addiction Flashcards

1
Q

which pathway is really involved with addition

A

dopamine reward pathway

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2
Q

explain the dopamine reward pathway

A

1) taking drug stimulates dopamine receptors, leads to an excess od dopamine in the synaptic cleft
=feelings of pleasure and euphoria

2) continuous stimulation of dopamine receptors causes the brain the compensate by DOWNREGULATING/THINNING OUT ACTIVE DOPAMINE RECEPTORS (reduce excess dop. in the brain)

3) natural pleasures not longer pleasurable, need more and continuous drugs (cravings)

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3
Q

in the dopamine reward pathway, how does cocaine binding to a receptor cell in the brain cause addiction

A

1) taking drug stimulates dopamine receptors, leads to an excess od dopamine in the synaptic cleft
=feelings of pleasure and euphoria

2) continuous stimulation of dopamine receptors causes the brain the compensate by DOWNREGULATING/THINNING OUT ACTIVE DOPAMINE RECEPTORS (reduce excess dop. in the brain)

3) natural pleasures not longer pleasurable, need more and continuous drugs (cravings)

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4
Q

continuous stimulation of dopamine receptors causes the brain the compensate HOW

A

by DOWNREGULATING/THINNING OUT ACTIVE DOPAMINE RECEPTORS (reduce excess dop. in the brain)

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5
Q

what is the consequence to DOWNREGULATING/THINNING OUT ACTIVE DOPAMINE RECEPTORS (reduce excess dop. in the brain)

A

natural pleasures no longer feel pleasurable
need more and continuous usage of drugs to feel the same effect

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5
Q

what are the general affects of addiction over time to cortical matter (3)

A

loss of grey matter in cortex (problem solving, decision making)

loss grey in hippocampus (memory and learning deficits)

loss of grey in cerebellum (movement coordination)

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6
Q

true or false: addiction can affect anyone reguardless of age, gender SES or education

A

true

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7
Q

what are the risk factors for addiction

A

genetics
cultural.social/econimic contexts
access to drugs
early life experience
mental helath

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8
Q

true or false: genetics do not play a role in diagnosis

A

false, they do

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9
Q

true or false: double diagnosis is common in addiction

A

true

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10
Q

explain double diagnosis

A

depression can lead to substance abuse

or abuse of a substance can lead to depression
=result in parallel.together due to stressors

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11
Q

what are signs of intoxication

A

trouble thinking clearly/loss of train of though
slurred speech
blackout
altered gait
paranoid

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12
Q

what are signs of withdrawal

A

emotional: depressed, anxiety, psychotsis, irritable, isolation

physical: nausea, sweating, HR icnrease

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13
Q

explain the emotional signs of withdrawal

A

depressed, isolated, irritable, anxious, psychosis

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14
Q

explain the physical signs of withdrawal

A

HR increase
sweating
nausea

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15
Q

how can you diagnose addiction

A

needs to use despite consequences and use more than intended

=loss of control

16
Q

what are some mild harms of substance abuse

A

hangover, anxiety, being late for work

17
Q

what are some serious harms of substance abuse

A

homelessness, disease, loss of job and family

18
Q

true or false: most people in the clinics are first time users

A

false, most people are at the point where they have lost a lot (house, divorce, friends, jobs)

19
Q

give an example of a person on drugs losing his house (steps)

A

irritable and hungover

misses work

cannot concentrate or do their tasks

gets into conflicts with boss and colleages

loses job

cannot pay rent

20
Q

true or false: even with the best of treatment, rehab is ongoing for life for addicts

A

true

21
Q

what are 4 examples of treatment options for people with addiction

A

therapy (ind/group)
medication (anti relapse for all), psychoatric meds
sober living environment
support: friends, family. self help groups