lecture 1 Flashcards
dual diagnosis:
two or more illnesses (one mental heath, one substance use) that occur at the same time with no solid cause and effect relation
dual diagnosis is also known as:
co-occuring disorders
why aren’t many dual diagnosis ppl properly treated?
lack of affordable, evidence based programs
common dual diagnoses:
ptsd and any drug use, alcohol use disorder and major depression, aud and bipolar, schizprehia and nicotine use, cocaine use and anxiety disorders
why is aud mixed with depression dangerous?
leads to increased hospitilation and suicide
nearly ___ of drug use has some effect on baby
all
drugs cause what in over half of babies prenatally?
withdrawal
alcohol causes withdrawal in baby as well as:
birth defects called fetal alcohol spectrum disorders
infants with diagnosis of neonatal abstinence syndrome are more likely to:
need special education services in preschool and elementary
drug addiction includes:
loss of control, catastrophic consequences, decrease pleasure
system involved in drug addiction:
dopaminergic system
prefrontal cortex role:
optimizing decision making processes underlying goal directed action selection
tests involving self control and goal directed behavior shows correlations with:
gray matter deficits in the prefrontal cortex
decreases in D2 receptors are associated with:
decreases in prefrontal cortical activity
what may contribute to loss of control?
low frontal metabolism
less gray matter is correlated with:
playing bad cards aka, deficits in decision making and decreased PFC
cocaine theme interview participants reported: (4)
- increased craving for coke,
- higher heart rates and blood pressure,
- metabolic activity in orbiofrontal cortex increased
- metabolic values in right insular region were correlated with self reports of cocaine craving
memory part of brain:
hippocampus
conditioned response part of brain:
amygdala
craving (drug expectation) parts of brain
cingulate gyrus, prefrontal cortex, orbitofrontal cortex
reward circuits at top:
ventral tegmental area, nucleus accumbens
r