Addiction disorders and psychiatric comorbidity- Mustafa Flashcards
Q: Why is Mustafa a lecturer?
A: who fricken knows.
People who had mental illness abused which type of drugs the most?
Marijuana, psychotherapeutics, cocaine
T/F: there increased risk for substance use disorder or abuse among the mentally ill?
True
What are common underlying neurobiological factors that can contribute to addiction/psychiatric issues?
Neurochemical (imbalance of NTs), structural/anatomical, genetic (inherited factors that compromise fxn)
What disorder can cocaine/methamphetamine mimic?
schizophrenia, paranoia, anhedonia, compulsive behavior
What disorder can stimulants mimic?
anxieity, panic attacks, mania and sleep disorders
What disorder can LSD, ecstasy and psychedelics mimic?
delusions and hallucinations
What disorder can alcohol, sedatives, sleepaids and narcotic mimic?
Depression and mood disturbances
What disorder can PCP and ketamine mimic?
antisocial behavior
T/F: withdrawal symptoms resemble psychiatric disorders
True: acute intoxication (mood symptoms), Withdrawal (anxiety and mood Sx), Chronic use (delirium, cognitive changes)
Do substance abuse disorders increase risk for development psychiatric disorders?
Probably
What are general principles in the treatment of comorbidity of psychiatric illnesses?
Careful screening/diagnostic evaluation, address psychiatric and SUD problems at same time, use medication with least abuse potential, maximize the use of non-pharma treatment
What are the levels of association between SUD and bipolar disorder
Impulsivity and irritability, neurobiological evidence (neurochemical, kindling, neuronal loss), Pharma evidence (responsivity to meds)
What are treatment for substance abuse and bipolar disorder?
Lithium, valproate, carabmazepine
What are pharma Tx of schizophrenia?
D2 antagonists: Haloperidol, fluphenazine. D2/5HT2 antagonists: Clozaril, risperidone, olanzapine
