Alcoholism- Allen Flashcards
(26 cards)
DSM-5 ICD 10 diagnostic criteria
Tolerance
Withdrawal
Craving
*2 criteria met with-in a 12 month period
Prevalence of alcoholism
1 in 10 people have or will have a problem with drinking
Tolerance
A reduced sensitivity requiring higher quantities of alcohol be be consumed in order to achieve the same effects
Withdrawal
A set of symptoms that can occur when an individual reduces or stops alcoholic consumption after long periods of use
Increased hand tremor Insomnia Nausea/Vomiting Transient hallucinations Psychomotor agitations Anxiety Tonic-Clonic Seizures Autonomic instability
How many of these symptoms do you need to diagnose Alcohol withdrawal Syndrome?
Two!
What is craving?
Desire or urge to consume alcohol
Physical and psychological!!!
Specifiers if person is not drinking in DSM-5
In early remission
In sustained remission
In a controlled environment
Specifiers of severity of alcoholism in DSM-5
Mild: 2-3 symptoms
Moderate: 4-5 symptoms
Severe: 6 or more symptoms
What are the big changes in DSM-5 with regards to alcoholism?
Removed:
- Legal problems as diagnostic criteria
- The distinction between “abuse” and “dependence”
Tolerance in alcohol use involves:
a. acceptance of other’s alcohol use despite being abstinent oneself
b. neuroadaptation in response to chronic alcohol use so that progressively smaller amounts of alcohol are required to experience intoxication
c. progressively larger amounts of alcohol to have similar effect
d. increased desire for alcohol as part of chronic use
C is correct
D is about craving
Who drinks more, men or women?
Men!
What ethnic group has the highest rate of alcohol use?
Whites
What ethnic group has the lowest rate of alcohol use?
Asian Americans
Is increasing education associated with increasing use?
Yes!
Who has the highest rates of binge and heavy drinking use?
American indian people
How should you assess alcohol abuse? (CAGE)
- Have you ever felt you should CUT down on your drinking?
- Have people ANNOYED you by critizing your drinking?
- Have you ever felt bad or GUILTY about your drinking?
- Have you ever had a drink first thing in the morning? EYE opener?
Treatments for alcohol use disorder?
- Alcoholic Anonymous
- Motivational Interviewing
- Relapse Prevention
- Harm Reduction
How many steps are in the AA program?
12 steps
What is the motivational interviewing approach?
A person-centered, GOAL-ORIENTED method of communication for enhancing intrinsic motivation to change by exploring and resolving ambivalence
What percent of people with substance use disorders are in pre-contemplation or contemplation stage of change?
80%
What are the stages of change in the transtheoretical model?
- Pre-contempation
- Contemplation
- Determination/Preparation
- Action
- Maintenance
In the transtheoretical model, the stage in which people are intending to take action in the immediate future is
a. Precontemplation
b. Contemplation
c. Determination/Preparation
d. Action
e. Maintenance
C
What are the 4 A’s?
Ask
Assess
Advise
Assist
What is the purpose of relapse prevention?
- Prevent the occurrence of initial lapses after embarking on habit change
- Prevent any lapse from escalating into total relapse
