Substance Use Disorder

Question 1

a pattern of use that has adverse effects; this brings about problems at work, school, with relationships, and can be dangerous; this can often lead to dependence

Answer 1

Substance Abuse

Question 2

despite the adverse effects, individuals find it challenging to stop their use, or experience withdrawal symptoms when they do

Answer 2

Substance Dependence

Question 3

develops as a result of the body metabolizing substances more quickly, which reduces their effectiveness; number of receptors decreases, and more of the substance is required for the same desired effect

Answer 3

Tolerance

Question 4

after an individual discontinues substance use, symptoms range in severity and can result in hospitalization; symptoms often cause individuals to continue their use and remain in the cycle

Answer 4

Withdrawal

Question 5

dilated pupils, track marks, sniffling, twitching, loss of appetite, nodding

Answer 5

Signs of Use: Heroin

Question 6

impaired judgment, slurred speech, unsteady gait, inappropriate or aggressive behavior

Answer 6

Signs of Use: Alcohol

Question 7

glassy red eyes, loud talking, laughter, loss of motivation, weight gain/loss

Answer 7

Signs of Use: Cannabis

Question 8

euphoria, anxiety, hyperactivity, auditory hallucinations, confusion, psychomotor agitation, seizures

Answer 8

Signs of Use: Cocaine

Question 9

perceptual changes, paranoia, pupillary dilation, blurred vision, incoordination

Answer 9

Signs of Use: Hallucinogens

Question 10

pupillary constriction, slurred speech, drowsiness, impairment in attention and memory, initial euphoria leading to apathy or dysphoria

Answer 10

Signs of Use: Opioids

Question 11

anxiety, increased sweating, muscle aches, nausea, irritability, restlessness, diarrhea, suicidal ideation

Answer 11

Signs of Withdrawal: Heroin

Question 12

tremors, anxiety, seizures, sweating, restlessness, nausea, headaches, tachycardia

Answer 12

Signs of Withdrawal: Alcohol

Question 13

stomach pain, sweating, fever, chills, insomnia, agitation, aggression, tremors

Answer 13

Signs of Withdrawal: Cannabis

Question 14

dysphoric mood, fatigue, vivid and unpleasant dreams, insomnia or hypersomnia, increased appetite, psychomotor agitation or retardation

Answer 14

Signs of Withdrawal: Cocaine

Question 15

panic attacks, speech problems, severe mood swings, seizures and tremors, elevated blood pressure and heart rate

Answer 15

Signs of Withdrawal: Hallucinogens

Question 16

dysphoric mood, nausea, muscle aches, runny eyes and nose, pupillary dilation, diarrhea, fever, insomnia

Answer 16

Signs of Withdrawal: Opioids

Question 17

a symptom related to alcohol withdrawal including rapid respiration, hallucinations, temperature abnormalities and body tremors

Answer 17

Delirium Tremens (DTs)

Question 18

a neurological disorder associated with chronic alcohol use; caused by a thiamine (vit B) deficiency

Answer 18

Wernicke’s Encephalopathy

Question 19

a neurological condition associated with chronic alcohol use; caused by a thiamine (vit B) deficiency and causes memory problems

Answer 19

Korsakoff’s Syndrome

Question 20

a medication used in coordination with counselling for alcohol use disorder; blocks the enzyme that is used to metabolize alcohol and produces side effects such as increased heart rate, chest pain, nausea, dizziness, flushing and thirst when combined with alcohol

Answer 20

Antabuse (Disulfiram)

Question 21

medications used to treat opioid use disorders

Answer 21

methadone, suboxone, buprenorphine (subutex)

Question 22

no intention to change behavior in the foreseeable future; many individuals in this stage are not aware that their behavior is problematic

Answer 22

1. Precontemplation (Stages of Change)

Question 23

individuals are aware that a problem exists and are thinking about making a change; have not committed to action

Answer 23

2. Contemplation (Stages of Change)

Question 24

individuals are ready to take action, begins to take small steps, and believes that change will lead to a healthier life

Answer 24

3. Preparation (Stages of Change)

Question 25

individuals begin to modify behavior to overcome problems; this is where the most overt changes are made and where the most commitment of time and energy is required

Answer 25

4. Action (Stages of Change)

Question 26

individuals work to prevent relapse and consolidate the gains that were made during the action stage

Answer 26

5. Maintenance (Stages of Change)

Question 27

the individual relapses and feels frustrated, ashamed and disappointed

Answer 27

6. Relapse (Stages of Change)

Question 28

treatment strategy that is peer-based and includes guiding principles to overcome addiction

Answer 28

12 Step Programs

Question 29

therapy modality that helps people resolve their ambivalent feelings to find internal motivation for change; a practical, empathetic and short-term process that considers the difficulties associated with change

Answer 29

Motivational Interviewing

Question 30

an approach to treating substance use problems that does not require a commitment to abstinence; aims to change behavior according to patient goals

Answer 30

Harm Reduction

Question 31

four question screening tool used to evaluate adults for the presence of substance use dependency

Answer 31

CAGE Assessment

Question 32

evaluation to determine if an individual meets DSM criteria for substance use disorder, and its severity

Answer 32

Substance Use Disorder Evaluation (SUDE)

Question 33

an individual who had once met the criteria for Alcohol Use Disorder has not met the criteria for more than 3 months, and less than 12 months; does not count the presence of cravings

Answer 33

In Early Remission

Question 34

an individual who had once met the criteria for Alcohol Use Disorder has not met the criteria for more than 12 months; does not count the presence of cravings

Answer 34

In Sustained Remission