Changing stroke rehab and research worldwide now.Time is Brain! trillions and trillions of neurons that DIE each day because there are NO effective hyperacute therapies besides tPA(only 12% effective). I have 523 posts on hyperacute therapy, enough for researchers to spend decades proving them out. These are my personal ideas and blog on stroke rehabilitation and stroke research. Do not attempt any of these without checking with your medical provider. Unless you join me in agitating, when you need these therapies they won't be there.

What this blog is for:

My blog is not to help survivors recover, it is to have the 10 million yearly stroke survivors light fires underneath their doctors, stroke hospitals and stroke researchers to get stroke solved. 100% recovery. The stroke medical world is completely failing at that goal, they don't even have it as a goal. Shortly after getting out of the hospital and getting NO information on the process or protocols of stroke rehabilitation and recovery I started searching on the internet and found that no other survivor received useful information. This is an attempt to cover all stroke rehabilitation information that should be readily available to survivors so they can talk with informed knowledge to their medical staff. It lays out what needs to be done to get stroke survivors closer to 100% recovery. It's quite disgusting that this information is not available from every stroke association and doctors group.

Showing posts with label impulsivity. Show all posts
Showing posts with label impulsivity. Show all posts

Thursday, February 20, 2025

Brain’s Hidden Circuitry for Risk and Reward Uncovered

 Could solving this fix impulsiveness post stroke. Will your competent? doctor do ANYTHING TO FIND THAT ANSWER?  NO? So, you DON'T have a functioning stroke doctor, do you?

Brain’s Hidden Circuitry for Risk and Reward Uncovered

Brain’s Hidden Circuitry for Risk and Reward Uncovered

Summary: Researchers have identified two distinct groups of neurons that help the brain evaluate risk and reward in decision-making. These neurons, located in the ventral striatum, separately process better-than-expected and worse-than-expected outcomes. In experiments with mice, silencing these neurons altered their anticipation of rewards, affecting their decision-making behavior.

The study suggests that the brain tracks a full range of possible rewards, rather than just an average, which aligns with machine-learning models of decision-making. If confirmed in humans, the findings could explain difficulties in assessing risks seen in conditions like depression and addiction. Future research will explore how uncertainty influences this brain circuitry.

Key Facts:

  • Two Neural Groups: One group processes better-than-expected outcomes, while another tracks worse-than-expected ones.
  • Decision-Making Mechanism: The brain represents a full spectrum of possible rewards, not just averages.
  • Potential Clinical Impact: Findings could help explain impaired risk assessment in conditions like depression and addiction.

Source: Harvard

Every day, our brain makes thousands of decisions, big and small. Any of these decisions — from the least consequential such as picking a restaurant to the more important such as pursuing a different career or moving to a new city — may result in better or worse outcomes.  

How does the brain gauge risk and reward in making these calls? The answer to this question continues to puzzle scientists, but a new study carried out by researchers at Harvard Medical School and Harvard University offers intriguing clues.

This shows a head.
These two groups of brain cells work together to form a representation of the full distribution of potential rewards for a decision. Credit: Neuroscience News

The research, published Feb. 19 in Nature and supported in part by federal funding, incorporated machine-learning concepts into mouse experiments to study the brain circuitry that supports reward-based decisions.

The scientists uncovered two groups of brain cells in mice: one that helps mice learn about above-average outcomes and another associated with below-average outcomes. Together, the experiments showed, these cells allow the brain to gauge the full range of possible rewards associated with a choice.

“Our results suggest that mice — and by extension, other mammals — seem to be representing more fine-grained details about risk and reward than we thought before,” said co-senior author Jan Drugowitsch, associate professor of neurobiology in the Blavatnik Institute at Harvard Medical School.

If confirmed in humans, the findings could provide a framework for understanding how the human brain makes reward-based decisions and what happens to the ability to judge risk and reward when reward circuitry fails.

Machine learning illuminates reward-based decisions

Neuroscientists have long been interested in how the brain uses past experiences to make new decisions. However, according to Drugowitsch, many traditional theories about such decision-making fail to capture the complexity and nuance of real-world behavior.

Drugowitsch uses the example of selecting a restaurant: If you’re in the mood to play it safe, you might choose a restaurant with a menu that experience tells you is reliably good, and if you feel like taking a risk, you might opt for a restaurant that you know offers a mix of exceptional and subpar dishes.

In the above example, the restaurants differ considerably in their range of offerings, yet existing neuroscience theories consider them equivalent when averaged, and thus predict an equal likelihood of choosing either. 

“We know that this is not how humans and animals act — we can decide between seeking risks and playing it safe,” Drugowitsch said. “We have a sense of more than just average expected rewards associated with our choices.”

In recent years, machine-learning researchers developed a theory of decision-making that better captures the full range of potential rewards linked to a choice.

They incorporated this theory into a new machine-learning algorithm that outperformed alternative algorithms in Atari video games and a range of other tasks in which each decision has multiple possible outcomes.

“They basically asked what happens if rather than just learning average rewards for certain actions, the algorithm learns the whole distribution, and they found it improved performance significantly,” Drugowitsch said.

In a 2020 Nature paper, Naoshige Uchida, professor of molecular and cellular biology at Harvard University, and colleagues reanalyzed existing data to explore whether this machine-learning theory applied to neuroscience, in the context of decision-making in rodent brains.

The analysis showed that in mice, activity of the neurotransmitter dopamine — which plays a role in reward-seeking, pleasure, and motivation — corresponded to reward-learning signals predicted by the algorithm.

In other words, Drugowitsch said, the work suggested that the new algorithm was better at explaining dopamine activity.

How mouse brains represent a range of rewards

In the new study, Drugowitsch teamed up with co-senior author Uchida to take the research a step further. Together, they designed mouse experiments to see how this process plays out in a brain region called the ventral striatum, which stores information about possible rewards associated with a decision.

“Dopamine activity only provides the learning signal for expected rewards, but we wanted to find representations of these learned rewards directly in the brain,” Drugowitsch said.

The researchers trained mice to associate different odors with rewards of varying magnitudes — in essence, teaching mice the range of possible outcomes of a choice. They then presented the mice with odors, and observed licking behavior (mice lick more in anticipation of better rewards) while recording neural activity in the ventral striatum.

The team identified two distinct groups of neurons in the brain: One that helps a mouse learn about better-than-expected outcomes and another tied to worse-than-expected outcomes.

“You can think of this as having an optimist and a pessimist in your brain, both giving you advice on what to do next,” Drugowitsch explained.

When the researchers silenced the “optimistic” neurons, the mouse exhibited behavior suggesting that it anticipated a less appealing reward. Conversely, when the researchers silenced the “pessimistic” neurons, the mouse behaved as if it expected a higher value treat.

“These two groups of brain cells work together to form a representation of the full distribution of potential rewards for a decision,” Drugowitsch said.

The researchers see many future directions for their work, including how the brain makes decisions when there is more uncertainty about what each initial option represents and how their findings apply to more general reasoning about the world.

Drugowitsch noted that more research is needed to confirm the results in humans and to adapt the findings to the complexity of human decision-making. However, based on the parallels between mouse and human brains, he believes the work may already shed some light on how humans assess risk in decisions and why people with certain conditions such as depression or addiction may struggle with such assessments.



Authorship, funding, disclosures

Additional authors on the paper include Adam Lowet, Qiao Zheng, Melissa Meng, and Sara Matias.

Funding: The study was funded by the National Institutes of Health (R01NS116753; F31NS124095), the Human Frontier Science Program (LT000801/2018), the Harvard Brain Science Initiative, and the Brain & Behavior Research Foundation.

About this decision-making and neuroscience research news

Author: Dennis Nealon
Source: Harvard
Contact: Dennis Nealon – Harvard
Image: The image is credited to Neuroscience News

Original Research: Closed access.
An opponent striatal circuit for distributional reinforcement learning” by Jan Drugowitsch et al. Nature

Wednesday, December 27, 2017

Closing the loop on impulsivity via nucleus accumbens delta-band activity in mice and man

Something for your doctor to consider about how to treat if this area was damaged. 
http://www.pnas.org/content/early/2017/12/12/1712214114.abstract?sid=216629b2-a6c1-4a69-978b-be308e0e2f83

Significance

We reveal prominent delta oscillations in the nucleus accumbens preceding food reward in mice and use them to guide responsive neurostimulation to suppress binge-like behavior. Similar electrographic signatures are observed in human nucleus accumbens during reward anticipation as well, suggesting their translational potential in the development of a treatment for loss of impulse control in obesity and perhaps additional brain disorders.

Abstract

Reward hypersensitization is a common feature of neuropsychiatric disorders, manifesting as impulsivity for anticipated incentives. Temporally specific changes in activity within the nucleus accumbens (NAc), which occur during anticipatory periods preceding consummatory behavior, represent a critical opportunity for intervention. However, no available therapy is capable of automatically sensing and therapeutically responding to this vulnerable moment in time when anticipation-related neural signals may be present. To identify translatable biomarkers for an off-the-shelf responsive neurostimulation system, we record local field potentials from the NAc of mice and a human anticipating conventional rewards. We find increased power in 1- to 4-Hz oscillations predominate during reward anticipation, which can effectively trigger neurostimulation that reduces consummatory behavior in mice sensitized to highly palatable food. Similar oscillations are present in human NAc during reward anticipation, highlighting the translational potential of our findings in the development of a treatment for a major unmet need.

Where Angels Fear to Tread: Impulsivity after Brain Injury

But by failing you actually learn faster. Don't listen to me, I'm not medically trained and thus can say nothing intelligent about stroke. Stroke-addled you know. A friend said he was going to Ecuador and I impulsively asked if I could come along, of course I've known him for 40 years, but then I don't have a frontal lobe injury.
https://www.changedlivesnewjourneys.com/impulsivity-after-brain-injury/
Cute video at link.

A simple definition of impulsivity after brain injury: Talking or acting without thinking.

For a fun kind of explanation the cartoon above might help.  A reminder of the impact of acting without thinking.
For more detail and suggested strategies read on.

What Is Impulsivity After Brain Injury?

As the cartoon above demonstrates impulsive actions are those made without taking into account possible problems, and not thinking about possible consequences.
While we can all be impulsive at times, impulsivity after brain injury is caused by damage to the brain, specifically the frontal lobe and it does not just go away. The mechanisms that control our ability to stop and consider, and to filter what we pay attention to, are damaged.
It is important to remember the impulsive behaviour you see, is related to the damage to the brain
  • it is not deliberate
  • it may not be apparent to the person themselves
  • it is unlikely to go away
  • it can fluctuate, particularly when a person is tired
You will also see impulsivity called ‘poor impulse control’, I have an issue with this term so I don’t use. Why not? To me it sounds blaming, sounding like it is the person’s fault. However if you are searching for more resources you might need to search this term along with impulsive behaviour etc.

Impulsivity after Brain Injury. What does it look like?

As with most things about brain injury,  impulsivity after brain injury will be different in each person. It is suggested that King Henry VIII with his suspected brain injury was impulsive he beheaded his wives, we don’t see that so much today!
Mostly it will involve doing or saying things without thinking first. Impulsivity after brain injury might include one or more of the following:
  • Moving on to another task or activity before completing what is already started.
  • Rushing into activities without planning first and making lots of mistakes.
  • Interrupting conversations and talking over others.
Impulsivity after brain injury. Colourful image of a windswept woman on a hilltop holding up a table
Flickr Image by Spencer Finnley
  • Blurting out personal information about self or others without thinking.
  • Making hurtful comments.
  • Having trouble waiting and taking turns. Not waiting for your turn. Not patiently waiting in line. A student jumping in with answers in a classroom.
  • Not recognising you have just finished: eating, drinking, smoking, so you continue without stopping.
  • It can seem like the need for ‘instant gratification’ – you want, and do, things now! It does not seem possible to wait.
  • Buying things on impulse even when not affordable.
  • Lashing out physically or verbally without thinking of the consequence.
  • Sexually and socially impulsive may be promiscuous. This can be a danger to the person at times.
  • Not being able to budget and manage finances.
  • Ignoring safety rules. Not looking for traffic before crossing the street.
  • Undertaking tasks without first thinking about safety. Using something inappropriate to do a task because it is the first object you see.

Tuesday, May 9, 2017

Brain injury causes impulse control problems in rats

I have no impulse control problems. However my anger is righteous and directed at the correct stroke medical 'professionals'. 

Brain injury causes impulse control problems in rats

New research from the University of British Columbia confirms for the first time that even mild brain injury can result in impulse control problems in rats.
The study, published in the Journal of Neurotrauma, also found that the problems may be linked to levels of an inflammatory molecule in the brain, and suggest that targeting the molecule could be helpful for treatment.
"Few studies have looked at whether traumatic brain injuries cause impulse control problems," said the study's lead author, Cole Vonder Haar, a former postdoctoral research fellow in the UBC department of psychology who is now an assistant professor at West Virginia University. "This is partly because people who experience a are sometimes risk-takers, making it difficult to know if impulsivity preceded the brain injury or was caused by it. But our study confirms for the first time that even a can cause impulse control problems."
For the study, researchers gave rats with brain injuries a reward test to measure impulsivity.
Rats that were unable to wait for the delivery of a large reward, and instead preferred an immediate, but small reward, were considered more impulsive.
The researchers found that impulsivity in the rats increased regardless of the severity of the brain injury. The impulsivity also persisted eight weeks after injury in animals with a mild injury, even after memory and returned.
"These findings have implications for how are treated and their progress is measured," said Vonder Haar. "If physicians are only looking at memory or motor function, they wouldn't notice that the patient is still being affected by the in terms of impulsivity."
After analyzing samples of frontal cortex brain tissue, the researchers also found a substantial increase in levels of an inflammatory molecule, known as interleukin-12, that correlated with levels of impulsivity. Interleukins are groups of proteins and molecules responsible for regulating the body's immune system.
The study builds on the researchers' previous findings about the link between interleukin-12 and impulsivity.
Catharine Winstanley, the study's senior author and associate professor in the UBC department of psychology, said the findings are important because impulsivity is linked to addiction vulnerability.
"Addiction can be a big problem for patients with traumatic brain injuries," she said. "If we can target levels of interleukin-12, however, that could potentially provide a new treatment target to address impulsivity in these patients."
More information: Cole Vonder Haar et al, Frontal TBI increases impulsive decision making in rats: A potential role for the inflammatory cytokine interleukin-12, Journal of Neurotrauma (2017). DOI: 10.1089/neu.2016.4813
Provided by: University of British Columbia


Thursday, April 21, 2016

Individual Differences in Cognitive Control Circuit Anatomy Link Sensation Seeking, Impulsivity, and Substance Use

Don't like your cortical thickness because you think you are impulsive? Then meditate. I am a sensation seeker, I consider that a good thing, probably helped my stroke recovery.

Meditation experience is associated with increased cortical thickness

The latest here:

Individual Differences in Cognitive Control Circuit Anatomy Link Sensation Seeking, Impulsivity, and Substance Use

  1. Randy L. Buckner2,3,4
  1. Author contributions: A.J.H., M.O.H., J.L.R., J.W.S., and R.L.B. designed research; A.J.H., M.O.H., J.L.R., J.W.S., and R.L.B. performed research; A.J.H., M.O.H., J.L.R., J.W.S., and R.L.B. analyzed data; A.J.H., M.O.H., J.L.R., J.W.S., and R.L.B. wrote the paper.
  1. The Journal of Neuroscience, 36(14): 4038-4049; doi: 10.1523/JNEUROSCI.3206-15.2016

Abstract

Individuals vary widely in their tendency to seek stimulation and act impulsively, early developing traits with genetic origins. Failures to regulate these behaviors increase risk for maladaptive outcomes including substance abuse. Here, we explored the neuroanatomical correlates of sensation seeking and impulsivity in healthy young adults. Our analyses revealed links between sensation seeking and reduced cortical thickness that were preferentially localized to regions implicated in cognitive control, including anterior cingulate and middle frontal gyrus (n = 1015). These associations generalized to self-reported motor impulsivity, replicated in an independent group (n = 219), and correlated with heightened alcohol, tobacco, and caffeine use. Critically, the relations between sensation seeking and brain structure were evident in participants without a history of alcohol or tobacco use, suggesting that observed associations with anatomy are not solely a consequence of substance use. These results demonstrate that individual differences in the tendency to seek stimulation, act on impulse, and engage in substance use are correlated with the anatomical structure of cognitive control circuitry. Our findings suggest that, in healthy populations, covariation across these complex multidimensional behaviors may in part originate from a common underlying biology.
SIGNIFICANCE STATEMENT Impaired cognitive control may result in a tendency to seek stimulation impulsively and an increased risk for maladaptive outcomes, including substance abuse. Here, we examined the structural correlates of sensation seeking and impulsivity in a large cohort of healthy young adults. Our analyses revealed links between sensation seeking and reduced cortical thickness that were preferentially localized to regions implicated in cognitive control, including anterior cingulate and middle frontal gyrus. The observed associations generalized to motor impulsivity, replicated in an independent group, and predicted heightened alcohol, tobacco, and caffeine use. These data indicate that normal variability in cognitive control system anatomy predicts sensation seeking and motor impulsivity in the healthy populations, potentially increasing risk for substance use disorders.

Tuesday, December 29, 2015

How Does Marijuana Affect the Brain and Behavior? Here's What Recent Studies Say

My God, anything to put a negative spin on marijuana. We already know that young brains aren't fully developed until 26-28, so unless we know the age of the participants this may not be a valid conclusion. We'll never know because we have NO stroke strategy or stroke leadership in any part of stroke. But Reefer Madness strikes again.
The sky is falling article here:

How Does Marijuana Affect the Brain and Behavior? Here's What Recent Studies Say

Actual research article here: It references young adults. Can't tell who sponsored the research.

Effects of marijuana use on impulsivity and hostility in daily life