Substance Use Disorders

Question 1

Addiction as a disease

Answer 1

a primary, chronic disease of brain
- inability to consistently abstain, impairment in behavioral control, craving, diminished recognition of significant problems

Question 2

moral model

Answer 2

• older, rooted in religion
• morally wrong, “bad people,” a choice
• punishment v rehab

criticism: not therapeutic, shaming, focus on choice

Question 3

medical model

Answer 3

• brain disease, chronic
• supposed by AMA, NIDA, ASAM

criticism: take responsibility off the patient for solving their problems, stigma

Question 4

psychological model

Answer 4

• substance users are self medicating or filling an unmet psychological need
  criticism: difficult to determine whether psych problems precede her are caused by drug and alcohol use

Question 5

social model

Answer 5

• substance use is learned behavior through fam, friends, peers
  criticism: ignores genetic and psych factors

Question 6

DSM-5 criteria

Answer 6

11 criteria
- substance taken in larger amounts or duration than intended, unsuccessful efforts to stop, craving, other areas of life affected, tolerance, withdrawal

Question 7

types of substance use disorders

Answer 7

• opioids
• alcohol
• cannabis
• stimulants (amphetamine, cocaine)
• sedative (benzos)
• hallucinogenic (shrooms)
• PCP
• inhalent
• unspecified stim (adderall, vyvanse, ritalin)

Question 8

severity levels

Answer 8

mild: 2-3 DSM criteria symptoms
moderate: 4-5 criteria
severe: 6+ criteria

Question 9

4 c’s to focus on

Answer 9

Craving
Compulsion
Loss of control
Continued use despite consequences

Question 10

risk factors

Answer 10

• genetic predisposition
• psych factors (stress, personality, other disorders)
• environmental influences
• use of drug/alc at an early age
• brain characteristics making someone vulnerable to addictive substances

Question 11

4 main categories of DSM behaviors

Answer 11

1. impaired control
2. social impairment
3. risky use
4. pharmacological indicators (tolerance and withdrawal)

Question 12

assessment tools

Answer 12

Lifestyle History Questionnaire Assessment of Time Management Skills 3.Time Use Diary and the Time Management Worksheet 4.Life Balance Inventory 5.Modified Interest Checklist

Question 13

other tools

Answer 13

time use diary
time management worksheet
life balance inventory
modified interest checklist