Substance Use Disorders Flashcards
For each class of substance, the DSM-5 has three types of disorders, namely:
______ use disorder
______ intoxication
______ withdrawal
There are a total of ___ different substance use disorder, three for each of the ___ types of substances
30; 10
Alcoholic beverages contain _____ alcohol
ethyl
Alcohol is a CNS stimulant/depressant
depressant
Alcohol binds to ____ receptors, an excitatory/inhibitory neurotransmitter
GABA; inhibitory
Alcohol leads to _______ and reduced _______ in small amounts but in large amounts can cause death.
relaxation; inhibition
Problematic pattern alcohol use leading to impairment /distress seen by _ or more of the following symptoms, occurring within a __-month period.
1. alcohol often taken in _____ amounts / over longer period than was intended.
2. Persistent desire or unsuccessful efforts to cut down or control alcohol use. 3. Great deal \_\_\_\_ spent in activity to obtain, use alcohol or recover from its effects 4. \_\_\_\_\_, or a strong desire or urge to use alcohol 5. Recurrent alcohol use resulting in failure to fulfill major \_\_\_\_ obligations.
- ______ alcohol use despite persistent /recurrent social/interpersonal problem caused by or exacerbated by effects of alcohol.
- Important social, job, or recreational activity ______/______ due to alcohol
- Recurrent alcohol use in situations where is _______ _______.
- Alcohol use continued despite knowledge of having a persistent/recurrent physical or mental problem likely to be worsened/influenced by alcohol use.
- _________
- _________
2; 12
1. larger
3. time
4. craving
5. role
6. Continued
7. given up/reduced
8. physically hazardous
10. tolerance
11. withdrawal
What is tolerance?
A need for markedly increased alcohol to have intoxication or desired effect
Markedly decreased effect w/ continued use of same amount of alcohol
True or false: Alcohol use disorder can be mild, moderate, or severe
True
How much/how often do you need to drink alcohol to be diagnosed with alcohol use disorder?
12-months of 2+ symptoms of problematic behavior due to alcohol
Alcohol use disorder prevalence in the U.S.
7%
Alcohol use disorder is most prevalent among _______ and ______ and least prevalent among ________
American Indians & White Americans
Asian Americans
What is the average age of onset for alcohol use disorder:
20s & 30s
For alcohola use disorder, intoxication often begins in ________
adolescence
What is the M:F ratio for alcohol use disorder?
2:1
There is a _x increased risk of alcohol use disorder if parent had the disorder (even if adopted)
3-4
Over the long term, the body decreases production of ____, thus creating more of a physical need for the substance.
GABA
the availability and acceptability of alcohol use in _______ (and peer group) and _____ _______ (e.g., breakup or loss of job) may increase alcohol use disorder
society; social stressors
From a personality perspective, ________ is associated with more severe alcohol use disorder
impulsivity
True or false: Medications are never used with alcohol use disorder
False, but they aren’t all that helpful
Best treatment option for alcohol use disorder:
Therapy
Is relapse common with substance abuse disorder?
Yes
What is the first goal in treatment for SUD?
Detoxification
What is the second goal in treatment for SUD?
Maintenance/relapse prevention
Most programs for alcohol use disorder treatment lean towards either ______ ________ or _________
Controlled drinking
Abstinence
Although Dr. Rytwinski does not advocate for many peer group therapy, __ is an exception!
AA
AA is non-religious/religious and involves a controlled drinking/absintence approach
religious; abstinence
Where was AA founded?
Akron, OH!
