Exam 3 - Substance related disorders Flashcards
At high levels, alcohol ________ brain functioning, and at low levels alcohol ________ certain brain areas
depresses, stimulates
What are the physical effects of alcohol abuse?
- malnutrition
- cirrhosis of the liver
- stomach pains
What are the psychosocial effects of alcohol abuse and dependence?
- depression
- oversensitivity
- impaired reasoning
- chronic fatigue
- personality deterioration
Tolerance
biochemical changes in the body, need more of a substance to get desired affects
Withdrawal
physical symptoms from abstinence, affects are usually opposite of the affects of the drug
Alcohol withdrawal delirium
disorientation, and frightening hallucinations
Alcohol amnestic disorder
neurodegenerative disorder that causes memory loss and disorientation
What are the biological causal factors of alcoholism?
- overactive MCLP (mesocorticolimbic dopamine pathway)
- genetic vulnerability (personality, exposure, learning)
What are the psychosocial causal factors of alcoholism?
- failures in parental guidance
- psychological vulnerability
- stress, tension reduction and reinforcement
- expectations of social success
- marital or relationship crisis
What are the sociocultural causal factors of alcoholism?
- religion
- cultural tradition of aggression
- geographical location (legal age of drinking)
What is the first step in the treatment of substance dependence?
detox
What are the psychological treatments for alcoholism?
- group therapy (AA)
- environment intervention
- behavioral therapy and CBT
What are the biological treatments for alcoholism?
medications - antabuse, naltrexone, and valium
What are opiums, what are some examples?
- derived from the opium poppy, powerful analgesics
- morphine, heroin, codeine
What are the long-term biological effects of morphine and heroin?
- craving
- withdrawal (flu-like symptoms)
- gradual deterioration of well-being
- tolerance
What are the neural bases for addiction?
- bind to opiate receptors
- dopamine theory of addiction (low levels of dopamine, so compensate with drugs)
- reward deficiency syndrome
What are the treatments for opioid addiction?
- methadone and buprenorphine
- narcan immediately reverses the affects of heroin
- support groups