Exam 4 Addictive Disorders and Substance Abuse

Question 1

What are process addiction?

Answer 1

behavioral addictions to gambling, sex, gaming, etc.

Question 2

What is a substance use disorder?

Answer 2

pathological use of a substance?

Question 3

What are risk factors for addiction?

Answer 3

genetics
lowered self esteem
lowered tolerance for pain and frustration (substance use)
few meningful relationships
few life successes

Question 4

What are examples of addictive substances?

Answer 4

alochol
caffeien
cannabis
inhalants
hallucinogens
opioid
stumulant
tobacco
sedatives

Question 5

What is substance abuse per the DSM 5?

Answer 5

Repeated use of a chemical substance leading to clinically significant impairment
during a 12-month period – and at least 2 of the following criteria:
* Larger amounts/longer period than intended
* Continued desire/unsuccessful control
* Considerable time spent obtaining, using and recovering from use
* Continues even with interpersonal problems
* Reduces/quits participation in activities because of use
* Using when hazardous
* Uses regardless of physiological or psychological problems
* Tolerance/ requires additional amounts/exhibits withdrawal/strong urge to use

Question 6

What are s/s of caffiene intoxication?

Answer 6

restlessness,
nervousness, agitation, rambling
speech

Question 7

What are s/s of caffiene withdrawal?

Answer 7

headache,
flu like
symptoms,
poor concentration –
occurs 12-24 hours after last dose

Question 8

What is Most widely used psychoactive
substance?
 Not an official use disorder but can
result in intoxication and withdrawal
symptoms

Answer 8

Caffeine

Question 9

What substance is this?
Legal for medical and
recreational use in some states.
 Concentrated/more potent form
known as HASHISH
 No significant withdrawal noted
 Drugs screens can detect up
to 4 weeks after last use

Answer 9

cannabis

Question 10

What substance is this?
Ecstasy, PCP, LSD, Peyote
 Produce psychosis symptoms
(hallucinations, disturbances in
reality)
 Associated with flashbacks, panic
attacks, psychosis, delirium, mood
and anxiety disorders
 Found in some plants and
mushrooms
 No significant withdrawal noted
 Intoxication can be a medical
emergency - may need to be
restrained –High risk for injury

Answer 10

hallucinogens

Question 11

What substance is this?
Benzos, barbiturates, club
drugs
 Prescription sleep aids
and antianxiety
medications
 Tolerance develops with
use
 Gradual withdrawal needed
 “tapering

Answer 11

sedatives/hypnotic anxiety meds

Question 12

What substance is this?
 Amphetamine, cocaine,
 Truckers, students, soldiers,
athletes
 Cravings and tolerance
 Feel superhuman
 Withdrawal – vivid nightmares,
sleep disturbances, depression and
suicidal thoughts
 Treatment: antipsychotics,
diazepam
 Inpatient treatment

Answer 12

stimulants

Question 13

What substance is this?
 Cravings and tolerance
 Dependence happens quickly
 Slightly higher in males
 Withdrawal is distressing-
irritability, anxiety,
depression, restlessness,
insomnia
 Weight common after cessation
 Hypnosis, patch, gum, lozenges
 Bupropion for smoking
cessation

Answer 13

tobacco

Question 14

What is this substance?
 Inhaled through nose or mouth
 Common household products can
cause psychological effects (glues,
aerosols, thinners, fuels)
 Primarily seen in ages 12-17
 Small amounts result in
disinhibition and euphoria
 High doses can cause fearfulness,
hallucinations, distorted body
image
 Potentially fatal responses – can
cause brain damage!

Answer 14

inhalants

Question 15

What is this substance?
 Heroin, morphine and
prescription drugs = chronic
relapsing condition
 Cravings and tolerance
 Intoxication – psychomotor
retardation – can cause coma
 Withdrawal – dysphoria, n & v,
diarrhea, fever, insomnia
 Death usually from respiratory
arrest
 Rhinorrhea & pilorection(ATI)

Answer 15

opioids

Question 16

What is this substance?
 Overdose treatment: NALOXONE
– Narcan
 General Treatment – CBT, support
groups, family therapy
 Methadone – synthetic narcotic
opioid – decreases painful
symptoms of withdrawal but blocks
euphoric responses – withdrawal
from methadone has to occur as
well
 Subutex/ suboxone
 Naltrexone – blocks euphoria –
used to prevent relapse

Answer 16

Opioids

Question 17

What is lacrimation?

Answer 17

watery eyes (seen in withdrawal)

Question 18

What is the legal range of intoxication?

Answer 18

.08g/dl

Question 19

What is a medical emergency related to alcohol?

Answer 19

alcohol withdrawal delirium

Question 20

What is rhinorrhea?

Answer 20

runny nose (seen in withdrawal)

Question 21

What is bristling of hairs (COLD TURKEY – gooseflesh) (seen in withdrawal)?

Answer 21

piloerection

Question 22

What is needing more of the substance to have the desired effect?

Answer 22

tolerance

Question 23

What is intoxication?

Answer 23

use of a substance that results in maladaptive behavior

Question 24

What is abuse of more than one substance?

Answer 24

polysubstance use?

Question 25

What are substances that excite the central nervous system?

Answer 25

stimulants

Question 26

What is a dual diagnosis?

Answer 26

having a mental illness and a substance use disorder

Question 27

What is the most common defense mechanism amongst people with a substance abuse disorder?

Answer 27

denial

Question 28

What is codependence?

Answer 28

maladaptive coping pattern
from family members that enables substance
abuse