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INNOSC Theranostics and
            Pharmacological Sciences                                           Youth brain health check and dysregulation



            categories and classifications, such as the Research Domain   SUD and the need for treatment. The tools to prevent the
            Criteria project, WHO International Statistical Classification   progression of SUD are available and must be implemented
            of Diseases-11, or DSM-5, can help overcome global mental   urgently because deaths attributed to SUD have continued to
            health challenges, our concern is that anomalous brain   increase unabated. Therefore, a reexamination of approaches
            activity is not being adequately considered within the context   to brain health and addiction and novel perspectives needs
            of “systems biology,” neglecting educational, economic, and   to be implemented by the medical community.
            behavioral consequences that require appropriate and effective   The clinical evidence accumulated during the past three
            interventions. The best approach to achieving positive clinical   decades underscores the necessity for establishing a BHC
            outcomes is to initiate novel strategic alternative modalities   focused  on  precision  neuropsychiatric  testing,  including
            targeting the etiology rather than just the symptoms. 107,108  episodic memory and processing speed (MemTrax), 122-124

            9. Positive thinking in adolescence                general memory (CNSVS), 125-130  attention (T.O.V.A), 131-137
                                                               neuropsychiatric (MCMI-III), 138-140  and neurological
            Positive emotions and cognition have been widely recognized for   imaging (qEEG/P300/EP), 131,137,141-154  for patients at risk
            their beneficial effects on overall mental health and well-being,   of or presenting with problematic drug misuse. Since
            particularly when people focus on positive thought processes. In   addiction is related to learning mechanisms, refocusing on
            positive psychology, the goal is typically to engender character   learning and memory may change the perspective on the
            traits such as optimism and hope, which reduce anxiety and   beneficial use of these brain mechanisms. For example, the
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            depression while fostering strong social interactions.  There are   online program MemTrax (www.memtrax.com) can help
            many interventions aimed at developing and adjusting emotional   individuals monitor their memory as frequently as needed
            and social skills in school, such as social and emotional learning   and observe how it is being impacted by substance abuse.
            programs  or positive youth development interventions.    Such feedback can lead to behavioral improvements and
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            However, research concerning positive thinking in adolescents   serve as a valuable tool for those providing therapeutic
            has been relatively limited.  Data  indicate that negative   interventions, such as BHCo.
                                  112
            emotions, such as anxiety or depression, are associated with
            the dysregulation of the amygdala – PFC circuitry.  Positive   One of the basic neurochemical mechanisms in the
                                                  113
            emotional words are associated with increased activation in the   brain, the midbrain dopamine system, participates in pacing
            ventral medial PFC.  Other studies have uncovered important   critical cognition functions, including reward and the
                          114
                                                                                         155-158
            connections  between  positive emotions and brain processes   facilitation of addictive behaviors.   A study conducted by
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            relevant to prosocial behaviors. For example, a study of the   Rouhani and Niv,  through fitting reinforcement learning
            positive emotion of professional pride revealed a relationship to   models to behavior, demonstrated that both signed (cue
            empathy, reward, and emotion regulation, as well as the theory-  predicting the reward) and unsigned (unexpected, surprising
            of-mind network. 115                               reward) prediction errors (RPEs) contribute to learning by
                                                               modulating the learning rate. They further characterized the
              From a neurotransmitter perspective, positive emotions   effects of these RPE signals on memory, demonstrating that
            are associated with increases in dopamine function within   both signed and unsigned RPEs augment memory, aligning
            the  reward  network. 116-119   Altered  activity  in  serotonin   with midbrain dopamine and locus-coeruleus modulation
            modulates negative emotional responses.  Oxytocin,   of hippocampal plasticity. Further research by this group
                                               120
            which supports affiliative behaviors, may also play a role in   supports the complex nature of reward and learning involving
            responses to positive versus negative emotional processes.    dopaminergic mechanisms.  Finally, Katzman and Hartley’s
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            Thus, fostering positive emotions and implementing   work indicates that both children and adults tend to remember
            interventions that support them lead to substantial changes   past  events  more  when  the  value  of  choice  is  beneficial
            in the brain, involving various areas associated with reward,   compared to non-beneficial.  These proposed BHC/BHCo
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            positive self-image, prosocial behaviors, and empathy.   can be used as a standardized approach for school-aged
            Working toward instilling positive emotions in adolescents   children, akin to fitness programs. Our suggestion introduces
            is likely to yield short-  and long-term benefits regarding   a set of objective brain assessments parallel to those used in
            their overall mental health and well-being.        cardiology for diagnosing and following the clinical course
            10. Conclusion                                     of cardiac diseases. The coaching approach, including close
                                                               evaluation and management guidance (including GARS
            Importantly, initial engagement in rehabilitation and   testing and subsequent KB220z variant matching), could
            detoxification bears similarities to experiencing a first stroke   easily be adapted for implementation throughout the US and
            or heart attack in that the brain has already been impacted   global educational systems. We understand that this initiative
            by pathological events that led to the manifestations of   would require a substantial and bold approach to the care of


            Volume 7 Issue 2 (2024)                         10                               doi: 10.36922/itps.1472
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