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In this session, Jennifer Sweeton explores the neuroscience of complicated versus uncomplicated grief, focusing on the role of the nucleus accumbens in reward processing. Complicated grief involves hyperactivation of this brain region, creating an addictive component where thoughts about the deceased become reinforcing, despite not being pleasurable. This differs from uncomplicated grief, where such activation is absent. Sweeton highlights the overlap with depression and trauma, with isolation exacerbating symptoms. Behavioural activation is key to reconnecting with life and normalising reward circuits. Insights into limbic system hyperactivation, dopamine depletion, and trauma links guide targeted interventions for complicated grief recovery.
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