Introduction to addition psychiatry Flashcards
Hazardous use
Drug use that is likely to lead to harm
Harmful use
Drug use which causes damage to health
Physical or mental
Dependence
Pattern of ongoing use that is hard to stop
Dependence criteria
Withdrawal
Compulsion
Salience
Persistence despite evidence of harm
Impaired control
Tolerance
Physical complications relate to
Specific drug effects
Contaminants
Method of use
Lifestyle
Psychiatric complications
Drug misuse (intoxication/ withdrawal) can mimic most psychiatric syndromes
Drug misusers increase rate psychiatric illness
- anxiety (28%)
- depression (26%)
- PD (18%)
- schizophrenia (7%)
Suicide risk x 15
Social complications
Family, children, society
Over 50% parents/ live with children
Occupational complications
Mostly unemployed
Over 75%
Financial complications
Street heroin currently costs £40-60 gram
Legal complications
60% of 110 users committed over 70000 separate crimes in preceding 3 months
Medical complications of cocaine use
CV
CNS
Infective
Respiratory
General
Obstetric
Psychological complications of cocaine use
Crash (withdrawal)
Anxiety
Depression/ mania
Anti-social behaviour
Paranoid psychosis
Tactile/ visual hallucinations
Repetitive behaviour
Crash (withdrawal)
Irritability
Restlessness
Fatigue
Hypersomnia
Hyperphagia
Signs of opiate intoxication
Euphoria/ relaxation
Feeling of well being
Constricted pupils
Drowsiness
Slurred speech
Poor attention and concentration
Death from illicit opiates
Suicide
Medical complications
Accidental/ trauma
