Substance Use Flashcards
What is a common fear related to substance use among children?
fear of cigarette smokers
what is the national survey that is given every 2 years to teens in grades 7-12 to track substance use?
CSADS (Canadian Student Alcohol and Drugs Survey)
What substance is used a lot by teens over the years?
Alcohol
What % of youth have high-risk drinking behaviour?
25%
Why do adolescents say they’re using a substance? (2 main reasons by 2 groups) - Which are we most concerned about?
First group (larger): “to feel good and be sociable”: positive motivations
Second group (smaller): “stress relief and coping with negative situations”
- most concerned about this one
What kind of assessment do we want to do for substance use?
a functional assessment - what is the function that this substance is serving in this person’s life?
- knowing the function guides what to do about it
We ask questions like:
- “oh what do you like about smoking cannabis?” OR “what do you like about drinking alcohol?” (can serve a different purpose depending who you’re doing it with - alone/ with family)
If the main function for someone to be drinking alcohol is to alleviate their panic disorder, what would we do about it?
treat the panic disorder and get them addiction help
How many symptoms do you need for substance use disorder to be diagnosed? How long do you need to have had them?
2 symptoms within a 12-month period
What are 4 different categories of symptoms?
Control, cravings, consequences, and physiological changes
What is a proposed substance abuse category?
Internet Gaming Disorder
- playing video games persistently leading to significant impairment for distress as indicated by 5 or more symptoms between a 12 month period
motivational interviewing
psychological intervention used in substance use-related concerns
- people have mixed feelings about what is happening, and about the things that are playing on their reward system
- This is about accepting that that is the situation and then trying to meet people where they currently are in the process of deciding to change something
What type of talk do we reinforce in motivational interviewing? what type of talk do we want to ignore?
Change talk: reasons for making changes to substance use
- reframing or ignoring sustained talk: reasons for not changing the thing
motivational interviewing: “the righting reflex” - is it something we should let ourselves engage in as clinicians?
If someone tells you a problem in their life, there is a strong urge to want to help that person at that exact moment
- no we shouldn’t, we should rephrase things and promote change talk instead
What is an example of change talk?
Using the phone too much
“How confident are you that you can use your phone less this week?”
What is obvious to a person with substance abuse?
the benefits of using the substance
What is not as obvious to a person with substance abuse?
- the benefits of stopping
- the costs of not stopping (reverse of the benefits of stopping)
At the beginning of the motivational interviewing, what stage is the patient in?
precontemplation - haven’t decided yet to make a change
What are the order of stages patients are in during treatment?
precontemplation
contenplation
preparaition
action
maintenance
relapse
