{"formatVersion":"1.1","id":"https://mentalhealth-v2.workspace-454808.chatgpt.site/library/addiction-effects-on-cerebral-cortex","path":"/library/addiction-effects-on-cerebral-cortex","url":"https://mentalhealth-v2.workspace-454808.chatgpt.site/library/addiction-effects-on-cerebral-cortex","title":"Addiction’s Effect on the Brain","family":"Library detail","description":"Addiction changes the brain’s reward system, dopamine response, and neuroplasticity. Learn how addiction affects brain function, tolerance, and recovery.","language":"en-US","access":{"audience":"custom-shared-preview","indexable":true},"provenance":{"sourceUrl":"https://www.mentalhealth.com/library/addiction-effects-on-cerebral-cortex","wordpressId":"4345","contentCompleteness":"complete","dateScope":"original-source"},"authors":[{"@type":"Person","@id":"https://mentalhealth-v2.workspace-454808.chatgpt.site/people/erin-george#person","name":"Erin L. George","url":"https://mentalhealth-v2.workspace-454808.chatgpt.site/people/erin-george"}],"reviewer":{"@type":"Person","@id":"https://mentalhealth-v2.workspace-454808.chatgpt.site/people/jesse-hanson#person","name":"Jesse Hanson, Ph.D.","url":"https://mentalhealth-v2.workspace-454808.chatgpt.site/people/jesse-hanson"},"dates":{"datePublished":"2024-12-05T05:00:00Z","dateModified":"2026-08-19T20:43:15Z","lastReviewed":"2024-12-17"},"content":{"html":"<nav class=\"breadcrumbs\" aria-label=\"Breadcrumb\"><ol><li><a href=\"https://mentalhealth-v2.workspace-454808.chatgpt.site/\">Home</a></li><li><a href=\"https://mentalhealth-v2.workspace-454808.chatgpt.site/library\">Library</a></li><li><a href=\"https://mentalhealth-v2.workspace-454808.chatgpt.site/library/addiction\">Addiction</a></li><li><span aria-current=\"page\">Addiction’s Effect on the Brain</span></li></ol></nav><div class=\"article-page article-standard\" data-library-standard><div class=\"article-main-grid\"><header class=\"article-heading\"><h1>Addiction’s Effect on the Brain</h1><p class=\"article-inline-credits\"><span>Written by <a class=\"article-credit-person\" href=\"https://mentalhealth-v2.workspace-454808.chatgpt.site/people/erin-george\"><img src=\"https://mentalhealth-v2.workspace-454808.chatgpt.site/assets/wordpress/9538.jpg\" alt=\"\" width=\"22\" height=\"22\" loading=\"lazy\">Erin L. George</a></span><span>Medically reviewed by <a class=\"article-credit-person\" href=\"https://mentalhealth-v2.workspace-454808.chatgpt.site/people/jesse-hanson\"><img src=\"https://mentalhealth-v2.workspace-454808.chatgpt.site/assets/wordpress/9210.jpg\" alt=\"\" width=\"22\" height=\"22\" loading=\"lazy\">Jesse Hanson, Ph.D.</a></span></p><div class=\"article-dates\"><span>Published on <time datetime=\"2024-12-05T05:00:00Z\">December 5, 2024</time></span><span aria-hidden=\"true\"> · </span><span>Updated on <time datetime=\"2026-08-19T20:43:15Z\">August 19, 2026</time></span></div></header><div class=\"article-jumpbar\"></div><div class=\"article-layout\"><div class=\"article-reading\"><article class=\"prose\" id=\"article-content\"><div class=\"article-intro\" data-source-field=\"hero\"><p>Our brains are essentially the leaders of our behavior. When a person has a <a href=\"https://mentalhealth-v2.workspace-454808.chatgpt.site/library/substance-use-disorders\" class=\"article-inline-link\">substance use disorder</a> or engages in harmful behavior repeatedly, it is not because they are weak or have no willpower.</p><p>Addiction happens due to changes in the brain that create a lack of control over substances or activities, even when they cause harm. According to the National Center for Drug Abuse Statistics (NCDAS), more than 70% of people who have experimented with an illegal substance before the age of 13 have ended up with a substance use disorder.<a href=\"#ncdas-substance-abuse-addiction-statistics\" aria-label=\"Reference 1\" class=\"article-inline-link article-citation\"><sup>[1]</sup></a></p><p>So, how does addiction affect the brain? Our brains consist of billions of nerve cells called neurons, which send messages or signals (called neurotransmitters) back and forth, allowing our bodies and minds to work the way they do. </p><p>When substances are used or harmful behavior is engaged in, they disrupt communication processes, interfering negatively with how neurons send, receive, and process these signals.<a href=\"#drugs-brain\" aria-label=\"Reference 2\" class=\"article-inline-link article-citation\"><sup>[2]</sup></a><a href=\"#neurotransmitter\" aria-label=\"Reference 3\" class=\"article-inline-link article-citation\"><sup>[3]</sup></a></p></div><figure class=\"article-feature\"><img src=\"https://mentalhealth-v2.workspace-454808.chatgpt.site/assets/library/editorial-9898.webp\" alt=\"Adults sit in a circle during a group discussion.\" width=\"1200\" height=\"600\" loading=\"eager\" decoding=\"async\"></figure><section class=\"article-takeaways\" aria-labelledby=\"key-takeaways\"><h2 id=\"key-takeaways\">Key takeaways</h2><ul><li>Addiction involves changes in brain communication and reward processes rather than simply a lack of willpower.</li><li>Repeated substance use can reinforce learned patterns that affect control and persist beyond active use.</li><li>Neuroplasticity also allows partial or fuller recovery of brain function with appropriate treatment.</li></ul></section><span id=\"how-does-addiction-affect-the-brain-s-reward-system-take-exercise-as-an-example-of-a-healthy-activity-when-we-exercise-our-brain-releases-feel-good-hormones-like-dopamine-which-motivate-us-to-want-to-exercise-again-or-to-engage-in-more-healthy-activities-if-we-observe-addiction-and-the-brain-the-reward-system-works-the-same-way-only-more-intensely\" class=\"section-anchor-alias\" data-section-alias=\"how-does-addiction-affect-the-brains-reward-system\" aria-hidden=\"true\"></span><h2 id=\"how-does-addiction-affect-the-brains-reward-system\">How Does Addiction Affect the Brain’s Reward System?</h2><p>\nTake exercise as an example of a healthy activity. When we exercise, our brain releases feel-good hormones (like dopamine), which motivate us to want to exercise again or to engage in more healthy activities. If we observe addiction and the brain, the reward system works the same way, only more intensely.\n</p><p>When harmful substances or negative behaviors are introduced, the brain releases large amounts of dopamine. This results in a euphoric feeling or “high,” which is actually a change in brain chemistry, altering normal brain communication.<a href=\"#exercise-boosts-dopamine-release-this-requires-brain-derived-neurotrophic\" aria-label=\"Reference 4\" class=\"article-inline-link article-citation\"><sup>[4]</sup></a></p><p>Some substances, such as <a href=\"https://mentalhealth-v2.workspace-454808.chatgpt.site/library/heroin-addiction-signs-symptoms-effects-help\" class=\"article-inline-link\">heroin</a>, act the same as certain brain chemicals, but they do not activate neurons in a natural way. Other drugs (like <a href=\"https://mentalhealth-v2.workspace-454808.chatgpt.site/library/cocaine-use-disorder\" class=\"article-inline-link\">cocaine</a>) can cause neurons to release too many natural neurotransmitters, also changing the way the brain communicates.<a href=\"#drugs-brain-source\" aria-label=\"Reference 5\" class=\"article-inline-link article-citation\"><sup>[5]</sup></a></p><p>The strength of the “reward” determines the desire to use the substance or engage in the behavior again. Over time, the effect of the substance may become less intense or enjoyable because the brain has changed and adapted to the new messages it’s programmed to send and receive.</p><p>This ultimately causes a person to use more substance or engage in behavior more intensely to feel satisfied. This is what we refer to as tolerance. When a person becomes more tolerant of a substance, they need to use more to experience the same feelings.</p><p>\nWhen the substance wears off, withdrawal is experienced, which is a negative emotional state caused by the brain's reward system, also decreasing its function. This can often result in physical illness, psychological changes, physical or mental stress, <a href=\"https://mentalhealth-v2.workspace-454808.chatgpt.site/library/generalized-anxiety-disorder\" class=\"article-inline-link\">anxiety</a>, and depression. These experiences could range from mild to unbearable, and more often than not, they lead the person to want more of what made them feel good to avoid feeling bad.<a href=\"#neurobiology-substance-use-misuse-addiction\" aria-label=\"Reference 6\" class=\"article-inline-link article-citation\"><sup>[6]</sup></a>\n</p><span id=\"the-role-of-neuroplasticity-in-addiction-neuroplasticity-is-when-our-nervous-system-changes-or-adapts-to-new-experiences\" class=\"section-anchor-alias\" data-section-alias=\"the-role-of-neuroplasticity-in-addiction\" aria-hidden=\"true\"></span><h2 id=\"the-role-of-neuroplasticity-in-addiction\">The Role of Neuroplasticity in Addiction</h2><p>\nNeuroplasticity is when our nervous system changes or adapts to new experiences.<a href=\"#defining-neuroplasticity\" aria-label=\"Reference 7\" class=\"article-inline-link article-citation\"><sup>[7]</sup></a>\n</p><p>If we think of an addicted brain vs a normal brain, we can look at an example of how the brain responds to a healthy activity.</p><p>A person may want to create a new routine in their life, so they decide to wake up at 5 am every day and go for a walk in order to start the day on a positive note. The experience activates the reward system, leaving the person wanting it again. After repetition, it may begin to feel almost automatic, and the person may even feel like they didn’t have a great start to the day if they did not engage in this activity.</p><p>This is essentially how neuroplasticity works and how it affects those with substance use disorders. When harmful substances and behaviors activate the reward system of the brain, it trains the brain to want this experience again. With repeating the same experiences, the reward system acts automatically, creating an uncontrollably strong desire to need the substance.</p><p>\nThe two general forms of neuroplasticity are defined as:\n</p><ol>\n    <li><strong>Tolerance with physical dependence</strong>: This occurs from repeating the action to feel the same reward, whether it be a substance or behavior. However, when it is stopped, the person craves more of the same thing just to feel good.</li>\n    <li><strong>Compulsive behavior</strong>: Needing a substance as if it were a matter of survival that one cannot live without. This can be compared to behaviors that developed early in our evolution, such as seeking water or food.</li>\n</ol><p>\nThe severity of the second form of neuroplasticity is that it is very stable and permanent, and individuals who develop this neuroplasticity from substances and harmful behavior have a higher risk of relapsing, even after abstaining for long periods.<a href=\"#neurotoxicity-neuroprotection-11-3-350353\" aria-label=\"Reference 8\" class=\"article-inline-link article-citation\"><sup>[8]</sup></a>\n</p><span id=\"long-term-effects-of-addiction-on-brain-function-just-like-riding-a-bike-once-you-remove-the-training-wheels-and-pedal-down-the-road-unassisted-your-brain-always-remembers-how-to-do-it-no-matter-how-long-of-a-break-you-take-from-riding-the-long-term-effects-of-addiction-are-much-the-same-it-is-extremely-difficult-for-the-brain-to-forget-about-wanting-or-needing-the-substance-or-behavior-this-is-because-the-surge-of-neurotransmitters-is-greater-than-the-amounts-produced-naturally-from-enjoyable-experiences-like-listening-to-music-socializing-or-that-early-morning-walk-it-conditions-the-brain-to-want-the-substance-or-behavior-instead-of-healthier-activities-additionally-simple-situations-in-daily-life-could-trigger-the-reflex-to-want-a-substance-even-if-the-substance-is-not-easily-attainable-or-the-person-has-strong-intentions-not-to-engage-in-the-negative-behavior\" class=\"section-anchor-alias\" data-section-alias=\"long-term-effects-of-addiction-on-brain-function\" aria-hidden=\"true\"></span><h2 id=\"long-term-effects-of-addiction-on-brain-function\">Long-Term Effects of Addiction on Brain Function</h2><p>\nJust like riding a bike, once you remove the training wheels and pedal down the road unassisted, your brain always remembers how to do it, no matter how long of a break you take from riding. The long-term effects of addiction are much the same; it is extremely difficult for the brain to forget about wanting or needing the substance or behavior. This is because the surge of neurotransmitters is greater than the amounts produced naturally from enjoyable experiences, like listening to music, socializing, or that early morning walk. It conditions the brain to want the substance or behavior instead of healthier activities. Additionally, simple situations in daily life could trigger the reflex to want a substance, even if the substance is not easily attainable or the person has strong intentions not to engage in the negative behavior.<a href=\"#drugs-brain\" aria-label=\"Reference 2\" class=\"article-inline-link article-citation\"><sup>[2]</sup></a> Over time, repeating harmful substances or behaviors can lead to structural and functional changes in areas of the brain that can be associated with emotion and memory. Other brain changes can cause issues like anxiety or depression and even learning problems.<a href=\"#drug-misuse-addiction\" aria-label=\"Reference 9\" class=\"article-inline-link article-citation\"><sup>[9]</sup></a>\n</p><span id=\"can-recovery-from-addiction-reverse-negative-effects-on-the-brain-just-as-a-scratch-on-our-arm-can-heal-with-the-right-care-so-too-can-the-brain-recover-with\" class=\"section-anchor-alias\" data-section-alias=\"addiction-recovery-and-the-brain\" aria-hidden=\"true\"></span><h2 id=\"addiction-recovery-and-the-brain\">Can Recovery From Addiction Reverse Negative Effects on the Brain?</h2><p>\nJust as a scratch on our arm can heal with the right care, so too can the brain recover with <a href=\"https://mentalhealth-v2.workspace-454808.chatgpt.site/library/recovery\" class=\"article-inline-link\">proper treatment</a>, either partially or fully from the effects of substance abuse or negative behaviors. Over time, some (and possibly all) of the long-term, detrimental effects of substance use can be improved.\n</p><p>With the right treatment, people who have suffered from substance abuse disorders or behavioral addictions can counteract the detrimental effects and go on to regain control over their lives. This is known as being in recovery.</p><p>Recovery is a long process where deep-seated neurological changes need to adapt to new behaviors, essentially becoming the new normal in the brain. Unfortunately for some, relapse is a reality of recovery. But relapse does not mean that recovery has failed. Treatments may just need to be modified.</p><p>Addiction affects the whole person, and because of this, a holistic approach to recovery must be taken. This may include mental, physical, and environmental considerations towards the correct treatment processes.<a href=\"#treatment-recovery\" aria-label=\"Reference 10\" class=\"article-inline-link article-citation\"><sup>[10]</sup></a></p><p>Substance Abuse and Mental Health Services Administration (SAMHSA) recently released new <a href=\"https://mentalhealth-v2.workspace-454808.chatgpt.site/library/addiction-statistics\" class=\"article-inline-link\">data on recovery</a> in the US, stating that out of 29 million adults who perceived that they ever had a substance use problem, 72.2% (or 20.9 million) considered themselves to be in recovery or to have recovered from their drug or alcohol use problem.<a href=\"#samhsa-releases-new-data-recovery-substance-use-mental-health\" aria-label=\"Reference 11\" class=\"article-inline-link article-citation\"><sup>[11]</sup></a></p><p>If you have a substance use disorder or are addicted to harmful behaviors, know that there are treatments available, no matter how severe the situation. Talk to your medical practitioner about a treatment plan that will work for you.</p><p>Don’t feel despondent if the road to recovery is not easy. Know that there is always support available. It is possible to overcome this disease, and you do not have to walk the road alone.</p></article><div class=\"article-endmatter\"><section class=\"article-sources\" id=\"references\" data-source-references=\"\" data-reference-list=\"\" data-reference-style=\"author-date-numbered\"><h2 id=\"references-2\">References</h2><ol>\n    <li id=\"ncdas-substance-abuse-addiction-statistics\" data-reference-number=\"1\">National Center for Drug Abuse Statistics. (2020). NCDAS: Substance abuse and addiction statistics. Available at: <a href=\"https://drugabusestatistics.org/\" target=\"_blank\" rel=\"nofollow noopener noreferrer\">drugabusestatistics.org</a></li>\n    <li id=\"drugs-brain\" data-reference-number=\"2\">National Institute on Drug Abuse. (2011, July). Drugs and the brain. Available at: <a href=\"https://nida.nih.gov/publications/drugs-brains-behavior-science-addiction/drugs-brain\" target=\"_blank\" rel=\"nofollow noopener noreferrer\">National Institute on Drug Abuse</a></li>\n    <li id=\"neurotransmitter\" data-reference-number=\"3\">ScienceDirect Topics. (n.d.). Neurotransmitter. Available at: <a href=\"https://www.sciencedirect.com/topics/neuroscience/neurotransmitter\" target=\"_blank\" rel=\"nofollow noopener noreferrer\">ScienceDirect</a></li>\n    <li id=\"exercise-boosts-dopamine-release-this-requires-brain-derived-neurotrophic\" data-reference-number=\"4\">NYU Langone Health. (2022). Exercise boosts dopamine release, and this requires brain-derived neurotrophic factor. Available at: <a href=\"https://med.nyu.edu/departments-institutes/neuroscience/research/journal-club/journal-club-2022-articles/exercise-boosts-dopamine-release-this-requires-bdnf\" target=\"_blank\" rel=\"nofollow noopener noreferrer\">med.nyu.edu</a></li>\n    <li id=\"drugs-brain-source\" data-reference-number=\"5\">National Institute on Drug Abuse. (2011, July). Drugs and the brain. Available at: <a href=\"https://nida.nih.gov/publications/drugs-brains-behavior-science-addiction/drugs-brain\" target=\"_blank\" rel=\"nofollow noopener noreferrer\">National Institute on Drug Abuse</a></li>\n    <li id=\"neurobiology-substance-use-misuse-addiction\" data-reference-number=\"6\">US Department of Health and Human Services. (2016, November). The neurobiology of substance use, misuse, and addiction. Available at: <a href=\"https://www.ncbi.nlm.nih.gov/books/NBK424849/\" target=\"_blank\" rel=\"nofollow noopener noreferrer\">National Library of Medicine</a></li>\n    <li id=\"defining-neuroplasticity\" data-reference-number=\"7\">Innocenti, G. M. (2022). Defining neuroplasticity. <em>Handbook of Clinical Neurology</em>, <em>184</em>, 3–18. Available at: <a href=\"https://doi.org/10.1016/B978-0-12-819410-2.00001-1\" target=\"_blank\" rel=\"nofollow noopener noreferrer\">Defining neuroplasticity</a></li>\n    <li id=\"neurotoxicity-neuroprotection-11-3-350353\" data-reference-number=\"8\">Neuroplasticity in addictive disorders. (2009). <em>Neurotoxicity and Neuroprotection</em>, <em>11</em>(3), 350–353. Available at: <a href=\"https://pmc.ncbi.nlm.nih.gov/articles/PMC3181920/\" target=\"_blank\" rel=\"nofollow noopener noreferrer\">PubMed Central</a></li>\n    <li id=\"drug-misuse-addiction\" data-reference-number=\"9\">National Institute on Drug Abuse. (2011, July 1). Drug misuse and addiction. Available at: <a href=\"https://nida.nih.gov/publications/drugs-brains-behavior-science-addiction/drug-misuse-addiction\" target=\"_blank\" rel=\"nofollow noopener noreferrer\">National Institute on Drug Abuse</a></li>\n    <li id=\"treatment-recovery\" data-reference-number=\"10\">National Institute on Drug Abuse. (2011). Treatment and recovery. Available at: <a href=\"https://nida.nih.gov/publications/drugs-brains-behavior-science-addiction/treatment-recovery\" target=\"_blank\" rel=\"nofollow noopener noreferrer\">National Institute on Drug Abuse</a></li>\n    <li id=\"samhsa-releases-new-data-recovery-substance-use-mental-health\" data-reference-number=\"11\">Substance Abuse and Mental Health Services Administration (SAMHSA). (2023, September 20). SAMHSA releases new data on recovery from substance use and mental health problems among adults in the United States. Available at: <a href=\"https://www.samhsa.gov/newsroom/press-announcements/20230920/new-data-recovery-from-substance-use-mental-health-problems-among-adults-in-united-states\" target=\"_blank\" rel=\"nofollow noopener noreferrer\">Substance Abuse and Mental Health Services Administration (SAMHSA)</a></li>\n</ol></section><section class=\"article-medical article-panel\"><h2 id=\"medical-content\">Medical Content</h2><p><a href=\"https://mentalhealth-v2.workspace-454808.chatgpt.site/clinical-affairs\">The Clinical Affairs Team</a> at MentalHealth.com is a dedicated group of medical professionals with diverse and extensive clinical experience. They actively contribute to the development of content, products, and services, and meticulously review all medical material before publication to ensure accuracy and alignment with current research and conversations in mental health. For more information, please visit the <a href=\"https://mentalhealth-v2.workspace-454808.chatgpt.site/publishing/editorial-policy\">Editorial Policy</a>.</p></section><section class=\"article-about article-panel\"><h2 id=\"about-mentalhealth-com\">About MentalHealth.com</h2><p>MentalHealth.com helps people understand themselves, build healthier relationships, and access the right care. We bring together mental health education, diagnostics, and care management to support well-being throughout every phase of life.</p><div class=\"article-contributors\"><section class=\"article-bio\"><img src=\"https://mentalhealth-v2.workspace-454808.chatgpt.site/assets/wordpress/9538.jpg\" alt=\"\" width=\"64\" height=\"64\" loading=\"lazy\"><div><p class=\"article-bio-role\">Author</p><h3 id=\"erin-l-george\"><a href=\"https://mentalhealth-v2.workspace-454808.chatgpt.site/people/erin-george\">Erin L. George</a></h3><p class=\"article-bio-credentials\">MFT</p><p>Erin L. George, MFT, holds a master's degree in family therapy with a focus on group dynamics in high-risk families. As a court-appointed special advocate for children, she is dedicated to helping families rebuild relationships and improve their mental and behavioral health.</p><dl><div><dt>Published</dt><dd><time datetime=\"2024-12-05T05:00:00Z\">December 5, 2024</time></dd></div><div><dt>Updated</dt><dd><time datetime=\"2026-08-19T20:43:15Z\">August 19, 2026</time></dd></div></dl></div></section><section class=\"article-bio\"><img src=\"https://mentalhealth-v2.workspace-454808.chatgpt.site/assets/wordpress/9210.jpg\" alt=\"\" width=\"64\" height=\"64\" loading=\"lazy\"><div><p class=\"article-bio-role\">Medical Reviewer</p><h3 id=\"jesse-hanson-ph-d\"><a href=\"https://mentalhealth-v2.workspace-454808.chatgpt.site/people/jesse-hanson\">Jesse Hanson, Ph.D.</a></h3><p class=\"article-bio-credentials\">Clinical Affairs Director</p><p>Jesse Hanson, Ph.D., is a somatic psychologist with more than 20 years of experience in clinical psychology and neuropsychology.</p><dl><div><dt>Reviewed</dt><dd><time datetime=\"2024-12-17\">December 17, 2024</time></dd></div></dl></div></section></div></section><section class=\"article-expert article-expert-mobile\" aria-label=\"Subject matter expert\" data-expert-kind=\"related\"><p class=\"article-bio-role\">Subject matter expert</p><div class=\"article-expert-identity\"><img src=\"https://mentalhealth-v2.workspace-454808.chatgpt.site/assets/wordpress/18538.jpeg\" alt=\"\" width=\"64\" height=\"64\" loading=\"lazy\"><h2><a href=\"https://mentalhealth-v2.workspace-454808.chatgpt.site/people/roger-watts\">Roger P. Watts <span class=\"expert-credentials\">Ph.D.</span></a></h2></div><p class=\"article-expert-focus\">Addiction therapy and recovery</p><a class=\"profile-experience-link experience-button\" href=\"https://mentalhealth-v2.workspace-454808.chatgpt.site/people/roger-watts\">View experience</a></section><section class=\"article-topic-community article-topic-community-mobile\" aria-label=\"Related communities\"><img class=\"topic-community-banner\" src=\"https://mentalhealth-v2.workspace-454808.chatgpt.site/assets/library/editorial-14636.webp\" alt=\"\" width=\"48\" height=\"48\" loading=\"lazy\"><p class=\"topic-community-label\">Related communities</p><h2>Addiction</h2><p>Connect around the experiences, relationships, and questions that surround addiction.</p><a href=\"https://mentalhealth-v2.workspace-454808.chatgpt.site/community/addiction\">Explore community</a></section></div></div><aside class=\"article-sidebar\" tabindex=\"0\" data-bounded-rail=\"\" aria-label=\"Article navigation and related information\"><details class=\"article-contents\" open data-section-preview=\"3\" data-expanded=\"false\" data-scrolled-past=\"false\"><summary><strong>Table of contents</strong><span aria-hidden=\"true\"></span><small data-current-section=\"\">Choose a section</small></summary><nav aria-label=\"Article contents\"><ol id=\"article-section-list\"><li><a href=\"#how-does-addiction-affect-the-brains-reward-system\" title=\"How Does Addiction Affect the Brain’s Reward System?\" aria-label=\"How Does Addiction Affect the Brain’s Reward System?\">How Does Addiction Affect the Brain’s Reward System?</a></li><li><a href=\"#the-role-of-neuroplasticity-in-addiction\" title=\"The Role of Neuroplasticity in Addiction\" aria-label=\"The Role of Neuroplasticity in Addiction\">The Role of Neuroplasticity in Addiction</a></li><li><a href=\"#long-term-effects-of-addiction-on-brain-function\" title=\"Long-Term Effects of Addiction on Brain Function\" aria-label=\"Long-Term Effects of Addiction on Brain Function\">Long-Term Effects of Addiction on Brain Function</a></li><li><a href=\"#addiction-recovery-and-the-brain\" title=\"Can Recovery From Addiction Reverse Negative Effects on the Brain?\" aria-label=\"Addiction recovery and the brain\">Addiction recovery and the brain</a></li></ol><button type=\"button\" class=\"article-sections-toggle\" data-sections-toggle aria-controls=\"article-section-list\" aria-expanded=\"false\">View more</button></nav></details><section class=\"article-expert\" aria-label=\"Subject matter expert\" data-expert-kind=\"related\"><p class=\"article-bio-role\">Subject matter expert</p><div class=\"article-expert-identity\"><img src=\"https://mentalhealth-v2.workspace-454808.chatgpt.site/assets/wordpress/18538.jpeg\" alt=\"\" width=\"64\" height=\"64\" loading=\"lazy\"><h2><a href=\"https://mentalhealth-v2.workspace-454808.chatgpt.site/people/roger-watts\">Roger P. Watts <span class=\"expert-credentials\">Ph.D.</span></a></h2></div><p class=\"article-expert-focus\">Addiction therapy and recovery</p><a class=\"profile-experience-link experience-button\" href=\"https://mentalhealth-v2.workspace-454808.chatgpt.site/people/roger-watts\">View experience</a></section><section class=\"article-topic-community\" aria-label=\"Related communities\"><img class=\"topic-community-banner\" src=\"https://mentalhealth-v2.workspace-454808.chatgpt.site/assets/library/editorial-14636.webp\" alt=\"\" width=\"48\" height=\"48\" loading=\"lazy\"><p class=\"topic-community-label\">Related communities</p><h2>Addiction</h2><p>Connect around the experiences, relationships, and questions that surround addiction.</p><a href=\"https://mentalhealth-v2.workspace-454808.chatgpt.site/community/addiction\">Explore community</a></section></aside></div></div></div>","text":"HomeLibraryAddictionAddiction’s Effect on the BrainAddiction’s Effect on the BrainWritten by Erin L. GeorgeMedically reviewed by Jesse Hanson, Ph.D.Published on December 5, 2024 · Updated on August 19, 2026Our brains are essentially the leaders of our behavior. When a person has a substance use disorder or engages in harmful behavior repeatedly, it is not because they are weak or have no willpower.Addiction happens due to changes in the brain that create a lack of control over substances or activities, even when they cause harm. According to the National Center for Drug Abuse Statistics (NCDAS), more than 70% of people who have experimented with an illegal substance before the age of 13 have ended up with a substance use disorder.[1]So, how does addiction affect the brain? Our brains consist of billions of nerve cells called neurons, which send messages or signals (called neurotransmitters) back and forth, allowing our bodies and minds to work the way they do. When substances are used or harmful behavior is engaged in, they disrupt communication processes, interfering negatively with how neurons send, receive, and process these signals.[2][3]Key takeawaysAddiction involves changes in brain communication and reward processes rather than simply a lack of willpower.Repeated substance use can reinforce learned patterns that affect control and persist beyond active use.Neuroplasticity also allows partial or fuller recovery of brain function with appropriate treatment.How Does Addiction Affect the Brain’s Reward System? Take exercise as an example of a healthy activity. When we exercise, our brain releases feel-good hormones (like dopamine), which motivate us to want to exercise again or to engage in more healthy activities. If we observe addiction and the brain, the reward system works the same way, only more intensely. When harmful substances or negative behaviors are introduced, the brain releases large amounts of dopamine. This results in a euphoric feeling or “high,” which is actually a change in brain chemistry, altering normal brain communication.[4]Some substances, such as heroin, act the same as certain brain chemicals, but they do not activate neurons in a natural way. Other drugs (like cocaine) can cause neurons to release too many natural neurotransmitters, also changing the way the brain communicates.[5]The strength of the “reward” determines the desire to use the substance or engage in the behavior again. Over time, the effect of the substance may become less intense or enjoyable because the brain has changed and adapted to the new messages it’s programmed to send and receive.This ultimately causes a person to use more substance or engage in behavior more intensely to feel satisfied. This is what we refer to as tolerance. When a person becomes more tolerant of a substance, they need to use more to experience the same feelings. When the substance wears off, withdrawal is experienced, which is a negative emotional state caused by the brain's reward system, also decreasing its function. This can often result in physical illness, psychological changes, physical or mental stress, anxiety, and depression. These experiences could range from mild to unbearable, and more often than not, they lead the person to want more of what made them feel good to avoid feeling bad.[6] The Role of Neuroplasticity in Addiction Neuroplasticity is when our nervous system changes or adapts to new experiences.[7] If we think of an addicted brain vs a normal brain, we can look at an example of how the brain responds to a healthy activity.A person may want to create a new routine in their life, so they decide to wake up at 5 am every day and go for a walk in order to start the day on a positive note. The experience activates the reward system, leaving the person wanting it again. After repetition, it may begin to feel almost automatic, and the person may even feel like they didn’t have a great start to the day if they did not engage in this activity.This is essentially how neuroplasticity works and how it affects those with substance use disorders. When harmful substances and behaviors activate the reward system of the brain, it trains the brain to want this experience again. With repeating the same experiences, the reward system acts automatically, creating an uncontrollably strong desire to need the substance. The two general forms of neuroplasticity are defined as: Tolerance with physical dependence: This occurs from repeating the action to feel the same reward, whether it be a substance or behavior. However, when it is stopped, the person craves more of the same thing just to feel good. Compulsive behavior: Needing a substance as if it were a matter of survival that one cannot live without. This can be compared to behaviors that developed early in our evolution, such as seeking water or food. The severity of the second form of neuroplasticity is that it is very stable and permanent, and individuals who develop this neuroplasticity from substances and harmful behavior have a higher risk of relapsing, even after abstaining for long periods.[8] Long-Term Effects of Addiction on Brain Function Just like riding a bike, once you remove the training wheels and pedal down the road unassisted, your brain always remembers how to do it, no matter how long of a break you take from riding. The long-term effects of addiction are much the same; it is extremely difficult for the brain to forget about wanting or needing the substance or behavior. This is because the surge of neurotransmitters is greater than the amounts produced naturally from enjoyable experiences, like listening to music, socializing, or that early morning walk. It conditions the brain to want the substance or behavior instead of healthier activities. Additionally, simple situations in daily life could trigger the reflex to want a substance, even if the substance is not easily attainable or the person has strong intentions not to engage in the negative behavior.[2] Over time, repeating harmful substances or behaviors can lead to structural and functional changes in areas of the brain that can be associated with emotion and memory. Other brain changes can cause issues like anxiety or depression and even learning problems.[9] Can Recovery From Addiction Reverse Negative Effects on the Brain? Just as a scratch on our arm can heal with the right care, so too can the brain recover with proper treatment, either partially or fully from the effects of substance abuse or negative behaviors. Over time, some (and possibly all) of the long-term, detrimental effects of substance use can be improved. With the right treatment, people who have suffered from substance abuse disorders or behavioral addictions can counteract the detrimental effects and go on to regain control over their lives. This is known as being in recovery.Recovery is a long process where deep-seated neurological changes need to adapt to new behaviors, essentially becoming the new normal in the brain. Unfortunately for some, relapse is a reality of recovery. But relapse does not mean that recovery has failed. Treatments may just need to be modified.Addiction affects the whole person, and because of this, a holistic approach to recovery must be taken. This may include mental, physical, and environmental considerations towards the correct treatment processes.[10]Substance Abuse and Mental Health Services Administration (SAMHSA) recently released new data on recovery in the US, stating that out of 29 million adults who perceived that they ever had a substance use problem, 72.2% (or 20.9 million) considered themselves to be in recovery or to have recovered from their drug or alcohol use problem.[11]If you have a substance use disorder or are addicted to harmful behaviors, know that there are treatments available, no matter how severe the situation. Talk to your medical practitioner about a treatment plan that will work for you.Don’t feel despondent if the road to recovery is not easy. Know that there is always support available. It is possible to overcome this disease, and you do not have to walk the road alone.References National Center for Drug Abuse Statistics. (2020). NCDAS: Substance abuse and addiction statistics. Available at: drugabusestatistics.org National Institute on Drug Abuse. (2011, July). Drugs and the brain. Available at: National Institute on Drug Abuse ScienceDirect Topics. (n.d.). Neurotransmitter. Available at: ScienceDirect NYU Langone Health. (2022). Exercise boosts dopamine release, and this requires brain-derived neurotrophic factor. Available at: med.nyu.edu National Institute on Drug Abuse. (2011, July). Drugs and the brain. Available at: National Institute on Drug Abuse US Department of Health and Human Services. (2016, November). The neurobiology of substance use, misuse, and addiction. Available at: National Library of Medicine Innocenti, G. M. (2022). Defining neuroplasticity. Handbook of Clinical Neurology, 184, 3–18. Available at: Defining neuroplasticity Neuroplasticity in addictive disorders. (2009). Neurotoxicity and Neuroprotection, 11(3), 350–353. Available at: PubMed Central National Institute on Drug Abuse. (2011, July 1). Drug misuse and addiction. Available at: National Institute on Drug Abuse National Institute on Drug Abuse. (2011). Treatment and recovery. Available at: National Institute on Drug Abuse Substance Abuse and Mental Health Services Administration (SAMHSA). (2023, September 20). SAMHSA releases new data on recovery from substance use and mental health problems among adults in the United States. Available at: Substance Abuse and Mental Health Services Administration (SAMHSA) Medical ContentThe Clinical Affairs Team at MentalHealth.com is a dedicated group of medical professionals with diverse and extensive clinical experience. They actively contribute to the development of content, products, and services, and meticulously review all medical material before publication to ensure accuracy and alignment with current research and conversations in mental health. For more information, please visit the Editorial Policy.About MentalHealth.comMentalHealth.com helps people understand themselves, build healthier relationships, and access the right care. We bring together mental health education, diagnostics, and care management to support well-being throughout every phase of life.AuthorErin L. GeorgeMFTErin L. George, MFT, holds a master's degree in family therapy with a focus on group dynamics in high-risk families. As a court-appointed special advocate for children, she is dedicated to helping families rebuild relationships and improve their mental and behavioral health.PublishedDecember 5, 2024UpdatedAugust 19, 2026Medical ReviewerJesse Hanson, Ph.D.Clinical Affairs DirectorJesse Hanson, Ph.D., is a somatic psychologist with more than 20 years of experience in clinical psychology and neuropsychology.ReviewedDecember 17, 2024Subject matter expertRoger P. Watts Ph.D.Addiction therapy and recoveryView experienceRelated communitiesAddictionConnect around the experiences, relationships, and questions that surround addiction.Explore communityTable of contentsChoose a sectionHow Does Addiction Affect the Brain’s Reward System?The Role of Neuroplasticity in AddictionLong-Term Effects of Addiction on Brain FunctionAddiction recovery and the brainView moreSubject matter expertRoger P. Watts Ph.D.Addiction therapy and recoveryView experienceRelated communitiesAddictionConnect around the experiences, relationships, and questions that surround addiction.Explore community","wordCount":1740},"schema":{"@context":"https://schema.org","@graph":[{"@type":"Organization","@id":"https://mentalhealth-v2.workspace-454808.chatgpt.site/#organization","name":"MentalHealth.com","url":"https://mentalhealth-v2.workspace-454808.chatgpt.site/"},{"@type":"WebSite","@id":"https://mentalhealth-v2.workspace-454808.chatgpt.site/#website","url":"https://mentalhealth-v2.workspace-454808.chatgpt.site/","name":"MentalHealth.com","inLanguage":"en-US","publisher":{"@id":"https://mentalhealth-v2.workspace-454808.chatgpt.site/#organization"}},{"@type":"BreadcrumbList","@id":"https://mentalhealth-v2.workspace-454808.chatgpt.site/library/addiction-effects-on-cerebral-cortex#breadcrumb","itemListElement":[{"@type":"ListItem","position":1,"name":"Home","item":"https://mentalhealth-v2.workspace-454808.chatgpt.site/"},{"@type":"ListItem","position":2,"name":"Library","item":"https://mentalhealth-v2.workspace-454808.chatgpt.site/library"},{"@type":"ListItem","position":3,"name":"Addiction","item":"https://mentalhealth-v2.workspace-454808.chatgpt.site/library/addiction"},{"@type":"ListItem","position":4,"name":"Addiction’s Effect on the Brain","item":"https://mentalhealth-v2.workspace-454808.chatgpt.site/library/addiction-effects-on-cerebral-cortex"}]},{"@type":"ImageObject","@id":"https://mentalhealth-v2.workspace-454808.chatgpt.site/library/addiction-effects-on-cerebral-cortex#primaryimage","url":"https://mentalhealth-v2.workspace-454808.chatgpt.site/assets/library/editorial-9898.webp","contentUrl":"https://mentalhealth-v2.workspace-454808.chatgpt.site/assets/library/editorial-9898.webp","width":1200,"height":600,"encodingFormat":"image/webp","caption":"Adults sit in a circle during a group discussion."},{"@type":"Person","@id":"https://mentalhealth-v2.workspace-454808.chatgpt.site/people/erin-george#person","name":"Erin L. 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Exercise boosts dopamine release, and this requires brain-derived neurotrophic factor. Available at: med.nyu.edu","links":[{"url":"https://med.nyu.edu/departments-institutes/neuroscience/research/journal-club/journal-club-2022-articles/exercise-boosts-dopamine-release-this-requires-bdnf","label":"med.nyu.edu"}],"url":"https://med.nyu.edu/departments-institutes/neuroscience/research/journal-club/journal-club-2022-articles/exercise-boosts-dopamine-release-this-requires-bdnf"},{"number":5,"id":"https://mentalhealth-v2.workspace-454808.chatgpt.site/library/addiction-effects-on-cerebral-cortex#drugs-brain-source","text":"National Institute on Drug Abuse. (2011, July). Drugs and the brain. 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Handbook of Clinical Neurology, 184, 3–18. Available at: Defining neuroplasticity","links":[{"url":"https://doi.org/10.1016/B978-0-12-819410-2.00001-1","label":"Defining neuroplasticity"}],"url":"https://doi.org/10.1016/B978-0-12-819410-2.00001-1"},{"number":8,"id":"https://mentalhealth-v2.workspace-454808.chatgpt.site/library/addiction-effects-on-cerebral-cortex#neurotoxicity-neuroprotection-11-3-350353","text":"Neuroplasticity in addictive disorders. (2009). Neurotoxicity and Neuroprotection, 11(3), 350–353. Available at: PubMed Central","links":[{"url":"https://pmc.ncbi.nlm.nih.gov/articles/PMC3181920/","label":"PubMed Central"}],"url":"https://pmc.ncbi.nlm.nih.gov/articles/PMC3181920/"},{"number":9,"id":"https://mentalhealth-v2.workspace-454808.chatgpt.site/library/addiction-effects-on-cerebral-cortex#drug-misuse-addiction","text":"National Institute on Drug Abuse. (2011, July 1). Drug misuse and addiction. Available at: National Institute on Drug Abuse","links":[{"url":"https://nida.nih.gov/publications/drugs-brains-behavior-science-addiction/drug-misuse-addiction","label":"National Institute on Drug Abuse"}],"url":"https://nida.nih.gov/publications/drugs-brains-behavior-science-addiction/drug-misuse-addiction"},{"number":10,"id":"https://mentalhealth-v2.workspace-454808.chatgpt.site/library/addiction-effects-on-cerebral-cortex#treatment-recovery","text":"National Institute on Drug Abuse. (2011). Treatment and recovery. Available at: National Institute on Drug Abuse","links":[{"url":"https://nida.nih.gov/publications/drugs-brains-behavior-science-addiction/treatment-recovery","label":"National Institute on Drug Abuse"}],"url":"https://nida.nih.gov/publications/drugs-brains-behavior-science-addiction/treatment-recovery"},{"number":11,"id":"https://mentalhealth-v2.workspace-454808.chatgpt.site/library/addiction-effects-on-cerebral-cortex#samhsa-releases-new-data-recovery-substance-use-mental-health","text":"Substance Abuse and Mental Health Services Administration (SAMHSA). (2023, September 20). SAMHSA releases new data on recovery from substance use and mental health problems among adults in the United States. 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Learn how addiction affects brain function, tolerance, and recovery.","canonical":"https://mentalhealth-v2.workspace-454808.chatgpt.site/library/addiction-effects-on-cerebral-cortex","robots":"index,follow","socialImage":{"url":"https://mentalhealth-v2.workspace-454808.chatgpt.site/assets/social-tiles-20261006-dots/library.png","width":1200,"height":630,"alt":"MentalHealth.com — Library","type":"image/png","sitemapGroup":"library"}},"breadcrumbs":[{"name":"Home","url":"https://mentalhealth-v2.workspace-454808.chatgpt.site/"},{"name":"Library","url":"https://mentalhealth-v2.workspace-454808.chatgpt.site/library"},{"name":"Addiction","url":"https://mentalhealth-v2.workspace-454808.chatgpt.site/library/addiction"},{"name":"Addiction’s Effect on the Brain","url":"https://mentalhealth-v2.workspace-454808.chatgpt.site/library/addiction-effects-on-cerebral-cortex"}],"subjectMatterExpert":{"name":"Roger P. Watts, Ph.D.","url":"/people/roger-watts","profileId":"6374","topic":"addiction","focus":"Addiction therapy and recovery","selectionBasis":"Documented expertise in the existing published profile","reviewAttribution":false},"keyTakeaways":["Addiction involves changes in brain communication and reward processes rather than simply a lack of willpower.","Repeated substance use can reinforce learned patterns that affect control and persist beyond active use.","Neuroplasticity also allows partial or fuller recovery of brain function with appropriate treatment."],"introduction":{"html":"Our brains are essentially the leaders of our behavior. When a person has a <a href=\"https://mentalhealth-v2.workspace-454808.chatgpt.site/library/substance-use-disorders\">substance use disorder</a> or engages in harmful behavior repeatedly, it is not because they are weak or have no willpower.\n\nAddiction happens due to changes in the brain that create a lack of control over substances or activities, even when they cause harm. According to the National Center for Drug Abuse Statistics (NCDAS), more than 70% of people who have experimented with an illegal substance before the age of 13 have ended up with a substance use disorder.<a href=\"https://mentalhealth-v2.workspace-454808.chatgpt.site/library/addiction-effects-on-cerebral-cortex#ncdas-substance-abuse-addiction-statistics\"><sup>[1]</sup></a>\n\nSo, how does addiction affect the brain? Our brains consist of billions of nerve cells called neurons, which send messages or signals (called neurotransmitters) back and forth, allowing our bodies and minds to work the way they do. \n\nWhen substances are used or harmful behavior is engaged in, they disrupt communication processes, interfering negatively with how neurons send, receive, and process these signals.<a href=\"https://mentalhealth-v2.workspace-454808.chatgpt.site/library/addiction-effects-on-cerebral-cortex#drugs-brain\"><sup>[2]</sup></a><a href=\"https://mentalhealth-v2.workspace-454808.chatgpt.site/library/addiction-effects-on-cerebral-cortex#neurotransmitter\"><sup>[3]</sup></a>","text":"Our brains are essentially the leaders of our behavior. When a person has a substance use disorder or engages in harmful behavior repeatedly, it is not because they are weak or have no willpower. Addiction happens due to changes in the brain that create a lack of control over substances or activities, even when they cause harm. According to the National Center for Drug Abuse Statistics (NCDAS), more than 70% of people who have experimented with an illegal substance before the age of 13 have ended up with a substance use disorder.[1] So, how does addiction affect the brain? Our brains consist of billions of nerve cells called neurons, which send messages or signals (called neurotransmitters) back and forth, allowing our bodies and minds to work the way they do. When substances are used or harmful behavior is engaged in, they disrupt communication processes, interfering negatively with how neurons send, receive, and process these signals.[2][3]","sourceField":"hero"},"navigation":[{"label":"How Does Addiction Affect the Brain’s Reward System?","href":"#how-does-addiction-affect-the-brains-reward-system","heading":"How Does Addiction Affect the Brain’s Reward System?"},{"label":"The Role of Neuroplasticity in Addiction","href":"#the-role-of-neuroplasticity-in-addiction","heading":"The Role of Neuroplasticity in Addiction"},{"label":"Long-Term Effects of Addiction on Brain Function","href":"#long-term-effects-of-addiction-on-brain-function","heading":"Long-Term Effects of Addiction on Brain Function"},{"label":"Addiction recovery and the brain","href":"#addiction-recovery-and-the-brain","heading":"Can Recovery From Addiction Reverse Negative Effects on the Brain?"}],"relatedCommunity":{"community":"/community/addiction","basis":"topic match"},"referencePresentation":"Numbered author–date bibliography with linked source documents; n.d. denotes unavailable publication date.","collections":[]}
