Substance Use Dxs

Question 1

Name at least 5 out of 9 disorders that can be Substance Induced Dxs in the DSM

Answer 1

Psychotic 
Bipolar
Depressive
Anxiety
OCD and Related Dxs
Sleep
Sexual Dysfunction
Delirium 
Neurocognitive

Question 2

What 3 substances do not have withdrawal symptoms?

Answer 2

Other hallucinogens
Inhalants
PCP

Question 3

For which substance can you not have a use Dx?

Answer 3

Caffeine

Question 4

Which is the only substance that is associated with Use Persisting Dx?

Answer 4

Other hallucinogens

Question 5

For which substance is there no intoxication symptoms?

Answer 5

Tobacco

Question 6

Define intoxication Dx

Answer 6

Psych and behavioral changes which begin after ingesting large amounts of substances. Nature of intoxication differs by substance.

Question 7

Does the DSM outline all of the differences in symptom profile and withdrawal for each substance?

Answer 7

Yes

Question 8

Define Withdrawal Sxs

Answer 8

Psych and behavioral changes which begin when stopping a substance. Exact nature of withdrawal Sxs differ by substance

Question 9

Use Dx
Criteria: Example - Alcohol Use Dx

A. Problematic pattern of alcohol use leading to _____ or ________. Includes ≥ 2 in past 12 months

1. Take ______ amounts or over ______ period than intended.
2. Desire or _________ to ______ or control use
3. __________ is spent obtaining, using, or recovering from alcohol and its effects
4. ________ for alcohol
5. Failure to _________ obligations due to use
6. Continued ____ despite _____ OR interpersonal ______ or ______ by use.
7. Important ________ are ______ or reduced because of _________
8. Use when __________
9. Use continues despite _______ or ______ being caused or exacerbated by use
10. T________
11. W_______

Answer 9

A. distress or impairment

1. larger; longer
2. unsuccessful attempts; cut down
3. Great deal of time
4. Cravings
5. fulfill major role
6. use social OR interpersonal problems caused or exacerbated
7. activities are given up; alcohol use
8. physically hazardous
9. psych or physical problem
10. Tolerance
11. Withdrawal

Question 10

Define tolerance

Answer 10

• A need for increased amount to achieve intoxication for desired effect.
• Decreased effect with continued use of the same amount

Question 11

Define withdrawal

Answer 11

• Alcohol withdrawal syndrome

- Alcohol (or a closely related substance - ex: benzodiazepine) is taken to avoid withdrawal Sxs