Lecture 7

Question 1

Negative Risk Factors of Alcoholism

Answer 1

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

Question 2

Positive Risk Factors for Alcoholism

Answer 2

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

Question 3

Describe alcohol dependence

Answer 3

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

Question 4

Alcohol Withdrawal: Somatic Effects (EARLY)

Answer 4

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

Question 5

Alcohol Withdrawal: Somatic Effects (LATE)

Answer 5

Delirium tremens, Hallucination, and High Fever

Question 6

Alcohol Withdrawal: Motivational Symptoms

Answer 6

Anxiety, Dysphoria, and mental clouding

Question 7

Alcoholism Treatment Drug

Answer 7

Benzodiazepine (Librium)

Question 8

Employee Alcoholism Terminal Stage

Answer 8

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

Question 9

Old Lady in La Jolla Syndrome

Answer 9

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

Question 10

Toxic Effects of Alcohol

Answer 10

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

Question 11

Wernicke’s/Korsakoff’s Syndrome

Answer 11

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

Question 12

Fetal Alcohol Syndrome

Answer 12

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

Question 13

Alcoholism Treatment

Answer 13

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

Question 14

Detox

Answer 14

Detox until drug-seeking behavior normalizes

Question 15

Disulfiram

Answer 15

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

Question 16

Naltrexone

Answer 16

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

Question 17

Acamprosate

Answer 17

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

Question 18

4 most important steps of AA

Answer 18

Empathetic environment, surrender, eliminating guilt, and abstinence

Question 19

What is motivational enhancement therapy

Answer 19

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

Question 20

What are the 5 principles of MET

Answer 20

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

Question 21

Describe the 4 MET Treatment Sessions

Answer 21

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