Module 5 Flashcards
(26 cards)
Prevalence of SUD (lifetime-12 months)
19.1%-5.6%
How much comborbidity? + Most prevalent comorbid disorders
50%- mood, anxiety, personality disorders, ADHD
What do the susceptibility/high risk hypotheses state?
substance use causes other disorders (neurobiological changes, trauma exposure)
What does the self-medication hypothesis state?
other disorders cause substance use
What does the third factor hypothesis state?
that there is no direct relationship, but a common cause
What is the prevalence of PTSD among patients with SUD?
11-41%
What can help when the client sees alcohol as self-medication?
establishing a timeline, so the client can see that the depression got worse after drinking/during withdrawal
What is the relationship between anxiety and substances?
overlap between symptoms, substance can mask anxiety, anxiety can maintain substance use and cause relapse
What is the prevalence of ADHD in substance use?
23.1%
Is total abstinence necessary for ADHD diagnosis?
no, there is an integrated program, and diagnosis while still using is possible
Link between substance use and PTSD?
substance use might result in not ‘habituating’ to the trauma
Diagnosis of personality disorder when there is also substance use?
should be looked at the periods of time where there was no use, to determine a personality disorder
Prevalence of schizophrenia with substance use?
low, disappears after quitting the drugs
What are the exceptions to the 2-3 week abstinence rule? (4-6 weeks other substances)
- SAD, OCD, specific phobia: could be necessary to diagnose before treating SUD
- PTSD: abstinence not required (symptoms worsen)
- GAD: first neglect-related issues
What can the high comorbidity of SUD and MD also be a result of?
common symptoms> mistakenly diagnosed as co-occuring MD
For how long after termination of intoxication or acute withdrawal should MD symptoms persist to speak of independent MD?
1 week
What does the integrated treatment model state?
no need for abstinence to require to be admitted to treatment in depression
What combination of medication can be used in treating MD and SUD?
- no SSRIs
- setraline (MD) and naltrexone (SUD)
Al-Anon/Nar-Anon
CSO treatment: detach ‘with love’ from substance abusers
Johnson intervention
CSO treatment: setting up group intervention
BCT
CSO treatment, Behavioral Couple Therapy
a. cope with substance-related situations
b. reinforce behavioral change
c. improve relationship
CRAFT
Community Reinforcement and Family Training, motivate client to start treatment
What elements does CRAFT consist of?
Functional analysis, emergency plan, communication training, reinforcement
What is the role of the CSO in the four interventions?
*Al-Anon/Nar-Anon: detach
* Johnson: confrontational
* BCT: active
* CRAFT: active
