Substance Use Disorder

Question 1

Describe the paradigm shift about addicts

Answer 1

• Recovery programs and treatment can NOT be ALL or NONE
• Expect to have relapse times
• Manage the triggers
• Peer recovery

Question 2

Substance use disorder (SUD) as a constellation of behaviors involved in compulsive drug seeking including:

Answer 2

• impaired control of substance use,
• impaired social interactions with others because of substance use
• risky drug use (e.g., substance use in hazardous settings)
• pharmacological changes (e.g., experiencing withdrawal symptoms).
• SUD as defined by the American Psychiatric Association Diagnostic and Statistical Manual of Mental Disorders 5 (DSM-5)

Question 3

Define intoxication

Answer 3

• The intense pleasure, euphoria, calm, increased perception and sense, and other feelings that are caused by the substance

Question 4

Define tolerance

Answer 4

• Need larger amounts to feel the effects

Question 5

Symptoms of polypharmacy

Answer 5

• Loss of appetite
• Diarrhea
• Tiredness or reduced alertness
• Confusion
• Hallucinations
• Falls
• Weakness
• Dizziness
• Skin rashes
• Depression
• Anxiety
• Excitability

Question 6

Define misuse

Answer 6

• Taking medication in a manner or dose other than prescribed
• Taking someone else’s prescription even if for a legitimate medical complaint such as pain
• Taking a medication to feel euphoria

Question 7

Ways to prevent misuse

Answer 7

• Follow the directions for use
• Don’t take with other substances
• Never use another person’s prescriptions
• Store MEDs safety & dispose correctly when not using
• Never stopping or changing a dosing regimen without first discussing it with the doctor

Question 8

Define medication non-adherence

Answer 8

• Either the intentional or unwitting failure to take medications as prescribed

Question 9

Initial symptoms of Opioid withdrawal syndrome

Answer 9

• Runny nose, lacrimation, or teary eyes
• Restlessness and insomnia
• Uncontrollable yawning
• Excessive sweating
• Anxiety
• Muscle aches and spasms
• Irritability
• Aggression
• Depression
• Mood swings
• Inability to concentrate

Question 10

Describe syndemic

Answer 10

• 2 or more diseases/health conditions cluster in a population
• Contextual/social factors create clustering
• Result in adverse disease interaction & increased health burden

Question 11

Successful treatment has several steps including

Answer 11

• Detoxification
• Behavioral counseling
• Medication
• Evaluation & treatment for co-occuring mental health issues such as depression & anxiety
• Long term follow-up to prevent relapse