Ley: Meth Flashcards
What are the amphetamines?
dextroamphetamine
methamphetamine
mixed amphetamine salts
amphetamine
What do the amphetamines do?
stimulate release and presynaptic reuptake of central and peripheral monoamines (dopamine, seratonin, NE)
Does meth cross the BBB readily?
yes!
**has greater CNS action, lasts longer, more potent
What are some comorbidities associated w meth?
anxiety depression ADHD mania conduct DO obesity ASPD
What is the attraction of meth?
desire to cope w emotional distress or trauma
stay awake
enhance sex
reduce weight
T/F: Compared with cocaine abusers, meth abusers are more likely to be unemployed, single, white, use daily, use at a younger age, experience depression and thoughts of self harm
True
How long does a meth high last?
8-24 hours
Compared to other stimulants, use is (blank) with meth
accelerated
What is the pattern of meth use?
rush - high bp and HR, intense pleasure for 30min
high - feel smarter, argumentative for up to 1 day
binge - excessive use for a bit
tweak - straight use, as much as possible
crash
Effects of meth?
*think of a car dealer
Heightened awareness, grandiosity, feeling of being alive, sexual arousal, increased self confidence.
Single doses improve cognition
Areas of greatest brain loss in meth abuse?
limbic system: emotion, reward
hippocampus: memory
Problems w neonates of meth abusing mothers?
Lower birth weights, smaller subcortical brain volume, poor visual recognition.
Subsequent increased aggression, impaired social adjustment, difficulties with math and language.
What is meth mouth?
nasty methy teeth decreased saliva vomiting high sugar abandon oral hygiene advanced tooth wear and fracture
Symptoms of meth withdrawal?
hyperarousal
vegetative symptoms
anxiety
dysphoria, affective instability, sleep disturbances
Treatment for meth?
CBT
contingency management
Matrix model
**uses cognitive, behavioral, and psychological approaches.
Goals- stop use, educate about addiction, involve family, 12 step familiarity, testing.
