Mid-Term

Question 1

relapse

Answer 1

falling back into a using lifestyle after a period of improvement, continuation of use

Question 2

What leads up to relapse?

Answer 2

triggers, warning signs, post-acute withdrawal, high-risk situations, red flags

Question 3

triggers

Answer 3

connect with the neuropathway which creates the want to use, cause something to happen

Question 4

high-risk situations

Answer 4

very dangerous position that can be people, places, or situations that can cause a recovering addict to relapse

Question 5

Why do people go back to use?

Answer 5

addiction is not curable, in order to be free from addiction it takes behavioral change, triggers and high-risk situations can cause someone go back to use (such as stress and loneliness)

Question 6

Why do people get clean?

Answer 6

recovery restores priorities for connecting with people, participating in enjoyable activities, and for gaining self-esteem by practicing estimable acts, brings back the capacity to choose, the capacity to change and the capacity to take actions which will result in longer term rewards.

Question 7

why do people use?

Answer 7

people use base off stress, euphoria, escape, ect.

Question 8

What are the stages of change?

Answer 8

precontemplation, contemplation, planning, action, maintenance

Question 9

What is early recovery?

Answer 9

includes the first 90 days of sobriety and can last up to the first year or so of recovery, looks at small victories, internal change, building positive support systems, psychoeducation about their addiction, identify triggers and eliminate them, functioning without using, identify addictive thinking, They need structure, hobbies, and 12 step meetings.

Question 10

What are signs before a relapse?

Answer 10

justifying, its okay to just use once, glorifying, stress, being around people who they have used with, being around people who are currently using

Question 11

Why is it important to educate clients on relapse?

Answer 11

If they know what can cause a relapse they can try to avoid it or be prepared on how to go through a high risk situation, education on triggers allows them to be able to identify them so they are avoided

Question 12

How to help process a client through a high-risk situation.

Answer 12

you have to put it in terms that the client would understand, knowledge does not equal understanding, CBT

Question 13

What is the disease model.

Answer 13

initial drug use > positive reinforcement > repeated drug use > drug wanting, but not drug liking > attempt at abstinence > craving drug > relapse (loops back to attempt at abstinence)- looking at alcoholism as a family disease

Question 14

Why is addiction considered a disease?

Answer 14

Addiction is considered a physiological disease because it meets the same requirements as other disorders and diseases, including a great deal of terminal illnesses, it messes with the psychological makeup and the every aspect of someone’s social aspects

Question 15

PAWS

Answer 15

(post-acute withdrawal syndrome) a constellation of symptoms experienced by some individuals who are addicted to a substance after a prolonged period of withdrawal, after this period the brain starts to renew and find happiness in everyday things (not using)- look at hand-out (symptoms)

Question 16

What is relapse prevention?

Answer 16

a cognitive-behavioral approach to relapse with the goal of identifying and preventing high-risk situations

Question 17

What are the short term changes that happen in the brain when you use?

Answer 17

• dopamine is the pleasure chemical, it makes you happy NTM
• Serotonin is in the CNS that reduces apatite as you eat, regulates sleep, and regulates mood. Works with sexual desires and nervousness. NTM
• Adrenaline is a hormone that increases increased heartrate, breathing, metabolism, and muscle exertion, when people use they get an adrenaline rush

Question 18

What are the long term changes that happen in the brain when you use?

Answer 18

• dopamine is the pleasure chemical, it makes you happy, when drugs are abused it takes time to build up to the natural release.
• serotonin it is common for the addict to be in a bad mood
• Adrenaline It triggers the fight or flight response due to anxiety and fear.

Question 19

precontemplation

Answer 19

where they don’t think its a problem and reject change

Question 20

contemplation

Answer 20

thinking and talking about change, going back and forth between change and non-change, looking at pros and cons

Question 21

planning

Answer 21

what it would take to make the change happen

Question 22

action

Answer 22

taking positive steps to put the plan into action

Question 23

maintenance

Answer 23

achieving concreate development and potential little support, living out of harms way

Question 24

slip (lapse)

Answer 24

a temporary period of use that has the addict realize that they have to get back to sobriety, the term slip releases the sense of responsibility which makes it seem as if it was an accident.

Question 25

acute withdrawal

Answer 25

the period where the body is getting better (known as the physical portion)

Question 26

How is the brain affected when a person relapses?

Answer 26

When a relapse occurs, all of these three neurotransmitters main functions start to overlap which causes severe overarching emotions. Due to the limbic system being in charge of memory, it is responsible for triggers which can cause a person to initially fall into the relapse.

Question 27

6 major symptom group of PAWS

Answer 27

• thought problems
• memory problems
• emotional problems
• sleep problems
• physical coordination problems
• difficulty handling and recognizing stress