Substance-Related & Addictive Disorders

Question 1

Substance Use Disorder

Answer 1

Causing problems to these areas in last year:

1. Personal and interpersonal life
2. Employment
3. Control (lack of)
4. Health and safety
5. Physiological sequels

Question 2

After using a substance heavily and at length, the patient suddenly stops or markedly reduces intake. Within hours to days, this yields a substance-specific syndrome that causes problems.

Answer 2

Substance Withdrawal

Question 3

After heavy, long-lasting use of alcohol, the patient suddenly stops or markedly reduces intake. Within hours to days, this yields symptoms of increased nervous system and motor activity such as trembling, sweating, nausea, rapid heartbeat, high blood pressure, agitation, headache, insomnia, weakness, short-lived hallucinations/illusions, and/or convulsions.

Answer 3

Alcohol Withdrawal

Question 4

The patient has altered perceptions: auditory, tactile, or visual illusions or hallucinations with intact insight after substance withdrawl

Answer 4

with perceptual disturbances

Question 5

Begins after 3 months clean and sober for that substance (and without any of the substance use disorder symptoms–with one allowed exception: craving) and lasts until the person has been so for 1 year.

Answer 5

In early remission

Question 6

Begins after one year of being clean and sober from a substance (without any substance disorder symptoms)

Answer 6

In sustained remission

Question 7

Shortly after using a substance that can affect the CNS, the patient develops characteristic physical symptoms and clinically important behavioral or psychological changes that are maladaptive.

Answer 7

Substance Intoxication

Question 8

Shortly after drinking alcohol, the patient becomes disinhibited. There is also evidence of neurological impairment.

Answer 8

Alcohol Intoxication

Question 9

Shortly after consuming caffeine, that patient develops symptoms of increased nervous system and motor activity, such as fidgeting, increased energy, insomnia, rapid heartbeat, twitching muscles, intestinal upset, excess urination, red face, rambling speech.

Answer 9

Caffeine Intoxication

Question 10

The patient suddenly stops or markedly reduces the extended, heavy intake of caffeine, yielding symptoms suggesting flu and CNS depression.

Answer 10

Caffeine Withdrawal

Question 11

Shortly after using cannabis, the patient develops symptoms of motor incoordination or altered cognition plus telltale red eyes, dry mouth, rapid heart rate, and hunger.

Answer 11

Cannabis Intoxication

Question 12

After stopping major, long-lasting cannabis use, the patient experiences symptoms of dysphoria and CNS overactivity, along with troubled sleep, poor appetite, depression, anxiety, restlessness, and physical discomfort from shakiness, sweating, chills/fever, headache, or abdominal pain.

Answer 12

Cannabis Withdrawal

Question 13

Shortly after using PCP, the patient develops serious, sometimes lethal symptoms of behavioral disinhibition. Heartbeat or blood pressure can be high, and sometimes hearing seems abnormally acute

Answer 13

Phencyclidine Intoxication (PCP)

Question 14

Shortly after using a non-PCP hallucinogen, the patient develops symptoms of dysphoria, misperception, or poor judgment, plus autonomic overactivity

Answer 14

Other Hallucinogen Intoxication

Question 15

After stopping the use of hallucinogen, the patient again experiences at least one of the misperceptions that occurred during intoxication.

Answer 15

Hallucinogen Persisting Perception Disorder

Question 16

Upon inhaling a chemical substance, the patient experiences poor judgment, aggression, or other behavioral changes, plus various symptoms of neuromuscular incoordination.

Answer 16

Inhalant Intoxication

Question 17

Shortly after using an opioid, the patient experiences mood changes, increased or reduced psychomotor activity, or poor judgment. Constricted “pinpoint” pupils (or dilated pupils, in overdose) along with evidence of depressed neurological functioning.

Answer 17

Opioid Intoxication

Question 18

After cutting back from several weeks of heavy opioid use, the patient develops characteristic symptoms of rebound excitation–dysphoria, nausea, diarrhea, muscle aches, tearing, yawning, sleeplessness, and autonomic symptoms such as dilated pupils, hair standing up, and sweating.

Answer 18

Opioid Withdrawal

Question 19

Shortly after using a sedative, hypnotic, or anxiolytic drug, the patient becomes disinhibited. (argues; aggressive; rapid mood shifts; impairment of attention, judgement, or personal functioning) There is evidence of neurological impairment.

Answer 19

Sedative, Hypnotic, or Anxiolytic Intoxication

Question 20

After heavy, long-lasting use of sedative, hypnotic, or anxiolytic drug, the patient suddenly stops or markedly reduces intake. Within hours to days, this yields symptoms of increased nervous system and motor activity such as trembling, sweating, nausea, high blood pressure, rapid heartrate, agitation, etc.

Answer 20

Sedative, Hypnotic, or Anxiolytic Withdrawal

Question 21

Shortly after using a stimulant drug, the patient exhibits changes of mood/affect, as well as impaired judgement or psychosocial functioning. Physical indicators of neurological excitation present.

Answer 21

Stimulant Intoxication