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EPPP A2: Abnormal Psychology > 07ee_Substance-Induced Disorders > Flashcards

07ee_Substance-Induced Disorders Flashcards

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1
Q

Substance-Induced Disorders:

Three Classes

A

Substance intoxication

Substance Withdrawal

Substance/Medication induced Mental Disorders

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2
Q

Substance/Medication-Induced Mental Disorders:

Three Types

A

Psychotic disorder

Depressive disorder

Neurocognitive disorder

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3
Q

Substance/Medication-Induced Mental Disorders:

Common Diagnostic Criteria

A

Symptomatic presentation of a mental disorder

Develops within one month of substance intoxication or withdrawal or of taking medication that is capable of producing the disorder

Does not occur only during the course of delirium

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4
Q

Substance/Medication induced Mental Disorders:

Overview

A

Develops in the context of the effects of substances of abuse, medications, or toxins

Potentially severe, usually temporary, but sometimes persisting central nervous system syndromes

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5
Q

Alcohol-Induced Disorders:

Overview

A

Alcohol is associated with all of the substance-induced disorders except OCD

Alcohol intoxication

Alcohol withdrawal

Alcohol withdrawal delirium

Alcohol-induced major neurocognitive disorder

Alcohol-induced sleep disorder

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6
Q

Alcohol Intoxication:

Maladaptive behavioral and psychological changes, and at least one of 5 symptoms

A

Slurred speech

Incoordination

Unsteady gait

Nystagmus

Impaired attention or memory

Stupor or coma

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7
Q

Alcohol Withdrawal:

Diagnostic Criteria

A

2+ symptoms that occur within several hours to a few days following cessation or reduction

Autonomic hyperactivity (sweating, tachycardia)

Hand tremor

Insomnia

Nausea or vomiting

Transient delusions or hallucinations

Anxiety

Psychomotor agitation

Generalized tonic-clonic seizures

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8
Q

Alcohol Withdrawal Delirium

A

Prominent disturbances in attention, awareness, and cognition

Autonomic hyperactivity

Vivid hallucinations

Delusions

Agitation

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9
Q

Alcohol-Induced Major Neurocognitive Disorder:

Overview

A

Significant decline in one or more cognitive domains

Interferes with independence and at everyday activities

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10
Q

Alcohol-Induced Major Neurocognitive Disorder:

To specifiers

A

Nonamnestic-confabulary type

Amnestic-confabulatory type: Korsakoff syndrome

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11
Q

Korsakoff syndrome

A

Anterograde and retrograde amnesia

Confabulation to compensate for memory losss

*Linked to thiamine deficiency

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12
Q

Alcohol-Induced Sleep Disorder:

Overview

A

Usually Insomnia

Results from either intoxication or withdrawal

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13
Q

Alcohol-Induced Sleep Disorder:

Intoxication symptoms

A

Immediate sedation

Increased stage 3 and 4 sleep

Reduced REM sleep followed by:
increased wakefulness
increased REM sleep (vivid anxiety-arousing dreams)
reduced 3 and 4 sleep

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14
Q

Alcohol-Induced Sleep Disorder:

Withdrawal symptom profile

A

Severe disruption and sleep continuity with vivid dreams

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15
Q

Stimulant Intoxication:
(Amphetamine-type drugs and cocaine)

Essential Features

A

Euphoria or affect of blunting

Hypervigilance

Anxiety or anger

Impaired judgment

2+ characteristic symptoms during or shortly after drug use needed for diagnosis

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16
Q

Stimulant Intoxication:

Characteristic symptoms

A

Tachycardia or bradycardia

Pupillary dilation

Elevated or lowered blood pressure

Perspiration or chills

Nausea or vomiting

Weight loss

Psychomotor agitation or retardation

Muscular weakness

Respiratory depression

Cardiac arrhythmias

Confusion

Seizures

Coma

17
Q

Stimulant Withdrawal:

Diagnositc Criteria

A

At least 2 of 5 physiological changes that occur within a few hours to several days after cessation or reduction of prolonged stimulant use

18
Q

Stimulant Withdrawal:

“Crash”

A

Intense lethargy

Depression

Increased appetite

19
Q

Symptoms of Sedative, Hypnotic, or Anxiolytic Intoxication

A

Slurred speech

Lack of coordination

Unsteady gait

Nystagmus

Impair cognition

Stupor or coma

20
Q

Opioid Intoxication Symptoms

A

Pupillary constriction

Drowsiness or coma

Slurred speech

Impaired attention or memory

21
Q

Opioid Withdrawal Symptoms

A

Dysphoric mood

Nausea or vomiting

Muscle aches

Lack cremation or rhinorrhea

Pupillary dilation

Sweating

Diarrhea

Fever

Insomnia

22
Q

Inhalant Intoxication Symptoms

E.g., toluene or gasoline

A

Dizziness

Nystagmus

Lack of coordination

Slurred speech

Unsteady gait

Lethargy

Depressed reflexes

Psychomotor retardation

Tremor

Generalized muscle weakness

Blurred vision

Stupor or coma

Euphoria

23
Q

Tobacco Withdrawal:

Diagnostic Criteria

A

4+ symptoms within 24 hours of abrupt cessation or reduction:

Irritability or anger

Anxiety

Impaired concentration

Increased appetite

Restlessness

Depressed mood

Insomnia

24
Q

Stimulant Withdrawal:

Characteristic Symptoms

A

Fatigue

Vivid unpleasant dreams

Insomnia/hypersomnia

Increased appetite

Psychomotor agitation or retardation

EPPP A2: Abnormal Psychology (31 decks)

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