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Question 1

Acute intoxication

Answer 1

Pattern of reversible physical and mental abnormalities caused by direct effects of the substance (specific and characteristic of each substance)

Question 2

At-risk use

Answer 2

A pattern of substance use where the person is at ^ risk of harming their physical or mental health

Question 3

Harmful use

Answer 3

The continuation of substance use despite evidence of damage to the user’s physical or mental health (or to their social, occupational + familial well-being)

However there is no dependence

Question 4

dependence

Answer 4

Prolonged, compulsive substance use leading to addiction, tolerance and the potential for withdrawal Sx’s

Question 5

features of dependence syndrome

Answer 5

• Primacy of drug seeking behaviour: the drug and the need to obtain it becomes the most important thing in that person’s life
• Narrowing of the drug-taking repertoire: user moves from range of drugs to a single drug in preference to the others
• Increased tolerance to the effects of the drug
• Loss of control of consumption
• Signs of withdrawal on attempted abstinence
• Drug taking to avoid development of withdrawal symptoms
• Continued drug use despite negative consequences
• Rapid reinstatement of previous pattern of drug use after abstinence

(Drug Problems Will Continue To Harm): desire, preoccupation, withdrawal, impaired ability to control use, tolerance, harmful effects but still persistent use

Question 6

withdrawal

Answer 6

When there is physical dependence on a drug, abstinence leads to features of withdrawal (characteristic for each drug)

Question 7

Complicated withdrawal

Answer 7

Development of seizures, delirium or psychotic features

Question 8

Substance-induced psychotic disorder

Answer 8

Illness characterised by hallucinations a/o delusions occurring as a direct result of substance induced neurotoxicity