Substance Abuse & Addictive Disorders Flashcards
Internet Gaming Disorder
Persistent/ recurrent use of internet to engage in games leading the the impairment or distress with 5+ for 12 months
- preoccupation with Internet Games
- Withdrawal symptoms when Internet gaming is taken away
- tolerance; increased amounts of time spent playing games
- unsuccessful attempts to control participation
- Loss of interest in other hobbies or activities
- excessive use of internet games despite knowledge of psychological problem
- deceived others about actual amount spent gaming
- use games to escape reality
- Jeopardizes or lost significant relationship, job, educational or career opportunity
Substance Induced Medication Disorders
A. disorder represent a clinically signficant symptomatic presentation of a releveant mental disorder
B. There is evidence from the history, physical examination or labs that
1. The disorder developed during or within 1 month of a substance intoxication or withdrawl or taking a medication
2. involved substance is capable of producing mental disorder
C. Disorder is not better explained by an independent mental disorder. Such evidence of independent mental disorder could include the following;
1. disorder preceded the onset of sever intoxication or withdrawal or exposure to the medication;
2. full mental disorder persisted for at least 1 month after the cessation of acute withdrawal or sever intoxication or taking the medication. This criterion does not apply to substance-induced neurocongnitive disorders or hallucinogen persisiting preception disorder which persist beyond cessation of intoxication
D. disorder does not occur exclussively during the course of delrium
E. The disorder causes clincally signficant distress or impairment in social occupational or other important areas of functioning.
Alcohol Use Disorder Specifers
In early remission: none of the criteria is met for 3months, less than 12 months with exception of cravings
sustained remission: longer than 12 months
in a controlled environment: in an environment where access to alcohol is restricted
Alcohol Intoxication
A. recent ingestion of alcohol
B clinically significant problematic behavioral or psychological changes that developed during or shortly after, alcohol ingestion
C. One of the following signs or symptoms developed during or shortly after; slurred speech, incoordination, unsteady gait(walking) , nystagmus (rapid movement of eyes), impairment in attention/ memory, stupor or coma
D. Signs or symptoms not attributable to another medical condition
Alcohol Withdrawl
A. Cessation of alcohol use that has been heavy and prolonged
B. two ore more of the following develop hours or days after reduction
1. Autonomic hyperactivity (sweating, racing pulse)
2. Increased hand tremor
3. Insomnia
4. Nausea or vomiting
5. Transient visual tactile or auditory hallucinations or illusions
6. Psychomotor agitation
7. Anxiety
8. Generalized tonic-clonic seizures
C. Signs or symptoms cause distress in functioning
D. not attributable to other medical conditions
Alcohol Withdrawal Specifers
perceptual disturbances: applies when hallucinations occur with intact reality testing or auditory, visual, or tactile illusions occur in the absence of delirium
Caffeine Intoxcation
A. recent consumption of caffeine B. five ore more of the following signs or symptoms developing during or shortly after caffeine use: 1. restlessness 2. nervousness 3. Excitement 4. Insomnia 5. Flushed face. 6. Dieresis 7. Gastrointestinal disturbance 8. Muscle twitching. 9. Rambling flow of thought and speech 10. Cardiac arrhythmia 11. Periods of inexhaustibility 12. Psychomotor agitation
C. causes impairment in function
D. not attributable to other medical conditions
Caffeine Withdrawl
A prolonged daily use of caffeine
B. Abrupt cessation followed within 24 hours
- headache, marked fatigue, dysphoric mood, difficulty concentrating, flu-like symptoms
C. causes impairment in function
D. not attributable to other medical conditions
Cannabis Use Disorder
A. problematic pattern between use of canbis, leading to impariment of function over 12month period of time; 2 must be present
- cannabis is taken in large amounts or over longer period then was intended
- persistent desire to cut down or control
- A great deal of time is spent in activities necessary to obtain use or recover from alcohol
- Cravings
- Recurrent use resulting in failure to fulfill major role obligations at work
- Continued cannibis use despite social or interpersonal problems caused by effects of it
- Important social, occupational, or recreational activities are given up or reduced because of use
- Recurrent use in situations which it is physically hazardous
- Alcohol use is continued despite knowledge of having a persistent or recurrent physical or psychological problem that is likely to have been caused or exacerbated by alcohol
- Tolerance
- need for marked increased amounts to achieve intoxication
- diminished effect with continued use of the same alcohol - Withdrawal
- (Criteron a & B)
b. Canabis is take to relieve or avoid withdrawal symptoms
Cannabis Use Disorder Specifier
In early remission: none of the criteria is met for 3months, less than 12 months with exception of cravings
sustained remission: longer than 12 months
in a controlled environment: in an environment where access to cannbis l is restricted
Cannabis Intoxication
A. Recent Use of cannabis
B. Clinically significant problematic, behavioral or psychological changes that developed during cannibis use
C. Two or more of the following signs of symptoms developing with 2 hours of cannabis use
1. Conjuctival injection
2. increased appetitie
3. Dry Mouth
4. Tachycardia
D. Signs or symtpoms not attributable to other medical condition
Cannibis Withdrawl
A. Cessation of cannibis use that has been heavy and prolonged B. 3 or more after Criteron A 1. Irritability/ anger/ aggression 2. Nervousness or anxiety 3. Sleep difficulty 4. Decreased appetitie or weight loss 5. Restlessness 6. Depressed mood 7. 1 physical causes; abdomnial pain, shakeiness, tremors, sweating, fever, chills or headache.
C. causes impairment in function
D. not attributable to other medical conditions
Phencyclidine Use Disorder
A. problematic pattern between use of phencyclidine (Use pharmacologically substances) , leading to impairment of function over 12month period of time; 2 must be present
- phencyclidine is taken in large amounts or over longer period then was intended
- persistent desire to cut down or control
- A great deal of time is spent in activities necessary to obtain use or recover from alcohol
- Cravings
- Recurrent use resulting in failure to fulfill major role obligations at work
- Continued phencyclidine use despite social or interpersonal problems caused by effects of it
- Important social, occupational, or recreational activities are given up or reduced because of use
- Recurrent use in situations which it is physically hazardous
- Alcohol use is continued despite knowledge of having a persistent or recurrent physical or psychological problem that is likely to have been caused or exacerbated by alcohol
- Tolerance
- need for marked increased amounts to achieve intoxication
- diminished effect with continued use of the same alcohol - Withdrawal
- (Criteron a & B)
b. Phencyclidine is take to relieve or avoid withdrawal symptoms
Phencyclidine Use Disorder
In early remission: none of the criteria is met for 3months, less than 12 months with exception of cravings
sustained remission: longer than 12 months
in a controlled environment: in an environment where access to phencyclidine l is restricted
Hallucinogen Use Disorder
A. problematic pattern between use of hallucinogen, leading to impairment of function over 12month period of time; 2 must be present
- hallucinogen is taken in large amounts or over longer period then was intended
- persistent desire to cut down or control
- A great deal of time is spent in activities necessary to obtain use or recover from alcohol
- Cravings
- Recurrent use resulting in failure to fulfill major role obligations at work
- Continued hallucinogen use despite social or interpersonal problems caused by effects of it
- Important social, occupational, or recreational activities are given up or reduced because of use
- Recurrent use in situations which it is physically hazardous
- Alcohol use is continued despite knowledge of having a persistent or recurrent physical or psychological problem that is likely to have been caused or exacerbated by alcohol
- Tolerance
- need for marked increased amounts to achieve intoxication
- diminished effect with continued use of the same alcohol
no withdrawal symptoms for hallucinogens
