Influences of substance side effects

Question 1

Depression

Answer 1

Especially w excessive drinking.

in 80% of clients depressive symptoms disappear after abstinence

but, often used as self-medication

Question 2

Anxiety

Answer 2

Can be result: withdrawal/intoxication

Masked anxiety disorders (can maintain substance use/cause relapse)

Question 3

PTSD

Answer 3

Only comorbid that doesnt require abstinence for diagnosis.
integrated treatment
11-41 of SUD have comorbid PTSD

Cause:
Self-medication
At risk hypothesis
Can’t habituate to trauma due to substance use
Substance use triggers symptoms

Question 4

Exceptions to abstinance

Answer 4

Usually you’d want 2-3 weeks of abstinence except:

SAD (situation based, coping)
OCD (Not that much overlap)
Phobia
PTSD
GAD (longer than 2-3 weeks, give more time to fix problems. Worrying is quite logic with SUD so needs more time)

Question 5

ADHD

Answer 5

Very prevalent, 23.1%

Medication is less successful
self-medication most logical as it starts in adolescence

Diagnosis is possible during sub use, but you need information of someone close

Question 6

Bipolar

Answer 6

50% of bipolar suffer from SUD

Challenging diagnosis bc overlap with symptoms of SU

Little research, so follow guideline

Question 7

Personality diosrder

Answer 7

Especially borderline/anti-social (AS can be consequence)
Screening only with suicidality interfering w treatmen

Question 8

Psychotic symptoms

Answer 8

Low prevalence, mostly with withdrawal

Question 9

Guideline

Answer 9

Screening: PTSD/ADHD, Anxiety/mood disorder w short questionnaires
Guideline 2-3 weeks abstinence
Exceptions
If abstinence is no option: best we can, draw timeline w su and complaints
consider clinical admission