Hull: Orientation Center for Alcohol and Drug Treatment Flashcards

1
Q

What are the ABCs of addiction?

A
Inability to consistently ABSTAIN
Impairment in BEHAVIORAL control
CRAVING
DIMINISHED recognition of significant problems
Dysfunctional EMOTIONAL response
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2
Q

What is the prefrontal cortex responsible for?

A

Problem solving–enables us to assess situations and make sound decisions

Keep our emotions/desires under control

*Chemicals can affect this part of the developing brain

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3
Q

How does long term use of drugs affect brain circuits?

A

Trigger adaptation in habit or non-conscious memory systems

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4
Q

What is conditioning?

A

environmental cues become associated w/ the use experience and can trigger uncontrollable cravings

This LEARNED reflex is robust and can emerge even after years of abstinence

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5
Q

What are the rewards that drug and alcohol produce?

A

euphoria
reduced negative feelings
this feels “normal”
cravings

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6
Q

What are natural rewards?

A

food
sex
water
nuturing

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7
Q

What do drugs do on a physiological level?

A

Drugs flood the brain’s reward circuit w/ DA

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8
Q

What does DA do? What does overstimulation lead to?

A
regulates:
movements
emotion
cognition
motivation
FEELINGS OF PLEASUSRE

(quick onset and lasts longer than natural rewards)

euphoria and teaches the repetition of behavior

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9
Q

What are the lasting effects of drugs on the brain?

A
  1. Brain produces less DA and fewer receptors
  2. ability to experience pleasure is reduced
  3. Drugs needed in large amts to feel high
  4. Drugs no longer produce high
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10
Q

What are RFs for addiction?

A

genetics
earlier age onset
childhood trauma
mental illness

*no single factor

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11
Q

What is the role of medications in Withdrawal sxs?

A

tx w/drawal sxs

treat cravings so individuals can focus on counseling and other psychotherapies

prevent relapse

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12
Q

What meds are used for tobacco addiction?

A

nicotine replacement
buproprion
chantix

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13
Q

What meds are used for opioid addiction?

A

methadone
buprenophine
naltrexone

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14
Q

What meds are used for alcohol and drug addiction?

A

disulfiram
nalterxone
acamprosate

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15
Q

What are the stages of change?

A
pre-contemplation
contemplation
determination/planning
action
relapse
maintenance
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16
Q

What are relapse rates?

A

40%

similar to diabetes, HTN, asthma

17
Q

What percent of ppl seeking treatment for substance use disorder report one or more traumatic life events?

A

2/3

18
Q

What is the trauma informed approach?

A

The 3 rs

Realizing the prevalence of trauma

Recognize how trauma affects individuals involved in the program, organization or system

Respond by putting knowledge into practice