People who binge drink, drink to the point of poor judgment, or deliberately become drunk many times each month have a much higher risk of alcohol-related brain damage. Alcohol begins affecting a person’s brain as soon as it enters the bloodstream. eco sober house boston In a healthy person, the liver quickly filters alcohol, helping the body get rid of the drug. However, when a person drinks to excess, the liver cannot filter the alcohol fast enough, and this triggers immediate changes in the brain.
As a result, the person’s ability to experience pleasure from naturally rewarding (i.e., reinforcing) activities is also reduced. The exact nature of this feeling can vary considerably from individual to individual and even within the same individual from situation to situation. What is common to all individuals and all situations is that alcohol depresses the brain and slows down major functions such as breathing, heart rate, and thinking. If an individual drinks too much alcohol, his or her breathing or heart rate can reach dangerously low levels or even stop.
Virtually all brain functions depend on a delicate balance between excitatory and inhibitory neurotransmission. Research findings indicate that the consequences of short- and long-term brain exposure to alcohol result from alterations in this balance. However, many questions remain about the effects of alcohol on this delicate equilibrium. In addition, little is known about the molecular mechanisms of craving and addiction.
For example, structural MRI can clearly delineate gray matter from white matter but cannot detect damage to individual nerve fibers forming the white matter. Moreover, the findings correlate with behavioral tests of attention and memory (Pfefferbaum et al. 2000). These nerve pathways are critically important because thoughts and goal-oriented behavior depend on the concerted activity of many brain areas. Researchers use multiple methods to understand the etiologies and mechanisms of brain damage across subgroups of alcoholics. Followup post mortem examinations of brains of well-studied alcoholic patients offer clues about the locus and extent of pathology and about neurotransmitter abnormalities.
Knowledge of the higher levels of neural integration is required to completely determine how alcohol affects these processes. More important, a detailed understanding of alcohol’s mechanism of action in the brain is a prerequisite to discovering effective treatments for both alcohol abuse and alcoholism. The major excitatory neurotransmitter in the human brain is the amino acid glutamate. Small amounts of alcohol have been shown to interfere with glutamate action. Deficiencies of thiamine caused by malnutrition may contribute to this potentially destructive overactivity (Crews 2000).
The image shows clear evidence of brain shrinkage in the alcoholic compared with the control subject. The graph on the right shows that older alcoholics have less cortical tissue than younger alcoholics, and that the prefrontal cortex is especially vulnerable to alcohol’s https://sober-home.org/ effects. The location of the temporal, parietal, and occipital regions of the brain can be seen in figure 1. The outer, convoluted layer of brain tissue, called the cerebral cortex or the gray matter, controls most complex mental activities (see figure 1).
Remarkably, a single exposure to a vasopressinlike chemical while an animal is under the effects of alcohol is followed by long-lasting tolerance to alcohol (Kalant 1993). The development of this long-lasting tolerance depends not only on vasopressin but also on serotonin, norepinephrine, and dopamine—neurotransmitters with multiple regulatory functions (Tabakoff and Hoffman 1996; Valenzuela and Harris 1997). Continuing to drink despite clear signs of significant impairments can result in an alcohol overdose.
Fetal alcohol spectrum disorders, which people usually refer to as fetal alcohol syndrome, happen when a developing baby gets exposure to alcohol during gestation. Fetal alcohol syndrome affects many aspects of functioning, and it can cause brain damage. When the liver is not able to filter this poison quickly enough, a person can develop signs of alcohol poisoning or alcohol overdose. An overdose of alcohol affects the brain’s ability to sustain basic life functions. Regular drinking can also affect overall mental health and well-being, in part because alcohol may worsen symptoms of certain mental health conditions, including anxiety, depression, and bipolar disorder. Blackouts are gaps in a person’s memory of events that occurred while they were intoxicated.
Even though you have seen the physical and behavioral changes, you might wonder exactly how alcohol works on the body to produce those effects. In this article, we will examine all of the ways in which alcohol affects the human body. Although increased norepinephrine offers some explanation of alcohol’s effects, it doesn’t tell us where in the brain changes are occurring.
Because muscle tissue has more water than fat tissue, a given dose or amount of alcohol will be diluted more in a man than in a woman. Therefore, the blood alcohol concentration resulting from that dose will be higher in a woman than in a man, and the woman will feel the effects of alcohol sooner than the man will. The regions of the brain with the greatest decrease in activity were the prefrontal cortex and the temporal cortex. Decreased activity in the prefrontal cortex, the region responsible for decision making and rational thought, further explains why alcohol causes us to act without thinking. The prefrontal cortex also plays a role in preventing aggressive behavior, so this might help explain the relationship between alcohol and violence (see my last post). The temporal cortex houses the hippocampus, the brain region responsible for forming new memories.
Disruptions of the normal inhibitory functions of prefrontal networks often have the interesting effect of releasing previously inhibited behaviors. As a result, a person may behave impulsively and inappropriately, which may contribute to excessive drinking. Remarkable developments in neuroimaging techniques have made it possible to study anatomical, functional, and biochemical changes in the brain that are caused by chronic alcohol use. Because of their precision and versatility, these techniques are invaluable for studying the extent and the dynamics of brain damage induced by heavy drinking. Because a patient’s brain can be scanned on repeated occasions, clinicians and researchers are able to track a person’s improvement with abstinence and deterioration with continued abuse.
Studies consistently show that when parents permit their sons or daughters to drink they tend to drink more often and heavier outside the home. Severe alcohol overdoses may cause permanent brain damage even if the person survives. When you stop drinking, you might notice a range of physical, emotional, or mental health symptoms that ease as soon as you have a drink. The connection between alcohol consumption and your digestive system might not seem immediately clear. The only methods capable of online detection of the electrical currents in neuronal activity are electromagnetic methods such electroencephalography (EEG), event-related brain potentials (ERP),4 and magnetoencephalography (MEG). EEG reflects electrical activity measured by small electrodes attached to the scalp.
Neurotransmitters can either excite the receiving cell, which causes a response or inhibit the receiving cell, which prevents stimulation. Nonetheless, alcohol shared properties with classical depressants, like Valium. Experiments in mice showed that when given Valium regularly, not only did they develop a tolerance to it, but they also developed an increased tolerance to alcohol.