Lecture 7 Flashcards

1
Q

Negative Risk Factors of Alcoholism

A

A family history positive 4x likelihood of becoming alcoholic, decreased sensitivity to alcohol

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
2
Q

Positive Risk Factors for Alcoholism

A

Asians 30-50% heterozygote for deletion of gene allele for acetaldehydede hydrogenase

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
3
Q

Describe alcohol dependence

A

Loss of control over intake, compulsive drug taking, impairment of social and occupational functioning, and negative emotional state upon withdrawal

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
4
Q

Alcohol Withdrawal: Somatic Effects (EARLY)

A

Insomnia, Tremor, Sympathetic responses increase (heart rate, blood pressure, body temperature), and seizures.

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
5
Q

Alcohol Withdrawal: Somatic Effects (LATE)

A

Delirium tremens, Hallucination, and High Fever

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
6
Q

Alcohol Withdrawal: Motivational Symptoms

A

Anxiety, Dysphoria, and mental clouding

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
7
Q

Alcoholism Treatment Drug

A

Benzodiazepine (Librium)

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
8
Q

Employee Alcoholism Terminal Stage

A

The person now thinks “my job interferes with my drinking”, prolonged unpredictable absences, undependable, hospitalization, physical deterioration, financial and family problems, and uneven and generally incompetent at his job

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
9
Q

Old Lady in La Jolla Syndrome

A

Women outlive men, kids left home, old lady is alone and begin to unintentionally abuse alcohol

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
10
Q

Toxic Effects of Alcohol

A

Cirrhosis (loss of cells) on the liver, heart and pancreas

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
11
Q

Wernicke’s/Korsakoff’s Syndrome

A

Cirrhosis of the brain, kills the cells in your hippocampus due to alcohol use combined with thiamine deficiency. Can’t lay down new information due to hippocampus cells dying, tells stories to fill up holes in memory

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
12
Q

Fetal Alcohol Syndrome

A

Mild to moderate retardation, hyperactivity in childhood, growth deficiency, and characteristic face abnormalities. Drinking when pregnant

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
13
Q

Alcoholism Treatment

A

Detoxification, short-term treatment in rehab, and long-term after care (abstinence)

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
14
Q

Detox

A

Detox until drug-seeking behavior normalizes

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
15
Q

Disulfiram

A

Punishment form of stopping relapse, get sick when you drink (severe form of a flush reaction due to acetaldehyde poisoning), fatigue, tremor, toxic psychosis, restlessness, and metallic taste

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
16
Q

Naltrexone

A

Orally active, blocks endogenous opioid peptides (endorphins), alcohol doesn’t give you the buzz you normally get

17
Q

Acamprosate

A

Mild anti-glutamate effect, blocks glutamate surge and hyperexcitability of alcohol withdrawal

18
Q

4 most important steps of AA

A

Empathetic environment, surrender, eliminating guilt, and abstinence

19
Q

What is motivational enhancement therapy

A

Assumes that responsibility and capacity for change lies in the client, therapist creates a set of conditions that will enhance the client’s own motivation for commitment to change. “You could save money from not buying alcohol and buy a better apartment

20
Q

What are the 5 principles of MET

A
  1. Express Empathy 2. Develop Discrepancy 3. Avoid Argumentation 4. Roll with Resistance, and Supper Self-Efficacy
21
Q

Describe the 4 MET Treatment Sessions

A

First two focus on feedback from initial assessment, future plans, and motivation for change. Last two focus on opportunity for the therapist to reinforce progress