Chapter 22- Substance related and addictive disorders

Question 1

The person experiences psychological or behavioral symptoms that are caused by the direct physiological effects of the substance on the person’s nervous system.

4pts

Answer 1

Substance-induced disorders
- Substance intoxication
- Substance withdrawal
- Substance/medication induced mental disorders

Question 2

The person has a problematic pattern of substance use leading to clinically significant impairment and distress.

Answer 2

Substance use disorder

Question 3

What is the prevalence in gender and age?

Answer 3

• More prevalent in men
• High especially late in adolescence/early 20s

Question 4

What are some emotional, cognitive and behavioral symptoms?

Answer 4

Emotional: Craving, negative emotional states during withdrawal

Cognitive: preoccupation with the substance, impaired control over use, persistent desire or unsuccessful efforts to cut down or control substance use

Behavioral: Using substance in larger amounts or over a longer period

Question 5

What are the most successful treatments?

Alcohol:
Pharmacotherapy for alcohol (2)
Psychosocial intervention’s (3)

Opiates use disorder (3)

Answer 5

• Pharmacotherapy for alcohol:
• Disulfiram (enhances sensitivity to alcohol)
• Naltrexone (reduces cravings, effective for heavy drinkers)
• Motivational enhancement therapy
• CBT
• Behavior self-control training

Opiate use disorder:
- methadone
- LAAM
- Naltrexone

Question 5

What is the prognosis with/without medication?

Answer 5

Comorbidity with other mental disorders

Question 6

What’s the categories of the severity of symptoms?

3pts

Answer 6

Mild: 2-3 symptoms
Moderate: 4-5 symptoms
Severe: 6 or more symptoms

Question 7

What are the criteria groups for identifying SUD?

4pts

Answer 7

-Impaired control
- Social impairment
- Risky use
- Pharmacological (withdrawal & tolerance)