Quiz 4 Flashcards
A) Recent use of this substance
B) Clinically significant problematic behavioral or psychological changes (initial euphoria, followed by apathy, dysphoria, psychomotor agitation or impairment, impaired judgment) that developed during or shortly after use.
C) Pupillary constriction (or pupillary dilation due to anoxia from severe overdose) and 1 or more of the following signs or symptoms developing during, or shortly after use:
1) drowsiness or coma
2) slurred speech
3) impairment in attention or memory
D) signs/symptoms are not attributable to another medical condition and are not better explained by another mental disorder, including intoxication with another substance.
Opioid intoxication
Essential feature: presence of clinically significant problematic behavioral or psychological changes (euphoria, followed by apathy, dysphoria, psychomotor agitation or impairment, impaired judgment) that develop during or shortly after use. Accompanied by pupillary constriction (unless severe overdose) and one or more of the following: drowsiness or coma, slurred speech, impairment in attention or memory. May demonstrate inattention to the environment, even to the point of ignoring potentially harmful events.
opioid intoxication
A) Presence of either of the following:
1) cessation of (or reduction in) this substance’s use that has been heavy and prolonged (several weeks+)
2) Administration of this substance’s antagonist after a period of using this substance.
B) 3 or more of the following developing within minutes to several days after Criteria A:
1) dysphoric mood
2) Nausea or vomiting
3) Muscle aches
4) lacrimation or rhinorrhea
5) pupillary dilation, piloerection, or sweating
6) diarrhea
7) yawning
8) fever
9) insomnia
C) Signs/symptoms cause clinically significant distress or impairment in social, occupational, or other important areas of functioning.
D) signs/symptoms are not attributable to another medical condition or medical disorder
Opioid Withdrawal
Essential feature: presence of a characteristic withdrawal syndrome that develops after cessation of or reduction in opioid use that has been heavy and prolonged. this syndrome can also be precipitated by administration of an opioid antagonist after a period of substance use.
opioid withdrawal
Characterized by a pattern of signs and symptoms that are opposite to the acute agonist effects. Subjective and consist of complaints of anxiety, restlessness, and an “achy feeling” that is often located in the back and legs along with irritability and increased sensitivity to pain. 3 or more of the following must be present: dysphoric mood, nausea or vomiting, muscle aches, lacrimation or rhinorrhea, pupillary dilation, piloerection, sweating, diarrhea, yawning, fever, and insomnia.
opioid withdrawal
A) recent use of this substance
B) clinically significant maladaptive behavioral or psychological changes (inappropriate sexual or aggressive behavior, mood lability, impaired judgment) that developed during, or shortly after, this substance use.
C) One or more of the following signs or symptoms developing during, or shortly after use:
1) slurred speech
2) incoordination
3) Unsteady gait
4) Nystagmus
5) Impairment in cognition (attention, memory)
6) Stupor or coma
D) The signs or symptoms are not attributable to another medical condition and are not better explained by another mental disorder, including intoxication with another substance.
Sedative, Hypnotic, or Anxiolytic Intoxication
Essential Feature: presence of clinically significant maladaptive behavioral or psychological changes that develop during, or shortly after use of this type of substance. These behaviors may be accompanied by slurred speech, incoordination (at levels that can interfere with driving ability or performing usual activities to the point of causing falls or auto accidents), an unsteady gait, nystagmus, impairment in cognition, and stupor or coma.
Sedative, hypnotic, or anxiolytic intoxication
Memory impairment is a prominent feature of this substance use and us most often characterized by an anterograde amnesia that resembles “alcoholic blackouts” which can be disturbing to the individual.
sedative, hypnotic, or anxiolytic intoxication
A) cessation of, or reduction in, this substance’s use that has been prolonged
B) 2 or more of the following, developing within several hours to a few days after the cessation of, or reduction in, this substance’s use
1) autonomic hyperactivity (sweating, pulse greater than 100 BPM)
2) Hand Tremor
3) insomnia
4) nausea or vomiting
5) transient visual, tactile, or auditory hallucinations or illusions
6) psychomotor agitation
7) anxiety
8) grand mal seizures
C) Sings or symptoms of criterion B cause clinically significant distress or impairment in social, occupational, or other important areas of functioning
D) Signs/Symptoms are not attributable to another medical condition or mental disorder.
Sedative, Hypnotic, or anxiolytic Withdrawal
A) Recent use of this type of substance
B) Clinically significant problematic behavioral or psychological changes (euphoria or affective blunting; changes in sociability; hypervigilance; interpersonal sensitivity; anxiety, tension, or anger; stereotyped behaviors; impaired judgment) that developed during or shortly after use of this substance.
C) 2 or more of the following signs or symptoms developing during or shortly after use:
1) tachycardia or bradycardia
2) Pupillary dilation
3) elevated or lowered blood pressure
4) perspiration or chills
5) Nausea or vomiting
6) evidence of weight loss
7) psychomotor agitation or impairment
8) muscular weakness, respiratory depression, chest pain, or cardiac arrhythmia
9) Confusion, seizures, dyskinesias, dystonia, or coma.
D) Signs/symptoms are not attributable to another medical condition and are not better explained by another mental disorder.
Stimulant intoxication
Auditory hallucinations may be prominent as may paranoid ideation, and these symptoms must be distinguished from an independent psychotic disorder. Begins with a “high” feeling and includes one or more: euphoria with enhanced vigor, gregariousness, hyperactivity, restlessness, hypervigilance, interpersonal sensitivity, talkativeness, anxiety, tension, alertness, grandiosity, stereotyped and repetitive behavior, anger, impaired judgment, and in the case of chronic use, affective blunting with fatigue or sadness and social withdrawal. Severe cases can lead to convulsions, cardiac arrhythmia, hyperpyrexia, and death.
Stimulant Intoxication
