMS), are discussed. The authors conclude by listing resources and practice guidelines for physicians interested in learning more about treatments for SUD.