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LCSW > Substance Abuse > Flashcards

Substance Abuse Flashcards

0
Q

T or F the majority of people diagnosed with a substance related disorder are unemployed

A

False

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1
Q

What drugs are most addictive?

A

Narcotics

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2
Q

Why do individuals that are substance dependent continue to use?

A

To avoid withdrawals

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3
Q

When is a person in remission most vulnerable to relapse?

A

Within the first year

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4
Q

How many clinical signs/symptoms must a person show to be diagnosed as substance dependent?

A

3 or more

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5
Q

How many signs or symptoms must a person show to be diagnosed with substance abuse disorder?

A

1 or more within 12 month period

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6
Q
  • tolerance
  • increased use over longer period of time
  • withdrawals
  • dedication to acquiring substance
  • persistent desire to quit
  • missing social, economic, or recreational events to continue use
  • continued use despite physical or psychological problems
    are signs of
A

substance dependence

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7
Q

What is the long term goal of treatment?

A

Abstinence

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8
Q
  • failure to fulfill major role obligations at home, work, school
  • continued substance use in situations that are hazardous
  • reoccurring substance related legal problems
  • no diagnosis of substance dependence
  • continued use despite interpersonal problems
    are symptoms of
A

substance abuse disorders

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9
Q

What are the short term goals of treatment?

A

Reduction in use and minimizing negative effects of use

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10
Q

When conducting a full clinical evaluation what are some things to discuss

A
  • type of substance, duration, and frequency of use
  • medical history
  • severity if withdrawal symptoms
  • mode of onset
  • social history
  • family history of substance use
  • impact if use on everyday life
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11
Q

If a client has a substance abuse problem what should you do before referring them to therapy?

A

Refer to substance abuse treatment

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12
Q

Name some types of sub abuse tx

A

Detox, 12 step, self help, outpatient/inpatient, pharmacological, psychosocial, residential

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13
Q

T or F a person who spends at least 3 months in residential treatment is likely to have a better long term outcome

A

True

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14
Q

What are the most common psychosocial methods used to treat sub abuse to

A

CBT, psychodynamic, behavioral, self help, group and family therapy

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15
Q

When does fetal alcohol syndrome cause the most damage

A

First trimester

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17
Q

Name two syndromes associated with chronic alcohol abuse caused by a thiamine deficiency

A

Wernicke’s enceohalopathy & Korsakoff’s Syndrome

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18
Q

What disorders are linked to FAS

A

ADHD & facial malformation

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19
Q

What is Antabuse?

A

Aversion therapy

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20
Q

What is the strongest predictor for developing alcohol problems

A

Family history

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21
Q

Name some models on causes of substance abuse

A
  • Biopsychosocial: wide variety of reasons
    Medical/Biological: genetic, altered brain chemistry
    Self-medication
    Family & Environment: peer pressure, abuse, disorganized communities
    Clinical: used to escape painful problems in life, poor coping mechanisms
    Social: drug use is learned and reinforced by role models
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22
Q

Describe the AUDIT assessment

A

Alcohol Use Disorders Identification Test

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23
Q

Describe the CAGE AID assessment

A

cut down? annoyed? guilty? eye-opener?

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24
Q

Describe the TWEAK Test

A

Tolerance, Worried, Eye-opener, Amnesia, K (cut down)

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25
Q

Define Substance abuse

A

A maladaptive pattern of abuse leading to significant impairment in functioning or distress.

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26
Q

T or F to make a diagnosis of Substance Dependence, you do NOT need to have tolerance or withdrawal symptoms

A

True

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27
Q

T or F to make a diagnosis of substance dependence you need evidence of a significant impairment in functioning.

A

True

28
Q

T or F Wernicke’s Encephalopathy if left untreated leads to Korsakoff’s Syndrome

A

True

29
Q

Delirium, hallucinations, delusions, agitated behavior, autonomic hyperactivity (sweating and rapid pulse) are symptoms of what?

A

Alcohol Withdrawal Delirium

30
Q

What is methadone?

A

synthetic narcotic taken instead of opiates; can be legally prescribed. Patient uses to detox from opiates or on daily basis as substitute for heroin.

31
Q

high feeling, hyperactivity, restlessness, anxiety, impaired judgment, tachycardia, dilated pupils, perspiration or chills, nausea or vomiting, muscle weakness, increased blood pressure are symptoms of what?

A

cocaine intoxication

32
Q

What are the stages of motivation of change?

A
  1. precontemplation
  2. contemplation
  3. action
  4. maintenance
  5. . termination
  6. relapse
33
Q

Name some types of narcotics

A

Cocaine, codeine rack, heroin, opium, methadone

34
Q

What are narcotics mostly prescribed for?

A

Pain

35
Q

T or F the addiction potential for narcotics is low

A

False it is high

36
Q

What are the effects of narcotics?

A

Initial high followed by relaxation

37
Q

What are key indicators of narcotic use?

A

Track marks, extreme weight loss

38
Q

What is the primary use if alcohol?

A

Recreation

39
Q

What is the addiction potential of alcohol?

A

Low but increases with prolonged use

40
Q

What are the effects of alcohol use?

A

Intoxication, relaxation

41
Q

Confusion, slurred speech, depression, sleepiness, loss of control are the most common indicators of

A

alcohol use

42
Q

Stimulants include what drugs

A

Amphetamines

43
Q

What are stimulants prescribed?

A

Chronic fatigue and weight loss

44
Q

What is the addiction potential of stimulants?

A

High

45
Q

Rapid heartbeat, more energy, increase blood pressure and respiratory rate are effects of

A

stimulant use?

46
Q

Name some common hallucinogens

A

LSD & mescaline

47
Q

Why are hallucinogens used?

A

Recreation

48
Q

Name some common depressants

A

Benzodiazepines & phenobarbital

49
Q

What is the addiction potential of depressants

A

Moderate to high

50
Q

Loss of control, dizziness, hallucinations are some effects of

A

hallucinogen use

51
Q

Catatonia, sweating, trembling, sensitivity to light and sound are most common indicators of

A

hallucinogen use

52
Q

Appear intoxicated, lack of coordination, controlled speech are common indicators of

A

depressant use

53
Q

What is the most common use of cannabis

A

Recreation

54
Q

Euphoria, loss of coordination/concentration, change in appetite, distortion in perception are common effects of

A

cannabis use

55
Q

Blood shot eyes, out speech & behavior, distorted perception are most common indicators of what?

A

Cannabis use

56
Q

Binge drinking is common among which population in the LGBTQ community?

A

lesbians

57
Q

Alcohol dependent individuals are _____ times more likely to die from suicide

A

10

58
Q

Which substances interfere with motor control and are factors in many automobile accidents

A

marijuana and alcohol

59
Q

This addiction theory says there are a number of reasons people use substances and accounts for hereditary disposition, psychological problems, social influences

A

biopsychosocial model

60
Q

This addiction model claims addiction is chronic, progressive, relapsing, and potentially fatal

A

medical model

61
Q

This addiction model says substances relieve symptoms of psychiatric disorders

A

self medication model

62
Q

This addiction model accounts for family and environmental factors

A

family and environmental model

63
Q

This addiction theory says drug use is learned and reinforced from others who serve as role models

A

social models

64
Q

Glassy eyes, loud talking, inappropriate laughter, sleepiness are signs of

A

marijuana use

65
Q

contracted pupils, no response of pupils to light, needle marks, sweating, vomiting coughing, sniffling, loss of appetite are signs of

A

heroin use

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