psychosocial ch. 14: self-destructive behavior Flashcards
substance use disorders prevalence
-alcohol is most frequently abused substance
-weed is most frequently abused illicit drug
-many abuse more than one drug (polysubstance abuse)
-most will have a drug that use most often: “drug of choice”
negative consequences of Substance abuse
-high risk behaviors while using: driving under the influence, unprotected sex, fighting
-negative outcomes personally and/or professionally
-substance abuse does not have to be chronic use
Substance use disorders- Dependence or addiction requirements
-must be compulsive even when it results in negative consequences
-two criteria determine addiction: tolerance, withdrawal
definition of tolerance
person must ingest larger quantities to achieve the same level of intoxication or feel the same “high”
definition of withdrawal
problematic behavior change with physiological and cognitive symptoms, that is due to cessation of (or reduction in) prolonged substance use
substance use disorder- withdrawal symptoms
not all substances produce withdrawal symptoms
diagnosing alcohol use disorder
- CAGE questionnaire: cut down, angry, guilty, eye-opener
-at risk drinking: women~more than 3 drinks a day, 7 per week
men~ more than 4 drinks a day, 14 per week
eating disorders- how to manage feelings and emotions
-a way to manage feelings and emotions, moderate emotional stress, provide the experience of rewards and punishments
-people with eating disorders lose the capacity to monitor hunger and differentiate it from emotional needs
anorexia Nervosa definition
-refusal to maintain an appropriate body weight for age and height
-associated with psychiatric disorders such as bipolar, depressive, anxiety, obsessive compulsive disorders, alcohol use disorders
Bulimia Nervosa definition
- individuals with bulimia nervosa may have normal or near-normal body weight, or even be overweight
-unlike anorexia, clients are aware that their eating patterns are abnormal
binge eating
chaotic, abnormal pattern of eating large quantities of food, lack of control
bulimia nervosa diagnosis
more difficult to diagnose than anorexia nervosa due to normal weight and appearance
self-injurious behavior
-can be called self-mutilation, deliberate self-harm or non-suicidal self-injury
-may be calming during stress
Suicide with cormorbimdity
all individuals who attempt suicide have some underlying psychiatric and/or substance use disorder
suicide: gender differences
-men 4x more likely to complete a suicide attempt, more likely to use violent means like a firearm or hanging
-women are twice as likely to attempt, more likely to use pills or cutting
warning signs and symptoms of suicide
-hopelessness, helplessness, worthlessness
-signs of depression
-rapid improvement in mood following depressive episode
-giving away belongings
what group is at higher risk for suicide
-individuals 85 + year old have the highest rates of suicide
-non-hispanic American Indian and Alaska natives and non-hispanic whites
suicide high risk populations
veterans, children or adolescents being bullied, LGBT adolescents or young adults, victims of violence, people living in rural areas, tribal populations, elderly
what heath care providers should know
it is their duty to report when there is imitate harm to theirselves or others
