Substance Abuse Flashcards
how many of the following must someone have within what time period to qualify for a substance use disorder?
taking the substance in larger amounts or for longer than you are meant to
wanting to cut down or stop using the substsance but not managing to
spending a lot of time getting, using, or recovering from use of the substance
cravings and urges to uset eh substance
not managing to do what you should at work, home, or school because of substance use
continuing to use even when it caues problems in relationships
giving up important social, occupational or recreational activities because of substance use
using substances again and again even when it puts you in danger
continuing to use, even when you know you have a physical or psychological probelm that could have been caused or made worse by teh substance
needing more of the substance to get the effect you want
developmentof withdrawal symptoms, whcih can be relieved by taking more of the substance
2 within 12 months
substance intoxication
development of a reversibe, substance specific syndrome as a result of the recent ingestion of a substance, must include maladaptive behvaior or psychological changes and specific signsof the substances effects on the nervous system
substance withdrawal
a substance specific malapadptive behavioral change with physiolgoical and cognitive correlates, due to cessation or reduction of heavy or prolonged substance use.
signs of alcohol withdrawal
sweating
tachycardia
hand dtremor
insomnia
nausea
transient illusions
anxiety
osychomotor agitation
grand mal seizures
delirium tremens
WERNICKE ENCEPHALOPATHY and WERNIKE KORSAKOFF syndrome
due to brain damage caused by a lack of vitamin B1
might try to make up for lack of memories by fabricating them
can cause hallucinations
from alcohol
amphetamines and cocaine intoxication
GRANDIOSITY AND EUPHORIA and tachycardia adn seizures
amphetamines and cocaine withdrawal
dysphoria, fatigue, insomnia, psychomotor agitation and retardation
substance induced disorder vs substance use disorder
substance induced disorder is a disorder that comes on as a result of the substance and substance use disorder is a disorder of the use of the substance
remission criteria
early full remission is between 3-12 months of no criteria for substancea buse other than cravings
Sustained Full Remission is the above but longer than 12 months
CAGE
have you ever felt you needed to cut down on your drinking?
Have people annoyed you by criticizing your drinking? Have you ever felt guilty about drinking? Have you ever felt you needed an eye opener/a drink first thing in the morning to calm your nerves?
Naltrexone
blocks euphoric effects and feelings of intoxication
Disulfiram/ Antabuse
makes you nauseous
Acamprosate
can reduce desire to drink alcohol
Opioid Interventions
Methadone, Nalterxone, Buprenophrine
pre contemplation
haven’t considered making a change