Reducing Addiction Flashcards

(29 cards)

1
Q

What is one way to reduce and addiction?

A

Drug therapy

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2
Q

what is does drug therapy in terms of nicotine use?

A

-nicotine replacement therapy agonist substitute
-provide it from a less harmful source e.g patches

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3
Q

Explain drug therapy in terms of nicotine.

A

-stimulate the nicotine receptros and activate the brain reward pathway through the release of dopamine
-stimulates receptors in the nucleus accumbens gives same pleasureable feeling
-reduces withdrawal symptoms and stops the cravings

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4
Q

What does nicotine replacement therapy also do?

A

-desentisise the nicotine receptors in the brain
-gives small dosage of nictine this will fill some not all
-reduced the numbers which reduces cravings gradually the dosage they need will go away

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5
Q

What do they use fro drug therapy in gamblers?

A

opiod antagonist usually used for heroin addiction

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6
Q

what is the aim of the drug therapy of gamblers?

A

reduce the pleasurable feeling would associate with gambling

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7
Q

Explain how drug therapy works in terms of gamblers addiction?

A

-naltrexone
-enhance the release of neurotransmitters such as GABA in the mesolimbic pathway
-increased GABA activity reduces dopamine in the nucleus accumbens
-reduce urge to gamble

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8
Q

What are the evaluations for drug therapy?

A

-RTS STEAD ET AL
-MOTIVATION/COMMITMENT
-NEGATIVE SIDE EFFECTS

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9
Q

Explain the research to support by stead et al.

A

-effectiveness of NRT
-reviewed 150 high quality studies compared NRT with a Placebo
-any from of NRT sig more effective in helping smokers quit that a placebo
-supports reduce withdrawl and desensitising

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9
Q

Explain the motivation and commitment.

A

-only have to use a patch or chew gum to reduce symptoms
-unlike CBT requires more effort and motivation attend long period of time and completely homework

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10
Q

Explain the limitation of negative side effects.

A

-use NRT or opiod antagonist
-common side effects are sleep disturbance, stomach problems
-unlike CBT which is non ivasive and works by indeitfiying and challenging irrational thoughts
-relapse

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11
Q

What are the two types of behavoural interventions?

A

Aversion therapy
covert sensitisation

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12
Q

What is the aim of aversion therapy?

A

change a pleasurable association with addictive behaviour to a unpleasant association

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13
Q

Explain aversion therapy in terms of nicotine?

A

-repid smoking
-sit alone and take a puff every 6 secnos
-feel nausia which will associate wiht the smoking
-repeated until they develop aversion to smoking

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14
Q

Explain aversion in terms of gamblers?

A

-use electric shocks that dont cause permanent damage
-avert people from gambling by giving pain
-write down gambling related phrasses then they non relted shown two second electric shock

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15
Q

What is covert sensitisation ?

A

-client relax
-therapist reads a script for the cleint to imagine a aversive situation
-imagine smoking a cig and then followed by a unppleasant consequence
-faeces
-talk abt elemnts like the scene and the smell
-end turn addict releif

16
Q

What are the evaluations for covert sensitisation?

A

-NON INVASIVE
-ETHICAL
-MOTIVATION AND COMMITMENT

17
Q

Explain the evaluation of non invasive.

A

-for example if individual is pregnant covert sensitivsation unikelty harm foetus
-unlike aversion therapy stress pain andnausia during pregnancy which can have emotional and physical effects on the foetus

18
Q

Explain the evaluation of ethical?

A

-aversion therapy not ethical
-using instances like rapid smoking or an electric shock this can cause psychological and physical harm
-physically sick
-covert sensitivsation approriate as it is a vitro experiencereduces physical psycholgical harm

19
Q

Explain the evaluation of motivation and commitment.

A

both however require motivation and commitment
-commit by going long periodt also
-work with therapist to unlearn the addictive behaviour
-

20
Q

What is the final way to treat and individual with an addiction?

21
Q

Explain identification.

A

functional analysis
-as client identify high risk situation that make them engage in addictive behavior
-what they think before during ad after
-identifiy cog bias to challenge the faulty thinking

22
Q

Explain cognitive.

A

cognitive restructuring
change the irrational maladaptive thoughts to rational adaptive thought
empirical disputing

23
Q

What is behavioral strategy.

A

skills training
-taught social skills which help to cope with the addictive behavior
-teaching to refuse without embarrassment role play
-avoidance strategies

24
And what is homework?
-do the social skills in the real world and report back -they then relapse prevention
25
What are the evluations?
-motivation -avoids chemical dependance -non invasive
26
Explain the evaluation of motivation.
-patients must attent CBT sessions over a long period of time -also do homework to challenge the irrational thoughts -unlike drug therapy where they simply where a patch/ gum to reduce the addiction
27
Explain the strength of chemical dependance.
-taughts skills to indetifiy and challenge there cognitive distortions causing addiction -e.g cannot cope without substance -inlike drug therapy where it is dependant on a drug that contrpls the addiction by regulating nicotine/dopamine levels
28
explain invasive.
-cbt unlikely to harmfoetus -unlike drug therapy whcih uses chemicals scuh as nicotine can cause physical damage