Substance Abuse

Question 1

Substance Use Disorder

Answer 1

Problematic pattern of using alcohol or another substance that results in impairment in daily life or noticeable distress; will often continue despite consequences. Must have at least 2 symptoms within 12 months

Question 2

Substance Intoxication

Answer 2

Development of a reversible, substance-specific syndrome as a result of recent ingestion of a substance; must include maladaptive behavior or psychological changes

Question 3

Substance Withdrawal

Answer 3

Substance-specific maladaptive behavioral change with psychological and cognitive correlates, due to cessation or reduction of heavy/prolonged substance use

Question 4

Alcohol Intoxication

Answer 4

Inappropriate sexual or aggressive behavior; impaired judgement; slurred speech; unsteady gait; impaired attention/memory; stupor; coma

Question 5

Alcohol Withdrawal

Answer 5

Sweating; tachycardia; hand tremor; insomnia; nausea/vomiting; transient illusions or hallucinations; anxiety; psychomotor agitation; grand mal seizures; delirium tremens

Question 6

Wernicke’s Encephalopathy

Answer 6

Caused by thiamine deficiency often associated with alcoholism; confusion, loss of muscle coordination, vision changes

Question 7

Korsakoff’s Syndrome

Answer 7

Retrograde and antereretrograde amnesia and confabulation; hallucinations

Question 8

Amphetamine/Cocaine Intoxication

Answer 8

Euphoria; anxiety; hyperactivity; grandiosity; confusion; anger; paranoia; auditory hallucinations; tachycardia; dilated pupils; perspiration or chills; nausea/vomiting; weight loss; muscular weakness; confusion; seizures

Question 9

Amphetamine/Cocaine Withdrawal

Answer 9

Dysphoric mood; fatigue; vivid and unpleasant dreams; insomnia or hypersomnia; increased appetite; psychomotor agitation or retardation

Question 10

Caffeine Intoxication

Answer 10

Restlessness; nervousness; excitement; insomnia; flushed face; diuresis; gastrointestinal disturbance; muscle twitches; rambling flow of thought/speech; psychomotor agitation

Question 11

Caffeine Withdrawal

Answer 11

Headache (most common); changes in mood (depression/anxiety); fatigue; difficulty concentrating; increased appetite

Question 12

Cannabis Intoxication

Answer 12

Impaired motor coordination; euphoria; anxiety; sensation of slowed time; impaired judgement; social withdrawal; conjunctival injection (eye redness); increased appetite; dry mouth; tachycardia

Question 13

Cannabis Withdrawal

Answer 13

Irritability; anger; nervousness/anxiety; insomnia; decreased appetite or weight loss; depressed mood; stomach pain; shakiness/tremors; sweating; fever; headache

Question 14

Hallucinogens Intoxication

Answer 14

Perceptual changes; anxiety; depression; ideas of reference; paranoid ideation; pupillary dilation; tachycardia; sweating; palpitations; blurred vision; tremors

Question 15

Hallucinogens Withdrawal

Answer 15

Persisting Perception Disorder (flashbacks): re-experiencing of one or more of the perceptual symptoms that were experienced while intoxicated

Question 16

Opioid Intoxication

Answer 16

Initial euphoria followed by apathy or dysphoria; pupillary constriction; drowsiness or coma; slurred speech; impairment in attention/memory

Question 17

Opioid Withdrawal

Answer 17

Dysphoric mood; nausea/vomiting; muscle aches; runny eyes and nose; pupillary dilation; diarrhea; fever; insomnia

Question 18

12 Step Program

Answer 18

Based on disease model; almost always part of addiction treatment (ex: AA, NA)

Question 19

Motivational Interviewing

Answer 19

Treatment model that focuses on resolving ambivalence and using person’s own values and concerns to elicit change

Question 20

Early Full Remission

Answer 20

None of the criteria for SUD except for cravings are met for at least 3 months but less than 12 months.

Question 21

Sustained Full Remission

Answer 21

None of the criteria for SUD except for cravings are met for at least 12 months (or longer)

Question 22

Alcoholic Family: Dependent

Answer 22

The alcoholic family member

Question 23

Alcoholic Family: Enabler

Answer 23

Person who does everything to get the dependent to stop drinking except what might actually work (i.e, confrontation); often the spouse

Question 24

Alcoholic Family: Hero

Answer 24

Family member who is aware of what is going on and tries to assume responsibility for the family by being successful (often the oldest child)

Question 25

Alcoholic Family: Scapegoat

Answer 25

Family member who rejects the family system (often the 2nd child)

Question 26

Alcoholic Family: Lost Child

Answer 26

Family member who quietly withdraws from the family system (often the 3rd child)

Question 27

Alcoholic Family: Mascot

Answer 27

Family member who plays ‘the clown’ in order to relieve family tension or their own pain (often the youngest child)

Question 28

Harm Reduction Intervention

Answer 28

Aims to reduce the negative effects of alcohol and drug use; Acknowledges that despite prevention and abstinence efforts, some clients will continue to engage in use.