substance use disorder-alcohol Flashcards
drug abuse definition
continued and prolonged drug use giving rise to functional impairment(social complications like relationship probs, occupational probs,financial probs,recurrent hazardous use,recurrent legal problems
drug dependence
continued and prolonged drug use giving rise to both loss of function and loss of control over the drug use.
loss of ctrl indicated by:
1.craving
2.drug seeking behaviour
3.priority in life
4.development of physical and psychiatric complications due to drug use and continued drug use despite the knowledge that the complications and exacerbations are due to the drug use
5.tolerance
6.withdrawal
tolerance definition
the need to increase the amount of the drug to achieve the desired effect as there is diminished effect with the previous dose
withdrawal symptoms definitions
the dev of unpleasant physical and mental symp on abstinence of the drug and relief of the symptoms on taking back the drug
components of HOPI
1.establishing pattern of use: abuse/dependence?
2.complications due to substance use
-social complications due to substance use
-psychiatric complications: intoxication,withdrawal,delirium,dementia,amnestic disorder,psychosis,mood changes,anxiety,personality change,sleep disorder
-any medical complications due to prolonged substance use
-any psychiatric disorders that comorbid with substance use (depression,anxiety disorders,mania,schizo)
establish pattern of alcohol use
1.reason for initial alcohol use
- reason for cont alcohol use but within limits(type of liquor,freq)
3.excessive alcohol use that causes no problems (at risk drinking)
4.is there any reason for excessive drinking?consider underlying psychiatric illness
5.excessive alcohol use which is causing social problems
6.elicit symptoms of dependence
elicit craving
over time did u dev a persistent and intense desire to take alcohol resulting in heavy and frequent use
elicit subjective awareness of loss of ctrl over drinking
did u feel that u have lost ctrl over your drinking?
elicit priority in life
did u have a persistent desire to cut down your drinking but unsuccessful? did u neglect all duties, responsibilities and recreational activities to obtain alcohol
elicit drug seeking behaviour
did u spend a lot of time in activities to obtain alcohol.beg,borrow or even steal for a drink
elicit tolerance
over time did u increase the amount of alcohol consumed or switch to hard liqour to achieve desired effects as the usual amount becomes ineffective
elicit withdrawal symp
have u tried to stop/reduce drinking?when doing so did u experience umpleasant mental symptoms like anxiety,depression,irritability,physical symptoms such as palpitation,tremors,sweating and sleep problems?
are your symptoms relieved by further drinking?
elicit social complications
because of your drinking did u face any:
-relationship prob( marital,spouse abuse,child abuse,interpersonal)
-occupational prob (absenteeism,poor work performance,job termination
-financial prob-debts,poverty
-hazardous use-accidents,fall
-law breaking behaviour- stealing,violence,fights,sexual offenses,serious crimes
-vagrancy-homeless and landing on the streets
alimentary system symptoms
-abdominal pain (peptic ulcer disease,alcohol liver disease,pancreatitis)
-jaundice
-vomiting blood( peptic ulcer,esophageal varices,Mallory-Weiss syndrome,vitamin K deficiency)
-nutritional deficiencies due to malnourishment,
malabsorption and blood loss ( anaemia,
avitaminosis,
hypoglycaemia)
neuro symptoms
head injuries
confusions
memory prob
tremors
epilepsy
impotence
peripheral neuropathy
cerebellar symptoms:DANISH
Dysdiadokokinesis
Ataxic gait
Nystagmus
Intention tremor
Slurred speech
Hypotonia
