Substance use and adol brain

Question 1

**4 most used drugs by adols

Answer 1

1. alc
2. THC
3. tobacco
4. prescription opiods

Question 2

how does use vary with sex and age

Answer 2

similar for both sexes

- increases with each school year

Question 3

**how common are comorbidities

Answer 3

30-50%

- mostly anxiety/depression

Question 4

what is continuum of substance use

Answer 4

1. no use
2. experimentation (1-4x)
3. regular use
4. abuse (use despite probs)
5. dependence

Question 5

4 features of dep.

Answer 5

1. regular use
2. withdrawal
3. adaptation
4. tolerance

Question 6

3 ways to tell if abuse

Answer 6

1. consequences
2. hazaraous situations
3. use despite problems

Question 7

**what is adol screening tool

Answer 7

CRAFFT
C - car with someone
R - used to Relax
A - use alone
F - forget things you did
F - fam and friends tell you to cut down
T - trouble because of

Question 8

**8 markers of risk of use

Answer 8

1. fam. Hx
2. depression/anx/CD
3. LGBT
4. peers use
5. early use
6. chronic condition - esp pain
7. LD
8. Hx. of abuse

Question 9

**key area involved in brain

Answer 9

frontal cortex - executive functioning

Question 10

what is path of subs. on brain

Answer 10

1. use induces pleasure through rewards
2. pathway become reinforced
3. adaptation becomes tied to cues
   4 subtance paired cues trigger DA in brain

Question 11

5 key area THC binds to and effects

Answer 11

1. hypothal - appetite
2. amygdala - anxiety
3. cortex - altered consc., hallucination
4. hippocamus - mem
5. cerebellum - impaired coordination

Question 12

what is seen in brains of alc. use teens

Answer 12

smaller prefronatal grey and white matter

Question 13

3 keys to treating

Answer 13

1. enhance motivation
2. increase attn. and focus
3. educate