Week 8 - Substance and Addictive Disorders Flashcards

1
Q

What does all substance use affect?

A

behavior

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2
Q

When is substance use a problem?

A
frequent use (dependent)
addiction
impairment in daily functioning (harming others or self)
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3
Q

What are the most commonly abuse drugs?

A
Alcohol 
Nicotine 
Opiates 
Barbiturates 
Benzodiazepines 
Over-the-counter meds
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4
Q

What are the three substance related DSM-5 disorders?

A

substance use disorder, substance intoxication, substance withdrawal

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5
Q

What is there not a substance use disorder for?

A

caffeine

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6
Q

What is there not a substance withdrawal for?

A

hallucinogens

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7
Q

What is there not a substance intoxication for?

A

tobacco

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8
Q

What are the severity of substance use disorders?

A

mild. moderate, severe

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9
Q

What is Physiological need for a drug that causes unpleasant withdrawal symptoms (e.g., physical pain, craving for a drug) when it is discontinued ?

A

physical dependence

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10
Q

What is The strong desire to repeat the use of a drug for emotional reasons (e.g., feeling of well-being and reduce stress) ?

A

psychological dependence

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11
Q

What are the CAGE questions?

A

cut down
people annoyed you by critizing
guilty about drinking
do you need an eye opener

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12
Q

What is the substance intoxication DSM-5 criteria?

A

A. reversible condition brought on by excessive use of drug

B. maladaptive changes in behavior

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13
Q

What are lengthy period of intoxication?

A

binges

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14
Q

What is the DSM-5 for withdrawal?

A

A. maladaptive behavioral changes when a person stops using a drug
B. defined by one or both:
-withdrawal symptoms for substance
-substance or closely related substance is used to relieve or avoid withdrawal symptoms

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15
Q

What is the DSM-5 for substance use disorder?

A

A. repeated use of substances that result in recurring problems (2 or more) within 12 months:
-impaired control
-social impairment
-risky use
-tolerance
-withdrawal
B. clinically significant impairment or distress

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16
Q

What are examples of impaired control?

A

difficulty cutting down on use, ingest more and more, significant time drug seeking, psychological dependence, significant time recovering from use, intense cravings

17
Q

What are examples of social impairment?

A

demonstrating significant problems in social life (missing work/school, poor performance, neglect child, driving while impaired)
continue to use despite problem
give up important and meaningful social activities

18
Q

What is risky use?

A

puts the person in risky situations and person knows that it will cause problems

19
Q

What is tolerance?

A

adjustment of brain and body to regular use of drugs

need to ingest more and more quantities of substance to get same effect

20
Q

What are the 4 A?

A

ask, assess, advise, assist

21
Q

What is another assessment tool?

A

Alcohol Use Disorders Identification Test

22
Q

What are comorbities of substance use?

A
dual diagnosis
anxiety
depressive
personality
schizophrenia
23
Q

What are some universal preventions to cut down on substance use?

A

Raise age limit, lower legal BAL for driving, commercials, workplace drug testing, taxes

24
Q

What is some prevention to do with kids?

A

Comprehensive programs, skills building, self esteem, and peer pressure

25
What is some prevention to do with college kids?
Changing positive expectations about alcohol use and increased use of designated drivers
26
What is relapse prevention the most useful for?
nicotine, ETOH, marijuana
27
What is the problem with dual diagnosis?
hard to treat, high risk, rehab doesn't know how to deal, need integrated or long term treatment
28
What are some CBT things to do?
Identify and change behaviors and cognitions that are fueling their substance use Coping skills
29
What are some relapse prevention training tips?
Keep track of drinking behavior, apply coping strategies, and plan ahead for risky situations and reactions