Many of us have heard the story of the starving lab rat that will choose cocaine over food and water, and, just last month, how Oreos light up a rodent brain\u2019s \u201cpleasure center\u201d more than cocaine or morphine. Armed with such studies, researchers in neuroscience have brought popular opinion around to the realization that addiction is, indeed, a disease. The science behind addiction was the topic of a recent talk at Alamo Heights Middle School in Texas by Dr. Jason Z.W. Powers, chief medical officer for The Right Step and author of \u201cWhen the Servant Becomes the Master,\u201d which lays out the new science and what it means for those suffering from addiction. As a recovering addict, Powers speaks from experience. He described ending up in rehab, where he feared patients would no longer seek his services as a physician. He had learned little about addiction in medical school, where only about 1 percent of the curriculum focuses on a problem that affects some 10 percent of the public. \u201cThere is still so much misunderstanding and stigma around addiction,\u201d Powers told a crowd of about 400 in the school\u2019s auditorium. In eras past, Powers said, the addict was dismissed as being \u201cweak-willed\u201d or having poor control. Now, advances in neuroscience and brain imaging have uncovered the brain mechanisms that underlie addiction. The studies on rodents show that addiction occurs in the older, \u201creptilian\u201d part of the midbrain, an area beneath consciousness that governs basic survival needs like food, safety and sex. Addiction doesn\u2019t involve the prefrontal cortex, the seat of reason, decision-making and other higher-order thinking. Drugs and alcohol \u201chijack\u201d the brain of the addict, Powers said. The surge of the neurotransmitter dopamine \u2014 the \u201creward\u201d triggered by chemical use \u2014 takes on the very aspect of a survival need. Addiction, Powers said, is \u201cthe only disease that tells the sufferer he doesn\u2019t have a disease.\u201d But what about those who remain unimpressed with the science, who continue to view addiction as personal choice? Dr. Powers acknowledged that addiction does involve an element of personal choice, but that\u2019s true of most chronic diseases, such as diabetes, high blood pressure, heart disease, even some cancers, he said. In high school, when most young people take their first drink or drug, few contemplate the possibility of addiction down the road. \u201cI chose to drink, but I didn\u2019t choose addiction,\u201d Powers said. \u201cWhen you choose to eat a cheese pizza, are you choosing to have a heart attack?\u201d What\u2019s worse is the new neurological pathways created by addiction are permanently established, making addiction a chronic, incurable disease that can nonetheless be managed, like diabetes, he said. And like with diabetes and other chronic diseases, relapse is not uncommon among those trying to recover from addiction, Powers said. But for at least half of those who enter treatment or attempt recovery, long-term sobriety is a reality. Powers\u2019 talk was part of a larger wellness program created by the Alamo Heights Independent School District in Texas to help keep students safe and healthy.