of Addiction, Reward Pathways, Mesolimbic
Dopamine, Neurotransmitter Interactions,
Incentive Salience, DeltaFosB, DSM-5
Substance Use Disorders, Pharmacologic
Treatments, Withdrawal, Tolerance, and
Behavioral Reinforcement Questions Verified
and Complete with A+ Graded Rationales
Latest Updated 2026
Mild
___________ Substance Use Disorder:
Presence of 2 - 3 symptoms
Moderate
___________ Substance Use Disorder:
Presence of 4 - 5 symptoms
Severe
___________ Substance Use Disorder:
Presence of 6 or more symptoms
Impaired Control
Taking more than intended or for longer than intended
Multiple unsuccessful attempts to cut down use
Spending lots of time obtaining substance
Craving
Social Impairment
Failure to fulfill major role obligations at work, home, or school
Continued use despite interpersonal problems related to use
Important social or recreational activities given up because of use
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, Risky Use
Recurrent use in situations where hazardous
Persistent use despite related physical or psychological problem
Substance Use Disorders
DSM-5 Criteria for ______________________:
-social impairment
-risky use
-Increase use due to tolerance
-withdrawal symptoms upon discontinuation
Reward Pathway Theory
-Natural rewards such as food, water, sex, and nurturing allow the individual human being to
feel pleasure when eating, drinking, procreating, and being nurtured.
-Such pleasurable feelings reinforce the behavior so that it will be repeated. Each of these
behaviors is required for the survival of the species.
Incentive Salience
-a desire or want attribute, which includes a motivational component, that is assigned by the
brain
-specifically, by the nucleus accumbens shell to a rewarding stimulus
-makes the reward more than just receiving pleasure from a stimulus but amplifies the
attractive and motivational property of a stimulus that induces "appetitive behavior" which is
also known as "approach behavior" and "consummatory behavior"
Incentive Salience
serves a "motivational magnet" quality of a rewarding stimulus that makes it a desirable and
attractive goal in itself, transforming it from a mere sensory experience into something that
commands attention, induces approach, and causes it to be sought out.
Mesolimbic Dopaminergic
The experience of reward is accompanied by activation of the ________________ pathway
Mesolimbic Dopamine (DA)
Natural rewards, including substances that are abused by humans, increase extracellular
concentrations of _____________________________
Dopamine
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