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Flashcards in Substance Use Disorders Deck (22)
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in 2012 an estimated ___million americans age 12 or older or ___% of the population has used illicit drug or psychotherapeutic medication for other then its intended use




in Canada the use of drugs from 1994 to 2004 rose from and ___% of illicit drug users in Canada are between 15-24

28% to 45%



____ Canadian deaths are linked to substance abuse annually and costs the health care system __billion annually and female addicts are ____% likely to die prematurely due to drugs





formally known as substance abuse but now called

substance use disorders


substance use disorders reflects the assumption that persons who use different substance have different

disorders with unique features which range from middle to moderate to severe


not everyone who has the disorder suffers from



what does Canada called substance use disorders

problematic substance use


define addiction

the preferred term for persons who experience compulsive use despite serious health and social consequences

addiction is often chronic in nature
it disrupts circuits in the brain that are responsible for reward motivation learning judgement and memory making recovery challenging

addiction involves psychological dependence and may or may not include physical dependence


define psychological dependence

also known as dependence of the mind
it becomes extremely hard for them to stop using or even thinking about the drug


define physical dependence

is observed when the user needs the drug to function normally and has negative symptoms of withdraw when the user stops or decreases use of the drug


what is concurrent disorders

the term applied to mental health and substance use problems that occur together. the links between mental health and substance use problems are complex however the correlation between mental health and addiction is clear as is the need for Canada to address this complex and growing issue

people with concurrent disorders are the most complex to treat


what are the effects of long term substance abuse

causes change to the brain and body that can become permanent and affect
decision making


what are the short term effects of taking a drug

vary person to person and even from the one use to another and effects depend on factors
medical/mental conditions
amount of drug consumed
the combination of alcohol, over the counter, prescription or illegal drugs


define tolerance

when the user becomes accustomed to a particular dose of a drug and needs higher dosages in order to obtain the same effects, he or she is likely to have developed tolerance to the drug


define withdrawal

symptoms occur when a person stops or reduces taking a drug after using regularly for a long time or after using high doses. can vary


define overdose

occurs when the person takes more of a drug then their body can handle. an overdose may result in serious harmful symptoms or death


what are symptoms of overdose

pinpoint or dilated pupils
changes in core body temperature
changes in blood pressure, heart rate and breathing rate
bluish skin
loss of consciousness which may lead to coma


what are supervised consumption sites

are part of a long-term comprehensive approach to addressing the harms associated with problematic substance use
harm reduction approach to the Canadian drugs and substances strategy


treatment for substance use disorders typically begins with

medically supervised detoxification to clear the body of the toxic substances but detox alone does not produce long-term recovery


several medications are used in treatment including

Antabuse (makes them sick when they take alcohol)naltrexone (blocks rewarding effects of a alcohol)
methadone, suboxone, buprenorphine reduce effects of drug


therapeutic approaches for substance use

therapeutic communities
12-step support groups
community reinforcement
cognitive-behavioural therapy
multidimensional family therapy
multimodal interventions
holistic approach to developing a healthy lifestyle


goals of RT compared to goals of recovery

self awareness - believe addictions hurting them and wish to overcome it

self efficacy - feel enough efficacy to manage their withdrawal and life without the addiction

self rewarding - find sufficient alternative rewards to make life without the addiction a worthwhile experience