alcohol Flashcards
(19 cards)
how many symptoms of alcohol use disorder do you need to be diagnosed
atleast 2
what are the 4 domains of alcohol use disorder
- impaired control
- social immpairment
- risky use
- physical symptoms
3 levels of alcohol use disorder
mild-2-3 symptoms
moderate- 4-5
severe- 6+
some alcohol withdrawl symptoms
- sweating/ increased HR
- hand tremors
- insomnia
- nausea/vomiting
- hallucinations
- anxiety
3 levels of alcohol use in DSM 4
use- moderate amounts/ no sig interference
abuse- sig interference in functioning
dependence- addiction
DSM 4 alcohol abuse- how many symptoms do u need to be diagnosed and what are thery
at least one of…
- failure to fulfill role obligations
- recurrent use in dangerous sits
- alcohol related legal probs
- continued alcohol use despite social/interpersonal probs
DSM 4 alcohol depencence- how many symptoms do u need to be diagnosed and what are they
at least 3 of…
- tolerence
- withdrawal
- larger/longer periods than intended
- reduced social/ work activities
Prevelence (men and women) and what is it comorbid with
men=12%
women=5%
-w stress + depression/anxiety
Onset
late teens-20s
percentage of people drinking and drivin, alcohol use problems in students
driving-4%
students-14%
short term effects of alcohol
- initially stimulating
- depressant
What NTs does alcohol effect
- GABA
- Glutamate (black outs, slurred speech)
- Serotonin
long term physical effects
- liver disease (hepatitis/cirrhosis)
- cardiovascular disorders
- brain damage
- fetal alcohol syndrome
3 causes of alcohol related disorders
- Genetic (very high)
- Sociocultural (family, peer influence, media)
- Psychological variables (drinking motives, expentancies)
Treatment of alcohol related disorders
- admit there is a problem/ detoxify
- biological treatments- antabuse
- Twelve step programs (AA)
- relapse prevention (Marlatt)
What is structured relapse prevention and goal of it
a short term treatment based on a cognitive behavioural approach
goal- abstience or moderation drinking
early sessions of strured relase prevention
- Identify high risk situations (urges/temptations to use, social pressures to use etc)
- monitor and identify coping strats and evaluate pros and cons of chaging
Middle sessions of structured relapse prevention
look at relationship between triggers, behaviours and consequences
develop cognitive, behavioural and affective coping strats
Final sessions of structured relapse prevention
- identify warning signs for relapse
- determine thoughts/behiours that could lead to relapse
