Substance Use Disorders

Question 1

Substance Use Disorder

Answer 1

Pattern of using a substance that results in impairment and/or distress.

Question 2

Criteria for Substance Use Disorder

Answer 2

Two of the following:
Increasing quantities
Inability to stop
Habit consumes excess of time
Cravings
Impairment to daily functioning
Continued use despite problems
Giving up important events/activities
Continued use in spite of danger
Continued use in spite of worsening physical and mental health
Tolerance
Withdrawal

Question 3

Signs of Alcohol Intoxication

Answer 3

Inappropriate sexual or aggressive behaviors
Impaired judgment
Slurred speech
Emotional lability
Lack of coordination
Unsteady gait
Involuntary, rhythmic movement of the eyes
Impaired attention or memory
Stupor
Coma.

Question 4

Signs of Alcohol Withdrawal

Answer 4

Sweating
Tachycardia
Hand tremor
Insomnia
Nausea or vomiting
Transient illusions or hallucinations
Anxiety
Psychomotor agitation
Grand mal seizures
Delirium tremens (DTs).

Question 5

Wernicke’s Encephalopathy

Answer 5

Thiamine loss due to alcoholism

Confusion
Loss of muscle coordination (leg tremors)
Vision changes (abnormal eye movements, double vision, eyelid drooping).

Question 6

Korsakoff’s Syndrome

Answer 6

Retrograde and anterograde amnesia and confabulation (attempts to compensate for memory loss by fabricating memories)
Hallucinations.

Question 7

Signs of Amphetamine/Cocaine Intoxication

Answer 7

Euphoria
Anxiety
Hyperactivity
Grandiosity
Confusion
Anger
Paranoia
Auditory hallucinations
Tachycardia
Elevated or lowered blood pressure
Dilated pupils
Perspiration or chills
Nausea or vomiting
Weight loss
Psychomotor agitation
Muscular weakness
Confusion
Seizures.

Question 8

Signs of Amphetamine/Cocaine Withdrawl

Answer 8

Dysphoric mood
Fatigue
Vivid and unpleasant dreams
Insomnia or hypersomnia
Increased appetite
Psychomotor agitation

Question 9

Signs of Caffeine Intoxication

Answer 9

Restlessness
Nervousness
Excitement
Insomnia
Flushed face
Diuresis
Gastrointestinal disturbance
Muscle twitches
Rambling flow of thought and speech
Tachycardia or arrhythmia
Periods of inexhaustibility
Psychomotor agitation.

Question 10

Signs of Caffeine Withdrawal

Answer 10

Headache (most common)
Changes in mood (such as depression and anxiety)
Difficulty concentrating
Fatigue
Increased appetite.

Question 11

Signs of Hallucinogen Intoxication:

Answer 11

Perceptual changes
Anxiety; depression
Ideas of reference
Paranoid ideation
Pupillary dilation
Tachycardia
Sweating
Palpitations
Blurred vision
Tremors
Incoordination

Question 12

Hallucinogen Persisting Perception Disorder (Flashbacks)

Answer 12

Following the cessation of use, the re-experiencing of one or more of the perceptual symptoms that were experienced while intoxicated with the hallucinogen causing impairment or distress

Question 13

Signs of Opioid Intoxication

Answer 13

Initial euphoria followed by apathy or dysphoria
Pupillary constriction
Drowsiness or coma
Slurred speech
Impairment in attention and memory.

Question 14

Signs of Opioid Withdrawal

Answer 14

Dysphoric mood
Nausea or vomiting; muscle aches
lacrimation or rhinorrhea (runny eyes & nose)
Pupillary dilation
Diarrhea
Yawning
Fever
Insomnia.

Question 14

Sedative, Hypnotics, Anxiolytics

Answer 14

Withdrawal and Intoxication symptoms are the same as alcohol symptoms.

Question 15

12-Step Programs

Answer 15

Based on the disease model that addiction cannot be cures.

Question 17

Motivational Interviewing

Answer 17

Treatment model that focuses on resolving ambivalence and using the person’s own values and concerns to elicit change

Question 18

Early Full Remission

Answer 18

Aside from cravings, none of the criteria for Substance Use Disorder are present for 3-12 months.

Question 19

Sustained Full Remission

Answer 19

Aside from cravings, none of the criteria for Substance Use Disorder are present for 12 months or longer.

Question 20

CAGE Questionnaire for Substance Use Screening

Answer 20

Have you ever feel you should cut down?
Have you been annoyed by people criticizing your use?
Have you felt guilty about using?
Have you ever felt you need a drink first thing in the morning to steady your nerves or get rid of a hangover?