substance abuse Flashcards
What is the definition of dependance?
- strong desire to take
- can’t control how much to take
- withdrawal state when not taking
- increased tolerance
What is the definition of intoxication
- disturbance in cognition/behavior/consciousness
- following administration of substance
What is the definition of Saliency/Primacy?
obtaining and using substance takes over other interests
What is the definition of tolerance?
Increases doses of psychoactive substance to achieve effects
What is the definition of ‘narrowing of repertoire’
loss in variation in the use of the substance
What is the definition of ‘reinstatement’
patient re starts the substance after a period of absitinence
How is the ‘withdrawal state’
recent cessation results in symptoms and signs compatible with known features of withdrawl of that substance
what is the definition of ‘detoxification’
- process of reducing or stopping addictive substance
2. medical assistance may be required
Patient interview - Q about drug abuse
- age at starting drug
- types and quantity of drugs
- frequency of use
- route of administration
- overdose
- abstinence and relapse triggers
- symptoms when drug is unvailable
Patient interview - Q about consequences of addiction
- forensic history
- physical health
- psychological well being
- social and family relationships
- economic and employment status
What is important to determine?
determine level of patient motivation to chnage
What are the first 3 stages of change?
- pre contemplation
(patient doesn’t recognise problem) - Contemplation
( weighs up procs and cons) - Decision
What are the final 3 strategies for change?
- Action - person chooses strategy for change and pursues it
- Maintenance
- Relapse
- return to previous pattern
what is a dual diagnosis?
mental illness and comorbid substance misuse problem
