ToxTime: It's About the Brain, Not the Substance
The disease of addiction is a complex, progressive brain disease that is described in terms of specific substances but should be thought of as a brain disease, first and foremost. It is an individual's interaction with the environment and environmental stimuli (including specific substances) that sets in motion the neurological changes that invariably lead to the disease of addiction. In this brief presentation, Dr. Galbis-Reig uses an analogy to describe and discuss these complex interactions so that attendees can better understand the disease of addiction as a primary brain disorder.
David Galbis-Reig, M.D, DFASAM, received his Doctor of Medicine degree from Virginia Commonwealth University in Richmond, Virginia in 1999 and completed a residency in Internal Medicine at Aurora Sinai Medical Center in Milwaukee, Wisconsin in 2004. He is board certified and involved in Maintenance of Certification in Internal Medicine by the American Board of Internal Medicine and in the sub-specialty of Addiction Medicine by the American Board of Preventive Medicine. He is a Past President of the Wisconsin Society of Addiction Medicine and the Wisconsin Medical Society Foundation. Dr. Galbis-Reig led WISAM to partner with DHS to provide twelve buprenorphine trainings throughout Wisconsin between 2019 and 2021. He is an active member of the American Society of Addiction Medicine (ASAM) were he serves as the Chair of the Distinguished Fellows Committee and is the Chair for the BEST Study Tool Subcommittee. He has contributed to policy decisions in the state as a former member of the Wisconsin Marijuana Prevention Ad-Hoc Committee of the State Council on Alcohol and Other Drug Abuse (SCAODA). He is a current Board Member of the HOPE Council in Kenosha, Wisconsin. He is also an active member of the Wisconsin Medical Society.
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0:00 Introduction
2:20 It's About the Brain, Not the Substance
2:52 Objectives
3:13 Neurobiology of Addiction
4:39 Definition of Addiction
7:58 The Addiction Wagon Wheel
18:54 Stages of Addiction Cycle
22:10 The Addiction Wagon Wheel (Reenforcement)
23:18 Neurobiology of Addiction
25:12 Diagnosis of SUDs
26:43 Poll and Conclusion