Precision Behavioral Management (PBM): A Novel Genetically Guided Therapy to Combat Reward Deficiency Syndrome (RDS) Relevant to the Opiate Crisis

Kenneth Blum, Alphonse Kenison Roy, Arwen Podesta, Edward J. Modestino, Bruce Steinberg, Marjorie C. Gondré-Lewis, David Baron, Panayotis K. Thanos, Lisa Lott, Sampada Badgaiyan, Jessica Valdez Ponce, Brent Boyett, David Siwicki, Mark Moran, Drew Edwards, Thomas McLaughlin, Eric R. Braverman, Thomas A. Simpatico, Mary Hauser, Bernard William DownsRajendra D. Badgaiyan

Research output: Chapter in Book/Report/Conference proceedingChapter

3 Scopus citations

Abstract

Reward Deficiency Syndrome (RDS) is an umbrella term for all drug and nondrug addictive behaviors, due to a dopamine deficiency, “hypodopaminergia.” There is an opioid-overdose epidemic in the USA, which may result in or worsen RDS. A paradigm shift is needed to combat a system that is not working. This shift involves the recognition of dopamine homeostasis as the ultimate treatment of RDS via precision, genetically guided KB220 variants, called Precision Behavioral Management (PBM). Recognition of RDS as an endophenotype and an umbrella term in the future DSM 6, following the Research Domain Criteria (RDoC), would assist in shifting this paradigm.

Original languageEnglish (US)
Title of host publicationThe Cambridge Handbook of Substance and Behavioral Addictions
PublisherCambridge University Press
Pages297-306
Number of pages10
ISBN (Electronic)9781108632591
ISBN (Print)9781108427166
DOIs
StatePublished - Jan 1 2020

Keywords

  • Dopamine homeostasis
  • GARStm
  • KB220 variants
  • Pain
  • Precision Addiction Management
  • Precision Behavioral Management
  • Reward Deficiency Syndrome (RDS)

ASJC Scopus subject areas

  • General Psychology
  • General Social Sciences
  • General Medicine

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