Substance Abuse -Ask

Question 1

What are the 3 C’s of chemical dependency?

Answer 1

1. A compulsion to use or a preoccupation with using
2. A loss of control or rules for using/not using
3. Continued use in spite of adverse consequences

Question 2

How does family history of drinking affect tolerance?

Answer 2

more tolerance

after 3 drinks, those with a family hx will be affected less by the EtOH (less body sway)

–> increases chance that will overuse/abuse EtOH

Question 3

What are the CAGE questions that can help you start a conversation with a pt about drinking?

Answer 3

• Have you ever felt you ought to CUT down on your use of alcohol?
• Have people ANNOYED you by criticizing your use of alcohol?
• Have you ever felt bad or GUILTY about your use of alcohol?
• Have you ever had a drink first thing in the morning to steady your nerves or get rid of a hangover (EYE-OPENER)?

Question 4

What is a predictor of good recovery outcome in alcoholics?

Answer 4

Sponsorship!