Session 5- Substance Misuse+ Treatment

Question 1

What is substance misuse?

Answer 1

Intake of harmful pyschoactive substances e.g drugs which can lead to dependacy syndrome.

Question 2

Types of substances

Answer 2

Stimulants- increase awareness+ confident, tobacco, cocaine
Hallucinogens- Alter your perception of reality- LSD, acid, magic mushrooms
Depressant- Make you more relaxed- Alcohols, Cannabis

Question 3

Physical dependance

Answer 3

Experience symptoms associated with withdrawal

Question 4

Psychological dependance

Answer 4

Having impaired control

Question 5

Theories of dependance

Answer 5

Learning theory:
classic conditioning model- drug dependancy- environmental paired with the drug effects.Association between positive and negative
Imitation theories:Learn through observation and listening to others
Modelling- Developing drug use because you see others participating around you
Expectation- Positive drug, drugs use more likely
Self-efficacy- How you view your ability to deal with situation affects behaviour
Rational choice theories:
- Dependancy involves making rational choices that favours the benefits of dependance over costs

Question 6

Describe common treatment regimes for addiction+ withdrawal

Answer 6

Psychosogical withdrawal- applies to all substances

Physical withdrawal- Generally CNS antidepressants

Question 7

Different treatment model

Answer 7

Medical model:
Focus on individuals condition: tolerance, withdrawal symptoms
Detoxification regime, substitute prescribing
Disease model:
Addiction is an illness
Genetic/ so predetermined
Avoidance is the only viable treatment
Behavioural model:
- Addiction doesn’t exists
-Excessive use is coping mechanism
- Alternate coping mechanisms can be taught and past experiences addressed

Question 8

Treatments?

Answer 8

Harm reduction- Safety advice, overdose awareness, injecting advice
Psychosocial interventions:
- motivational interviewing
- Mindfulness
-relapse prevention