Addiction

Question 1

Addiction

Answer 1

3 or more of the following w/in 1 year:

Tolerance

Withdrawal

Substance taken in larger amounts over a longer period than was intended (loss of control

Desire/unsuccessful efforts to cut down

Great deal of time speant to obtain/use substance

Giving up important social/occupational things (preoccupation)

substance used despite knowledge of issues

Question 2

Most abused substance?

Answer 2

alcohol (followed by weed)

Question 3

Comorbid mental disorders (to addiction)

Answer 3

psychotic, anxiety, mood disorders

Question 4

Significant predictor of addiction?

Answer 4

childhood trauma

Question 5

Alcohol is a CNS

Answer 5

depressant

Question 6

Alcohol withdrawal syndrom happens when?

Answer 6

12hours after d/c

delirium tremens

use CIWA scale for assessment Q1,2,or 8 hours

Question 7

Alcohol withdrawal Tx

Answer 7

monotoring

pharm (benzo, antidepressants, sleep meds, antipsychotics)

relapse prevention

health promotion

Question 8

Cocaine is a CNS

Answer 8

stimulant

dopamine, norepinepherine, serotonin all increase

Question 9

Cocaine rush

Answer 9

lasts 10-20 minutes followed by intense letdown effect (irritability, depression, tiredness, craving more drug)

Question 10

cocaine withdrawal

Answer 10

anxiety, restlessness, depression, craving

Long term use - depletion of norpeiepherine (“crash “ and sleeping 12-18 hours)

Sleep disturbances, rebound REM, decreased libido, adhedonia

Question 11

amphetamines

Answer 11

block reuptake of norepinephrine and dopamine, PNS effects

Question 12

methamphetamine

Answer 12

release of excess dopamine; highly addictive, “binge and crash” pattern

Question 13

MDMA (Ecstasy)

Answer 13

increases serotonin and excess dopamine release

hallucinations, confusion, anxiety, paranoia

Question 14

Nicotine

Answer 14

stimulates CNS, PNS, and ANS

withdrawal: mood changes and physiologic changes
tx: patches, gum, nasal spray, inhailers

Question 15

caffeine stimulates….

Answer 15

cerebral cortex

leads to increased mental cuity

Question 16

Mraijuana

Answer 16

slow release (stored for weeks in fat tissue/brain)

long term use - decreased motivation

Question 17

Opoid withdrawal

Answer 17

rebound hyperexcitability

Narcan (naloxone) for emergency tx of opioid intoxication or overdose

maintenance tx: metahdone or suboxone w/ therapy and counseling

Question 18

How are methadone and suboxone perscribed?

Answer 18

through daily clinics

some drs can write a script out of their office (but not many)

Question 19

COWs scale

Answer 19

11 items that you rate from 0-5

Resting pulse
Sweating
restlessness
pupil size
bone/joint aches
runny nose
GI upset
tremor
yawning
anxiety
gooseflesh

Question 20

Behavior change Transtheoretical Model

Answer 20

5 stages of rediness:

Precontemplation
Contemplation
Preparation
Action
Maintenance

Question 21

Motivational interviewing: OARS

Answer 21

open ended questions

affirmations

reflective listening

summaries

Question 22

Change talk

Answer 22

statements made by pts that indicate an interest in change