Substance Use Disorder

Question 1

Substance Use Disorders

Answer 1

Disorders that involve chronic difficulties in resisting the desire to drink alcohol or use drugs

Question 2

Defining features

Answer 2

• Intoxication
• Withdrawal
• Abuse
• Dependence

Question 3

Substance

Answer 3

Any natural or synthesized product that has psychoactive effects
- Changing thoughts, emotions, an/or behaviour

Question 4

Intoxication

Answer 4

Behavioral and psychological changes that occur as a result of physiological effects of a substance on the central nervous system
- Can be significantly maladaptive
- Can occur in people with and without disorder
- Exact symptoms depend on setting, type of substance, quantity, timing, expectations

Question 5

Tolerance

Answer 5

Diminished effects form the same dose
- Will occur in people who are dependent
- Different drugs have different risk to tolerance

Question 6

Withdrawal

Answer 6

Physiological and behavioral symptoms that emerge when substance use stops or greatly reduced after prolonged period
- Can result in significant distress or impairment
- Many will go back to the substance to relieve symptoms

Question 7

Common withdrawal symptoms

Answer 7

• Irritability
• Sweating
• Trouble sleeping
• Tremors
• Restlessness
• Depression or dysphoria

Question 8

Substance use disorder

Answer 8

Cognitive, behavioral, physiological symptoms from substance use despite significant associated problems
- need at least 2 of 4 problems over the course of a year
(impaired control, social problems, risky use, physical dependence)

Question 9

Impaired Control

Answer 9

• Using more of a substance or more often than intended
• Wanting to cut down or stop using but not being able to
• Craving

Question 10

Social Problems

Answer 10

• Neglecting responsibilities and relationships
• Giving up activities they used to care about because of their substance use
• Inability to complete tasks at home school or work

Question 11

Risk use

Answer 11

• Using in risky settings
• Continued use despite known problems
• legal impacts

Question 12

Physical dependence

Answer 12

• Needing more of the substance to get the same effect
• Having withdrawal symptoms when a substance isn’t used

Question 13

Alcohol

Answer 13

• Depressant
• Heavy dose causes depression, fatigue, lethargy, decreased motivation, confusion, sleep disturbances, stupor, coma or death
• Heavy drinking: 5 or more days per month
• Binge drinking: 4 or 5 or more drinks in 2 hours

Question 14

Depressant

Answer 14

Slows the central nervous system

Question 15

Withdrawal symptoms of alcohol abuse

Answer 15

STAGE 1
- Shakes, weakness, perspiration, nausea, cramps, anxiety, mild hallucinations
STAGE 2
- Convulsive seizures
STAGE 3
- Delerium tremens (intense hallucinations, delusions, disorientation, agitation, aggression, confusion)
- only 10% of people reach stage 2 or 3

Question 16

Stimulants

Answer 16

Activate the CNS causing feelings of energy, happiness, power, decreased appetite and desire for sleep

Question 17

Nicotine

Answer 17

• One of the most addictive substances
• Cigarettes most common delivery
• 23% of US were smokers in 2017
• Effects resemble fight or flight
• Feels good when withdrawal symptoms step - fake calming
• about 70% of people over 12 have smoked at one point

Question 18

Caffeine

Answer 18

• 75% ingested in coffee
• Increases metabolism, body temp and blood pressure
• High dose causes restlessness, nervousness, hand tremors
• Daily caffeine intoxication can cause seizures, cardiac complications or respiratory failure
• Average of 200mg of caffeine per day