Substance Use and Impulse Control Flashcards

(43 cards)

1
Q

alcohol withdrawal delirium

A

someone experiencing scary hallucinations and body tremors when they withdraw from alcohol

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2
Q

These drugs influence perception, distorting feelings, sights, sounds, and smells

A

hallucinogens

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3
Q

Greater and greater amounts of a substance are required to achieve the same effect.

A

tolerance

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4
Q

These substances affect behavior, cognition, and mood. Many accepted, commonly used substances are in this category

A

psychoactive

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5
Q

An unpleasant physical response occurs when a dependent user stops taking a substance.

A

withdrawal

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6
Q

Substances that include alcohol, reduce arousal, and cause relaxation

A

depressants

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7
Q

What are maladaptive behaviors and reactions that occur after repeated use of substances

A
  • physical dependence
  • tolerance
  • withdrawal reactions
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8
Q

Substance abuse disorder

A

pattern of maladaptive behaviors and reactions from repeated use of substances

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9
Q

what where the results of the CADS (Canadian Alcohol Disorder Survey) for alcohol

A
  • youth aged 20-24 = most likely to use excessively
  • more likely to report harm due to use
  • 21% experience 1 alcohol-related harm
  • no difference between men and women
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10
Q

what where the results of the CADS (Canadian Alcohol Disorder Survey) for cannabis

A
  • use increased from 15% (2017) to 21% (2019)
  • M (23%) more likely to use than W (19%)
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11
Q

what are depressants

A

slows activity in CNS which aims to reduce physiological arousal and help us relax (includes alcohol + sedative, hypnotic, and anxiolytic drugs

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12
Q

effects of alcohol on the brain

A
  • increases GABA (inhibitory), which increases dopamine + endorphins levels
  • Women are affected the most
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13
Q

what are stimulants and what do they do

A
  • increases activity in CNS > high blood pressure + heart rate
  • caffeine, nicotine, cocaine
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14
Q

possible negative effects of depressants

A
  • societal, physical health costs (ex: suicides, assaults, accidents)
  • Korsakoff’s and FAS
  • DEATH
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15
Q

what is Korsakoff’s

A

neurological memory disorder cause by misuse of alcohol

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16
Q

Fetal Alcohol Syndrome

A

result of drinking alcohol during pregnancy, which causes child to have physical deformities + intellectual deficiencies

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17
Q

effects of cocaine on the brain

A

increases dopamine activity (sense of ‘a rush’)

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18
Q

possible negative effects of stimulants

A
  • mania, paranoia, psychosis, post cocaine depression
  • DEATH
19
Q

what are hallucinogens and what do they do

A
  • LSD ,ecstasy, cannabis
  • hallucinations, sensory changes
20
Q

effects of cannabis on the brain

A
  • altered perception of the world
  • mood swings
  • heightened sensory experience
  • memory, concentration, motivation impairment
21
Q

possible negative effects of hallucinogens

A
  • anxiety, suspicion, accidents, memory problems
  • PSYCHOSIS
22
Q

what causes substance abuse disorder according to the sociocultural view?

A
  • stressful socio-economic conditions (poverty affect)
  • development in families / environment where substance use = valued/accepted (differences in culture)
23
Q

what causes substance abuse disorder according to the cognitive-behavioral view?

A
  • Operant conditioning: drugs decrease tension > rewarding
  • expectancy, self-medicating
  • classical conditioning (CS present during drug taking comes to produce craving
23
Q

what causes substance abuse disorder according to the psychodynamic view?

A
  • lack of parental nurturing
  • “addictive personality”
  • Id too powerful
  • self-medicating (ex: numbing emotional symptoms with alcohol)
24
what causes substance abuse disorder according to the biological view?
genetic predisposition (raises question on environmental/genetic causes) + biochemistry
25
Biological view > genetic predisposition
concordance rates: - MZ: 54% - DZ: 28% adoption studies: - children's alcohol use = similar to biological parents abnormal DA (dopamine activity) - decrease in D2 activity
26
Biological view > biochemistry
- drugs activate "pleasure pathway" in brain medial forebrain bundle: - DA = key ( cocaine activates dopamine)
27
incentive-sensitization theory
- after chronic use of drugs/alcohol, reward pathway becomes hyper sensitive to them - supposed by animal studies
28
reward-deficiency syndrome
- reward pathway does not respond normally to "normal" pleasurable life events - compensate w/drug + alcohol use -- especially when stressed
29
psychodynamic treatment
- unconscious needs and conflicts that lead to drug use - not well supported by research - may even be harmful - best in combo with other treatments
30
behavioral treatments
- aversion therapy - covert sensitization - contingency management therapy
31
aversion therapy
-based on classical conditioning - most commonly applied to alcoholism - reduce or avoid an undesirable behavior pattern by conditioning the person to associate the behavior with an undesirable stimulus
32
covert sensitization
produce negative response to alcohol by having someone imagine an unpleasant image every time they drink
33
contingency management therapy
get rewards if pass urine test
34
goal of cognitive-behavioral treatment
identify and change patterns/thoughts contributing to substance misuse
35
name + explain a cognitive-behavioral treatment
- relapse prevention training - gain control over substance-related behaviors
36
what meds are used for drug withdrawal and detox
antidepressants > alcohol withdrawal
37
what does naltrexone (vivitrol) do
blocks alcohol's effects + reduces cravings
38
what does disulfiram (Antabuse) do
if drink > nausea + vomiting
39
name heroin/opiate addiction meds and what they do
methadone + Buprenorphine > suppress cravings + withdrawal symptoms
40
what is the most common sociocultural tx
Alcoholics Anonymous (AA) (cheap support group, spirituality based)
41
disadvantages of AA (alcoholics anonymous)
- may worser matters - group in AA> 60% dropped out and continued BINGE DRINKING 5 months later
42
what features are similar to drug/alcohol use in behavioral addiction
- preoccupation - worsened by stress - go through 'withdrawal' if can't do behavior (like depression, anxiety)