AB- Substance-related addictive and impulse control disorder Flashcards
Terms
psychoactive substances - alter mood and behavior
substance use
substance intoxication
substance abuse - use a substance regardless of negative consequences
substance dependence - tolerance, withdrawal
Severity
11 symptoms for each disorder
mild 2-3
moderate 4-5
sever 6+
Main categories
depressants - alcohol, tranquilizers stimulants - cocaine opiates - heroin, morphine hallucinogens - LSD other drugs of abuse - steroids, inhalants
Alcohol related disorders
alcohol depresses the CNS
effects certain Neurotransmitters -GABA difficult for neurons to fire, Glutamate - ass w/ blackouts and memory loss, serotonin- responsible for alcohol cravings
Jellineks 4 stage model
prealcoholic stage - drinking occasionally w/ few consequences
prodromal stage- drinking heavily but w. few outward signs of problem
crucial stage- loss of control w/ binges
chronic stage- primary daily activities revolve around getting and drinking alcohol
-limited empirical support for this model
Alcohol use disorder
problematic patter of alcohol use leading to clinically significant impairment/distress over a 12 month periods
specifiers: mild, moderate, severe
Sedative-, hypnotic-, or anxiolytic- related disorders
barbituates and benzodiazepines calm you down
effects similar to alcohol -GABA
these types of drugs can be habit forming
problematic use for 12 month period
stimulant use disorder
problematic pattern of amphetamine substance, cocaine, or other stimulant leading to clinically significant
impairment/distress for 12 months
mild, moderate, severe
indicate the stimulant - cocaine, amphetamine, other
Causes
biological - genetics, neurobiological (pleasure + rewards center)
psychological - positive and negative reinforcement
social dimensions - exposure to drugs
Treatment
focuses on multiple areas
National institute of drug abuse recommends 13 principles of effective treatments
biological treatments
agonist substitution - safer drug
antagonist - blocks
Aversive treatment
antabuse
for alcoholism
makes you ill if you drink
Medications
cope with withdrawal symptoms
psychosocial
inpatient facilities
alcoholics anonymous (AA)
controlled use
teach moderation
component treatment
“treatment package”
individual or group therapy, aversion therapy, covert sensitization, contingency management
