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hello Iamp;#39;m Scott Vega a physician assistant at the Spectrum Health Medical Group Center for Integrative Medicine and today we will be talking about substance use disorders often when we think about addiction we make value judgments but itamp;#39;s very important to remember that addiction is a brain disorder much like depression or bipolar disorder the definition as stated by the American Society of addiction medicine is that addiction is a primary chronic disease of the brain primarily involved with reward motivation memory and the related circuitry so basically we have to think of addiction as a brain disorder involving the reward circuitry of the brain so why is addiction something thatamp;#39;s important for us to consider in primary care well itamp;#39;s very prevalent studies have shown that if we look at the average primary care population about 30% of men and 15% of women have had an episode of binge drinking in the last month and about 10% of men and 3 percent of wom