Addictive drugs create a stimulation in a reward circuit in the brain which releases DA. For example, cocaine causes as massive activation of receptors in the mesolimbic pathway creating lasting (fake) memories or euphoria. which sets the brain to fail as it strives to get that hit again.
Robinson and Berridge (1993) proposed the incentive sensitisation theory, which states that the repeated exposure to drugs leads to increasing sensitivity of their desirability. Once you take the drug, you've oversensitised your brain to it and it tells you it will feel better than it actually does.
Down regulation maintains the use of the drug. It's a reduction of activity in the positive reward centres in the brain a a result from chronic exposure to drugs. Thie generates a chronic stress situation in which the addict must take the drug just to feel normal rather than good, (as they used to).
Relapse - The desire may become more important than anything else. Even though the drug doesn't give much, if any, positive stimulation, the brain is still emitting messages to keep taking it, (maybe to feel at a normal state again - down regulation). The frontal cortex is damaged by the drug and no longer has much control over good decision making for the long term, and this can make the addict wrongly judging the danger of taking the drug again for a short term fix, and therefore they may relapse.
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