Substance Use Disorders Flashcards

You may prefer our related Brainscape-certified flashcards:
1
Q

Polysubstance/drug abuse

A

misuse of more than one drug at a time

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2
Q

Psychoactive substances

A

drugs that alter behavior, mood

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3
Q

Use of a drug that is accompanied by a physiological dependence on it, made evident by tolerance and withdrawal symptoms

A

Addiction

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4
Q

Substance use

A

Intake of psychoactive substances in moderate amounts; doesn’t affect normal functioning

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5
Q

Substance intoxication

A

-impaired judgment, mood change, low motor ability

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6
Q

Substance abuse

A

disrupts normal functioning

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7
Q

Substance dependence (addiction)

A

tolerance and withdrawal

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8
Q

Also referred to as environmental tobacco smoke (ETS)

A

Secondhand smoke

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9
Q

The dried resin of the cannabis plant, stronger in its effects than the dried leaves and stems that constiture marijuana

A

Hashish

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10
Q

Depressants

A
  • decrease CNS activity
  • most likely to produce symptoms of physical dependence, tolerance and withdrawal

*ALCOHOL
-GABA system interaction
-block glutamate
-cravings c/o serotonin
-Withdrawal Delirium (delirium tremens)
frightening hallucinations and body tremors within 3 days
-Dementia
result of neurotoxicity or poisoning of the brain by excessive amounts of alcohol
-Wernicke-Korsakoff syndrome
confusion, loss of muscle coordination, unintelligible speech, thiamine deficiency
-Fetal alcohol syndrome
drank while preggy; cause retardation, cognitive deficits, learning difficulty

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11
Q

Alcohol Dehydrogenese

A
  • enzyme that metabolize alcohol

- lesser in women

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12
Q

Sedative, Hypnotic, Anxiolytic related disorders

A
  • Sedative -calming
  • Hypnotic -sleep inducing
  • Anxiolytic -anxiety-reducing
  • muscle relaxants, anticonvulsants
  • affect GABA system
  • Barbiturates
  • sedative drug; help sleep
  • Benzodiazepines
  • reduce anxiety
  • safer than barbiturates
  • also called “ROOFIES”
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13
Q

Stimulants

A
  • most commonly used
  • Amphetamines
  • induce feelings of elaton and reduce fatigue
  • physical symptomes occur shortly after ingestion
  • enhance activity of norepinephrine and dopamine
  • Ecstasy (party drug)
  • Methampethamine (ice)
  • Cocaine
  • increase alertness
  • effects are short-lived
  • withdrawal causes apathy and boredom
  • Crashing: when cocaine subsides experience
  • snorted
  • free basing: vapor by heat, flame and inhaled through a pipe (crack)
  • Nicotine
  • Caffeine
  • most common psychoactive drug
  • gentle stimulant
  • Caffeine use disorder
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14
Q

Opiods

A

Opiate

  • natural chemicals in the opium poppy
  • relieve pain and induce sleep
  • analgesics
  • Morphine -“soldier’s disease” or morphine dependence
  • Heroin -wonderdrug, cough meds
  • Narcotics
  • natural and synthetic opiod drugs
  • commonly injected
  • Rush: experienced by users when opiod system is activated
  • natural opiods: enkephalins and endorphins
  • Oxycodone -combined with other drugs to produce prescription pain meds
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15
Q

Hallucinogens

A
  • induce hallucinations ,delusions
  • experience TRIPS (out of ordinary sensations)
  • come from plants
  • Cannabis sativa/Marijuana
  • experience dreamlike-state
  • synthetic: “k2 or spice”
  • reverse tolerance
  • produce mix of hallucinogenic, depressant, stimulant
  • LSD (lysergic acid diethylamide)
  • most common hallucinogenic drug
  • produced synthetically
  • no withdrawal symptoms reported
  • PCP (phencyclidine)
  • aka Angel dust, Peace pill, zombie drug
  • very powerful and hazardous drug causes profound disorientation, agitated and violent behavior
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16
Q

Causes of Substance related disorders

A

*Biological
-genetics
-Functional genomics: how genes function when it comes to addiction
-Pleasure pathway: reward center (dopamine system)
-Incentive-Sensitization theory of addiction
when substances repeatedly stimulate reward center, it develops hypersensitvity to the substances

*Psychological
-positive reinforcement
-negative reinforcement
-Opponent Process-theory
increase in positive feelings followed by increase in negative feelings and vice versa
-tension reduction

  • Cognitive
  • expectancies about effects of drugs (expectancy effect)

*Socio-cultural
-exposure to psychoactive drugs
-Moral Weakness Model of Chemical dependence
drug use is seen as a failure of self-control in the face of temptation
-Disease model of dependence
caused by an underlying psychological disorder
-social pressure
-acculturation

17
Q

Treatnment for Substance Related Disorders

A

*Biological
-Agonist substitution -provide safer drug similar make-up to the addictive drug
-Antagonist drugs
-Aversive therapy
antabuse (disulfiram) -makes drinking alcohol produce nausea
-Detoxificaton -gradual

*Psychosocial
-inpatient facilities
-12 steps (alcoholics anonymous) -group-based therapy
-Covert sensitization
-Contingency management -reward behaviors inconsistent with addictive behavior
-Motivational Enhancement Therapy (MET)
empathetic and optimistic counseling, personal connection wth client’s core values
-CBT: relapse prevention

18
Q

Gambling disorder

A
  • restless, irritable when attempting to cut down
  • lies to conceal involvement in gambling
  • jeopardize relationships, job, etc,
  • relies on others to provide money
  • Treatment
  • Gambler’s anonymous
  • CBT