module 8 substance use and personality disorders Flashcards
Repeated use of a substance with or without physical dependence
Dependence
Use that is inconsistent with socially accepted patterns
Abuse
Usually applies to prescribed substance
Misuse
Reversible syndrome caused by a specific substance affecting memory, judgement, behavior, etc.
Intoxication
Substance-specific symptoms that occur after stopping or reducing use
withdrawal
needing more of the substance to get the desired effect
Tolerance
Two theories of etiology of substance use
psychodynamic
biological
Psychodynamic theory of substance use disorder
- Oral-stage fixation
- Gratification through oral behaviors
- Dysfunctional family patterns
- Sociocultural factors
Biological theory
Genetic loading
Neurobiological
(Reinforcement, neuroadaptation)
Reinforcement
Brain-based changes lead to addictive behavior
Neuroadaptation
Brain-based changes lead to tolerance and withdrawal
Positive and negative rewards
“feel good” “feel bad”
Reinforcement
Alterations in normal neurotransmitter function occurs as the body adapts to the chronic presence of substance
neuroadaptation
Substance use most common in what age
18-24
Person with bipolar is ____ times more likely to have substance use disorder
5
CAGE questionnaire
Cut back?
Annoyed?
Guilty?
Eye opener?
