Substance-related & Addictive Disorders Flashcards
What are substances?
They refer to a drug (this includes alcohol), medication–prescribed or not, or toxin.
How many classes of substances?
10
In how many ways can substance-related disorders be diagnosed?
3
What are the 3 ways for substance-related disorders to be diagnosed?
Substance use d/o
Substance Intoxication
Substance withdrawal
What does a person must exhibit in the diagnostic criteria for Substance Use d/o?
a pathological pattern of behaviors related to use of the substances
How many must a person exhibit in the diagnostic criteria for Substance Use d/o?
2 or more
You do need to experience withdrawal or tolerance to have a substance use diagnosis.
True OR False.
False. You DO NOT need to experience withdrawal or tolerance to have a substance use diagnosis.
When diagnosing every diagnosis for Substance Use what do you need to note about the symptoms?
You will need to note the severity of symptoms such as, mild, moderate, or severe.
What does mild symptoms indicate?
Indicate if your client experiences 2 or 3 of the diagnostic criteria for Substance Use d/o.
What does moderate symptoms indicate?
Indicate if your client experiences 4 or 5 of the diagnostic criteria for Substance Use d/o.
What does severe symptoms indicate?
Should be noted if your client is experiencing 6 or more of the diagnostic criteria for Substance Use d/o.
If your client has withdrawal symptoms or describes signs of tolerance to the drug, the disorder tends to be more what?
- Mild
- Moderate
- Severe
Severe
You should not specify if your client is “On maintenance therapy” OR “In a controlled environment.”
True OR False.
False. You should specify if your client is “On maintenance therapy” OR “In a controlled environment.”
What may be different if your client is if your client is “On maintenance therapy” OR “In a controlled environment.”?
Treatment plans
What does substance intoxication refer to?
Refers to the reversible substance-specific syndrome following the recent consumption or exposure to a substance.
The criteria for substance intoxication will vary across what?
Drug class
What one class substance is excluded from the list for substance intoxication?
Tobacco
What is substance withdrawal?
Refers to the changes in physiology and cognition due to substance cessation or as the substance is leaving a person’s system.
Symptoms of substance withdrawal do cause significant distress and impairment.
True OR False.
True
It is NOT clinically important to work with a medical team if someone is in need of services during intoxication or detox. True OR False.
False. It is clinically important to work with a medical team if someone is in need of services during intoxication or detox.
Substance-induced d/os are when symptoms (ex, mania or depression) are judged to be a consequence of the substance use.
True OR False.
True
If substance-induced symptoms persist after a period of abstinence (around four weeks), it may be a substance-induced d/o.
True OR False.
False. If substance-induced symptoms persist after a period of abstinence (around four weeks), it may NOT be a substance-induced d/o.
If substance-induced symptoms persist after a period of abstinence (around four weeks), it may be a substance-induced d/o, then what should you consider?
Consider in changing the dx to a proper mental illness dx.
Which of following are NOT true about alcohol intoxication?
- slurred speech
- involuntary eye movements
- insomnia
- impairment in attention or memory
Insomnia
Withdrawal does NOT include autonomic hyperactivity (ex palpitations, shortness of breath), hand tremor, insomnia, nausea or vomiting, hallucinations, psychomotor agitation, anxiety, and seizure.
True OR False.
False. Withdrawal DOES include autonomic hyperactivity (ex palpitations, shortness of breath), hand tremor, insomnia, nausea or vomiting, hallucinations, psychomotor agitation, anxiety, and seizure.
Hallucinogens can be diagnosed with use, intoxication, and withdrawal.
True OR False.
False. Hallucinogens can be diagnosed with ONLY use and intoxication b/c there is limited research on withdrawal.
What of the following indicate intoxication for hallucinogens use?
- duration varies with drug
- Phencyclidine: hypertension
- tachycardia (rapid heartbeat)
- numbness
- loss of coordination
- All
All
Inhalants can be diagnosed with use or intoxication.
True OR False.
True
Glues, gases, fuels, paints are not considered volatile hydrocarbon inhalants.
True OR False.
False. Glues, gases, fuels, paints ARE considered volatile hydrocarbon inhalants.
Opioid cannot diagnose use, intoxication, or withdrawal.
True OR False.
False. Opioid CAN diagnose use, intoxicaton, and withdrawal.
Stimulants can be diagnosed as use, intoxication, or withdrawal.
True or False.
True
When assessing for substance use and the subsequent treatment planning, always remember to assess for:
- potential barriers to recovery
- the degree of risk of continued use in the environment, social network, interpersonally
- coping skills, social skills, and resources for managing high-risk events
- Stage of change/Motivation to change
- All
All
There is not a high risk in relapse.
True OR False.
False. There IS a high risk in relapse.
It is important to gather information from multiple sources to fully assess your client.
True OR False.
True
It is common not for people to use multiple substances (i.e., polysubstance use).
True OR False.
False. It IS common for people to use multiple substances (i.e., polysubstance use).
There is a high prevalence of substance use among 18-24 YO.
True OR False.
True
There is a high rate of co-occurring mental disorders and substance use.
True OR False.
True
There is also a risk for deterioration in general health for people with more chronic abuse.
True OR False.
True
