Substance-Related And Addictive Disorder Flashcards

1
Q

Substance-related and addictive disorders

A
  • an umbrella term for substance use disorders as well as other addictive disorders that interfere with one’s ability to function
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2
Q

Substance use disorders

A
  • patterns of negative symptoms as a result of an individual continuously using a harmful substance
  • alcohol use disorder
  • opioid use disorder
  • cannabis use disorder
  • stimulant use disorder (cocaine, methamphetamine, etc)
    *DSM-5 does not recognize caffeine
  • gambling disorder
  • DSM-5 does not recognize sex addiction
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3
Q

Withdrawal

A
  • physical and mental symptoms that a person has when they suddenly stop using an addictive substance
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4
Q

Signs and symptoms of substance use disorders

A
  • change in sleeping habits
  • increased irritability
  • lack of motivation
  • hallucinations
  • trouble managing responsibilities at work, school, or home
  • inability to focus
  • withdrawal symptoms
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5
Q

Comorbidities with substance use disorders

A
  • depression
  • anxiety
  • PTSD
  • personality disorders (antisocial and borderline)
  • a cycle that is difficult to escape
  • risk factors = early exposure to substances/addiction (parents/ neighborhood, etc)
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6
Q

Occupational limitations

A
  • lack of motivation or energy to take care of one self
  • may neglect appearance
  • cognitive and sensory-motor problems leading to dangerous situations and risky behaviors
  • challenges in communication, social skills, emotional regulation, establishing, and maintaining intimate relationships
  • problems in all performance skills (sensorimotor, cognitive, and psychosocial areas)
  • negative impact on employment, financial stability, and personal health)
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7
Q

Impact on ADLs

A
  • may neglect personal hygiene and grooming, bathing/showering, and dressing
  • eating and swallowing, feeding
  • some substances alter a person’s appetite
  • functional mobility
  • some drugs cause a lack of coordination, dizziness, and increased fall risk
  • sexual activity
  • drug use can lead to unsafe behaviors such as unprotected sex
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8
Q

Impact on IADLs

A
  • care of pets and animals, child rearing
  • may neglect pet or child, have difficulties with parental monitoring, harm the baby’s growth and development in the womb
  • communication management = slurred or rapid or rambling speech
  • driving and community mobility and safety and emergency maintenance
  • driving or doing risky things under influence
  • financial management
  • may spend money on drugs when cannot afford to
  • meal preparation and cleanup
  • potential difficulty with executive functioning and preparing nutritious food
  • religious and spiritual expression
  • using drugs or drinking can impact your sense of peace and how it feels to be you
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9
Q

Impact on work

A
  • not meeting work responsibilities
  • frequently missing work
  • may become unemployed
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10
Q

Impact on education

A
  • unexcused absences
  • may be suspended
  • less motivation
  • grades may drop
  • difficulty concentrating and thinking
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11
Q

Impact on leisure

A
  • may only do activities that involved alcohol, drugs, tobacco, or gambling
  • loss of interest in activities once enjoyed
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12
Q

Impact on social participation

A
  • drug-use may result in acceptance and peer interaction and peer pressure
  • may isolate oneself, loss of trust in friends and family
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13
Q

Physical limitations

A
  • short and long term health consequences
  • increased blood pressure and heart rate, sleep problems, teeth decay, ongoing cough, and frequent lung problems, tremores, nausea or vomiting, damage to organs
  • more likely to get infectious disease like HIV (through sharing needles or unsafe sex)
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14
Q

Cognitive limitations

A
  • potentially impaired thinking and processing knowledge, communication, attention span/concentration, memory, problem-solving, and judgment
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15
Q

Emotional limitations

A
  • higher levels of emotional dysregulation, repetitive negative thinking, higher rates of comorbid mental illness
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16
Q

Social limitations

A
  • negative impact due to challenges in social skills and communication, strain on relationships
  • decreasing social participation due to prioritized drug use
17
Q

Lived experience with Antoinette

A
  • “addiction does not discriminate, it does not care who you are”
  • was a paralegal before her addiction to cocaine
  • was using drugs when she was younger but did not consider herself addicted until adulthood
  • experienced traumatic events in her life such as her parents’ divorced, being placed in juvenile hall, and a shooting
  • experiences a rush and continues to chase the senes of euphoria from cocaine
  • has experienced limitations because of her addictive disorder
  • isolation
  • does not have any contact with her family
  • lost jobs and money
18
Q

Key points

A
  • “substance-related and addictive disorders” includes substance use disorders as well as other addictive disorders
  • vicious cycle of addiction and mental health comorbidities
  • impact on employment, relationships, and health management
  • stigma/judgment around substance use and addiction