Some studies indicate that the transition from casual cocaine abuse to addiction begins with
the abuser’s very first doses. For example, a single exposure to cocaine causes some cells
in the brain’s reward system to increase their responsiveness to subsequent stimulations.
In living animals with minimal exposure to cocaine, the drug alters the dopamine
responsiveness for at least a week. After chronic cocaine abuse dopamine ticks up in the
reward system when the abuser encounters a cue associated with the drug.
Brains normally sprout new neurotransmitter receiving structures in the process of turning
new experience into learning. Cocaine accelerates this process, which may help account for
the drug’s unusual hold on an addicted individual’s attention.