Addiction 101 -- Seitz

Question 1

Define Addiction.

Answer 1

Addiction is a primary, chronic disease of brain reward, motivation, memory, and related circuitry.

Question 2

What is an addiction relationship?

Answer 2

An unhealthy relationship between a person and mood-altering substance, experience, event or activity which contributes to life problems and their reoccurrence.

Question 3

What are the addiction ABC’s?

Answer 3

A. Inability to consistently Abstain
B. Impairment in Behavioral control
C. Craving
D. Diminished recognition of significant problems
E. A dysfunctional Emotional response

Question 4

Explain the Biopsychosocial Model (BPS)?

Answer 4

Complex interactions between biological, psychological and socio-cultural factors that have origins of addictive behavior that are complex, variable, and multifactorial

Question 5

What does the prefrontal cortex do?

Answer 5

Enables us to assess situations
Make sound decisions
Keep our emotions and desires under control

Question 6

The initial decision to use is mostly _________, but when substance abuse takes over, the ability to exert self-control can become _______.

Answer 6

Voluntary

Impaired

Question 7

Define conditioning.

Answer 7

Environmental cues become associated with the use experience and can trigger uncontrollable cravings

Question 8

Drugs interact with reward circuits, pathways, and chemicals and the results are:

Answer 8

Euphoria
Reduced Negative Feelings
Normalcy
Cravings

Question 9

All drugs of abuse directly or indirectly flood the brain’s reward circuit with _______.

Answer 9

Dopamine

= regulation of movement, emotion, cognition, motivation, and feeling of pleasure

Question 10

What are addiction risk factors?

Answer 10

Genetics, earlier age onset, childhood trauma, mental illness

Question 11

Nearly all addicts believe that they can stop using _______.

Answer 11

On their own.

Question 12

Addiction is a _______ disease.

Answer 12

Treatable disease that can be managed similar to other chronic disease, changing deeply embedded behaviors with a combination of medication and behavioral therapies.

Question 13

What is medication used for in the treatment of addiction?

Answer 13

Treating withdrawal symptoms
Treating cravings
Preventing relapse

Question 14

What medications are used in treatment of tobacco addiction?

Answer 14

Nicotine Replacement
Buproprion
Chantix

Question 15

What medications are used in treatment of opioid addiction?

Answer 15

Methadone
Buprenorphine
Naltrexone

Question 16

What medications are used in treatment of alcohol addiction?

Answer 16

Disulfiram
Nalterxone
Acamprosate

Question 17

What are the stages of change (trans-theoretical model)?

Answer 17

Pre-contemplation
Contemplation
Determination/Planning
Action
Relapse
Maintenance

Question 18

How likely is relapse to occur?

Answer 18

40% - similar to those for other well-characterized chronic medical illnesses.

Question 19

What is the definition of recovery?

Answer 19

Recovery from alcohol and drug problems is a process of change through which an individual achieves abstinence and improved health, wellness, and quality of life.