Drug Dependence Flashcards

1
Q

What are the four main classes of psychoactive drugs?

A

Depressants, stimulants, hallucinogens, opoids

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2
Q

Depressants

A

Psychoactive drugs that lower the body’s basic functions, decrease neural activity, decrease blood pressure, heart rate, and reaction times

Act on GABA receptors (an inhibitory neurotransmitter)

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3
Q

Three Classes of depressants

A

1. Alcohol- decreases inhibitions, lack of coordination, slurred speech

2. Barbituates- can treat anxiety/insomnia, not commonly prescribed due to negative side effects (reduced memory/concentration)

3. Benzodiazepines- commonly prescribed for anxiety (short or intermediate benzos) /insomnia (long term benzos), enhance brain’s sensitivity to the neurotransmitter GABA

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4
Q
A
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5
Q

Stimulants

A

Drugs that excite the CNS, increase heart rate, blood pressure, and alertness

examples include: caffeine, amphetamines, methamphetamines, MDMA (stimulant/hallucinogen), cocaine, nicotine, THC (also hallucinogen/depressant)

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6
Q

Hallucinogens

A

Created distorted perceptions/hallucinations, heightened sensations

examples: mescaline, peyote, PCP, LSD, psilocybin

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7
Q

Opiates (natural) /Opoids (synthetic)

A

Used to treat pain and anxiety. Have similar affects to depressants in that they decrease CNS function, decrease heart rate/blood pressure, cause relaxation, and induce sleep

They are different from depressants in that they act on endorphin receptors, rather than GABA receptors

Examples: morphine, oxycodone, heroin

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8
Q

How does nictotine work as a stimulant?

A

It is an acetylcholine agonist

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9
Q

How do cocaine, methamphetamines, and amphetamines act as stimulants?

A

They increase the release of dopamine from the brain

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10
Q

What is the relationship between drug dependence and homeostasis?

A

When you take a drug, your body tries to mitigate the effects of the drug

For example, if you take cocaine under the same conditions, your body may become conditioned to lower it heart rate in response to these conditions. If you don’t take the drug, heart rate may be too low. If you take the drug under different conditions, heart rate may be too high

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11
Q

Rank the following routes of drug entry fastest to slowest: oral, intravenous, inhalation

A

Intravenous, inhalation, oral

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12
Q

What is the reward pathway and how does it relate to drug addiction?

A

When the brain experiences happiness/reward through a drug it releases dopamine, which activates various parts of the brain. This causes the individual to seek out the drug in the future.

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13
Q

What part of the brain is dopamine released from?

A

The ventral tegmental area (VTA) in the midbrain

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14
Q

What parts of the brain have dopamine receptors and contribute to the reward pathway?

A
  1. Amygdala (controls emotions)
  2. Nucleus accumbens (controls motor function)
  3. Hippocampus (memory formation)
  4. Prefrontal cortex (attention)
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15
Q

What happens to serotonin levels when dopamine levels increase?

A

Serotonin decreases

Since serotonin is involved in satiation, increasing dopamine levels prevent feelings of contentedness

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16
Q

Describe tolerance vs. withdrawal

A

Tolerance refers to when an individual needs more of a drug to achieve the same effect. Withdrawal refers to the symptoms one experiences after one has built up tolerance to a drug

17
Q

Acute vs. post acute withdrawal

A

Acute withdrawal includes the physical symptoms of withdrawal and typically lasts a few weeks. Post-acute can last up to years and includes more of the psychological symptoms (irritability, mood swings, sleep disturbances)

18
Q

What are the therapuetic treatments for substance use disorders?

A

Motivational interviewing (addressing motivation for change) and CBT (addressing negatie thought patterns and developing more positive thoughts/behaviors)