Benzodiazepines
Psychostimulants
Opioids
Psychedelics
100

This inhibitory neurotransmitter system is enhanced by benzodiazepines to produce their calming effects.

What is GABA (gamma-aminobutyric acid)?  

100

This pair of neurotransmitters is elevated by psychostimulants, such as cocaine and amphetamine, producing both the euphoria of a "high" and the sharpened focus users report.

What is dopamine and norepinephrine?

100

Opioids primarily activate this receptor type to produce euphoria and pain relief.

What is the mu (μ) opioid receptor?

100

Unlike other drug classes, psychedelics have low addiction potential because they don't activate this reward pathway.

What is the dopamine system?

200

Despite developing readily with benzodiazepines, these two addiction components remain paradoxically weak.

What are reinforcement and craving?

200

When repeated drug use causes the brain to reduce or internalize dopamine receptors, users experience less pleasure from both drugs and natural rewards - a process known as this. 

What is tolerance?

200

This dangerous combination of tolerance and physical dependence specifically increases this fatal risk in opioid users.

What is overdose?

200

This serotonin receptor rapidly downregulates after psychedelic use, causing immediate tolerance.

What is the 5-HT2A receptor?

300

These two phenomena that occur after stopping benzodiazepines significantly influence long-term use patterns.

What are withdrawal and rebound?

300

This receptor change explains why stimulant users experience diminishing subjective reward over time.

What is dopamine receptor (D2) downregulation?

300

This becomes the primary motivation for continued opioid use once euphoria fades.

What is withdrawal avoidance?

300

Psychedelics' rapid tolerance but low addiction potential reveals addiction requires this beyond just receptor changes.

What is reinforcement (or reward activation)?

400

This type of receptor adaptation explains why benzodiazepine tolerance develops readily despite weak reinforcement.

What is GABA receptor downregulation?

400

Unlike opioids, stimulant dependence is primarily this type rather than physical.

What is psychological dependence?

400

Tolerance to this opioid effect develops slower than to euphoria, creating a dangerous window.

What is respiratory depression?

400

Psychedelics don't cause this type of dependence, explaining why users don't experience withdrawal.

What is physical dependence?

500

This neurobiological imbalance best explains why benzodiazepine dependence occurs without strong reward-seeking behavior.

What is allostatic dysregulation of inhibitory control systems?

500

Psychostimulants act on this dopamine pathway, running from the ventral tegmental area to the nucleus accumbens, which encodes reward, motivation, and learning. 

What is the mesolimbic dopamine pathway?

500

This stress-response system becomes dysregulated in opioid addiction, increasing relapse vulnerability.

What is the HPA (hypothalamic-pituitary-adrenal) axis?

500

The preservation of this prefrontal function in psychedelic users contrasts with its impairment in other addictions.

What is inhibitory control?