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Flashcards in Substance Abuse Deck (65):
0

What drugs are most addictive?

Narcotics

1

T or F the majority of people diagnosed with a substance related disorder are unemployed

False

2

Why do individuals that are substance dependent continue to use?

To avoid withdrawals

3

When is a person in remission most vulnerable to relapse?

Within the first year

4

How many clinical signs/symptoms must a person show to be diagnosed as substance dependent?

3 or more

5

How many signs or symptoms must a person show to be diagnosed with substance abuse disorder?

1 or more within 12 month period

6

- tolerance
- increased use over longer period of time
- withdrawals
- dedication to acquiring substance
- persistent desire to quit
- missing social, economic, or recreational events to continue use
- continued use despite physical or psychological problems
are signs of

substance dependence

7

What is the long term goal of treatment?

Abstinence

8

- failure to fulfill major role obligations at home, work, school
- continued substance use in situations that are hazardous
- reoccurring substance related legal problems
- no diagnosis of substance dependence
- continued use despite interpersonal problems
are symptoms of

substance abuse disorders

9

What are the short term goals of treatment?

Reduction in use and minimizing negative effects of use

10

When conducting a full clinical evaluation what are some things to discuss

- type of substance, duration, and frequency of use
- medical history
- severity if withdrawal symptoms
- mode of onset
- social history
- family history of substance use
- impact if use on everyday life

11

If a client has a substance abuse problem what should you do before referring them to therapy?

Refer to substance abuse treatment

12

Name some types of sub abuse tx

Detox, 12 step, self help, outpatient/inpatient, pharmacological, psychosocial, residential

13

T or F a person who spends at least 3 months in residential treatment is likely to have a better long term outcome

True

14

What are the most common psychosocial methods used to treat sub abuse to

CBT, psychodynamic, behavioral, self help, group and family therapy

15

When does fetal alcohol syndrome cause the most damage

First trimester

17

Name two syndromes associated with chronic alcohol abuse caused by a thiamine deficiency

Wernicke's enceohalopathy & Korsakoff's Syndrome

18

What disorders are linked to FAS

ADHD & facial malformation

19

What is Antabuse?

Aversion therapy

20

What is the strongest predictor for developing alcohol problems

Family history

21

Name some models on causes of substance abuse

- Biopsychosocial: wide variety of reasons
Medical/Biological: genetic, altered brain chemistry
Self-medication
Family & Environment: peer pressure, abuse, disorganized communities
Clinical: used to escape painful problems in life, poor coping mechanisms
Social: drug use is learned and reinforced by role models

22

Describe the AUDIT assessment

Alcohol Use Disorders Identification Test

23

Describe the CAGE AID assessment

cut down? annoyed? guilty? eye-opener?

24

Describe the TWEAK Test

Tolerance, Worried, Eye-opener, Amnesia, K (cut down)

25

Define Substance abuse

A maladaptive pattern of abuse leading to significant impairment in functioning or distress.

26

T or F to make a diagnosis of Substance Dependence, you do NOT need to have tolerance or withdrawal symptoms

True

27

T or F to make a diagnosis of substance dependence you need evidence of a significant impairment in functioning.

True

28

T or F Wernicke’s Encephalopathy if left untreated leads to Korsakoff’s Syndrome

True

29

Delirium, hallucinations, delusions, agitated behavior, autonomic hyperactivity (sweating and rapid pulse) are symptoms of what?

Alcohol Withdrawal Delirium

30

What is methadone?

synthetic narcotic taken instead of opiates; can be legally prescribed. Patient uses to detox from opiates or on daily basis as substitute for heroin.

31

high feeling, hyperactivity, restlessness, anxiety, impaired judgment, tachycardia, dilated pupils, perspiration or chills, nausea or vomiting, muscle weakness, increased blood pressure are symptoms of what?

cocaine intoxication

32

What are the stages of motivation of change?

1. precontemplation
2. contemplation
3. action
4. maintenance
5.. termination
6. relapse

33

Name some types of narcotics

Cocaine, codeine rack, heroin, opium, methadone

34

What are narcotics mostly prescribed for?

Pain

35

T or F the addiction potential for narcotics is low

False it is high

36

What are the effects of narcotics?

Initial high followed by relaxation

37

What are key indicators of narcotic use?

Track marks, extreme weight loss

38

What is the primary use if alcohol?

Recreation

39

What is the addiction potential of alcohol?

Low but increases with prolonged use

40

What are the effects of alcohol use?

Intoxication, relaxation

41

Confusion, slurred speech, depression, sleepiness, loss of control are the most common indicators of

alcohol use

42

Stimulants include what drugs

Amphetamines

43

What are stimulants prescribed?

Chronic fatigue and weight loss

44

What is the addiction potential of stimulants?

High

45

Rapid heartbeat, more energy, increase blood pressure and respiratory rate are effects of

stimulant use?

46

Name some common hallucinogens

LSD & mescaline

47

Why are hallucinogens used?

Recreation

48

Name some common depressants

Benzodiazepines & phenobarbital

49

What is the addiction potential of depressants

Moderate to high

50

Loss of control, dizziness, hallucinations are some effects of

hallucinogen use

51

Catatonia, sweating, trembling, sensitivity to light and sound are most common indicators of

hallucinogen use

52

Appear intoxicated, lack of coordination, controlled speech are common indicators of

depressant use

53

What is the most common use of cannabis

Recreation

54

Euphoria, loss of coordination/concentration, change in appetite, distortion in perception are common effects of

cannabis use

55

Blood shot eyes, out speech & behavior, distorted perception are most common indicators of what?

Cannabis use

56

Binge drinking is common among which population in the LGBTQ community?

lesbians

57

Alcohol dependent individuals are _____ times more likely to die from suicide

10

58

Which substances interfere with motor control and are factors in many automobile accidents

marijuana and alcohol

59

This addiction theory says there are a number of reasons people use substances and accounts for hereditary disposition, psychological problems, social influences

biopsychosocial model

60

This addiction model claims addiction is chronic, progressive, relapsing, and potentially fatal

medical model

61

This addiction model says substances relieve symptoms of psychiatric disorders

self medication model

62

This addiction model accounts for family and environmental factors

family and environmental model

63

This addiction theory says drug use is learned and reinforced from others who serve as role models

social models

64

Glassy eyes, loud talking, inappropriate laughter, sleepiness are signs of

marijuana use

65

contracted pupils, no response of pupils to light, needle marks, sweating, vomiting coughing, sniffling, loss of appetite are signs of

heroin use