Substance abuse Flashcards
Sleep characteristics in the majorly depressed
Short REM, early AM awakenings, fitful sleep.
PTSD sleep
nightmares
Bpolar or manic sleep?
Drastically decreased need for sleep
Sleep apnea often manifests how?
Daytime lethargy
Schizo sleep?
Pt is up all night, driven by delusional thinking
Hypoactive desire disorder
Reduced desire for sexual contact or total aversion to sexual activity
Dysparunia and Vaginismus
Pain in sexual organs during sexual activity that interferes with or prevents sexual activity from occuring
Substance dependence
3 or more of the following signs in a year:
- Tolerance: needing more to achieve the same effect
- Withdrawal
- Substance taken in larger amounts
- Persistent desire or unsuccessful attempts to cut down
- Significant energy spent obtaining, using, or recovering from substance
- Important social, occupational, or recreational activities
- Continued use in spite of knwng the problems it causes
Substance abuse
- results in failure to fulfill major obligations at work, school, home
- Recurrent use in physically hazardous situations
- Recurren tlegal problems
- Continued use in spite of persistent problems caused by use
Stages of change in substance abuse
- Precontemplation
- contemplation
- Preparation
- Action/willpower
- maintenance
- Relapse
Effect of alcohol on CV
arrhythmias
Effect of alcohol on GI
Gastritis, bleeding, hepatitis, fatty liver
Effect of alcohol on Neuro
neuropathy, dementia, cerebellar degen
Alcohol on the immune system
lowers it
