Many regions and circuits in the brain are involved in the control of motivation, which can be dysregulated by substance-use disorders and other addictions.1 There are four key independent and overlapping circuits implicated in addiction, as shown on the image, consisting of:1,2

1. reward prediction and pleasure (in blue), located within the nucleus accumbens and ventral pallidum

2. cognitive control (in gold), located within the prefrontal cortex and cingulate gyrus

3. motivation, drive, and salience evaluation (in grey) located within the orbitofrontal cortex

4. learning and memory (in green), located within the amygdala and hippocampus.

Over time, changes within these circuits in the brain can lead a person from ‘liking’ a substance or activity, to ‘wanting’ that substance or activity.1 As addiction develops, the amount of ‘wanting’ increases, and dysregulation of the motivation circuits of the brain leads to reduced control over substance-taking behaviour, and a switch from ‘no-go’ to ‘go’ signals.1

Acess our slide deck on neurobiology and aetiology in substance use disorders and other addicitions

file_download Download in HQ

Related content

image Image
Treatment of comorbid alcohol-use disorder in bipolar disorder

Substance-use disorders are common among people with bipolar disorder

03.09.2024 Bipolar Disorder
image Image
The progression of addictive disorders over time

An illustration of the progression of addictive disorders over time.

24.07.2024 Substance Use Disorders
The complexities and challenges of treating substance use disorders and other addictions play_circle Video play_circle
The complexities and challenges of treating substance use disorders and other addictions

Professor David Nutt provides insights to enhance our understanding of the treatment of substance use disorders and other addictions.

12.01.2024 Substance Use Disorders