Reward Neurotransmitter Recognition

The PMHNP is counseling a patient who wants to enter treatment for a substance use disorder. The patient has been using methamphetamine for over one year and freely acknowledges how much he likes the way it makes him feel. However, he is realizing that it is destroying his marriage, his professional reputation, and his health. He genuinely wants to stop using it, and is willing to do whatever he has to do, but admit that he has tried twice before and relapsed. Both he and his significant other do not understand why the desire to use is so powerful since there is not a true physical withdrawal phenomenon.

The PMHNP explains that there is a very strong physiological drive due to the influence of which reward neurotransmitter?

A. Serotonin
B. Glutamae
C. Norepinephrine
D. Dopamine