Substance Use Signs

Question 1

Signs of withdrawal: sweating, tachycardia, hand tremor, insomnia, nausea/vomiting, transient illusions or hallucinations, anxiety, psychomotor agitation, grand mal seizures, delirium tremens (DTs)

Answer 1

Alcohol withdrawal

Question 2

Wernicke’s Encephalopathy

Answer 2

associated with alcoholism - confusion, loss of muscle coordination, vision changes/issues

Question 3

Korsakoff’s Syndrome

Answer 3

disorder that primarily affects the memory system in the brain. Usually results from a deficiency of thiamine (vitamin B1) - may be caused by alcohol abuse, dietary deficiencies, eating disorders, etc

Question 4

Signs of withdrawal: dysphoric mood, fatigue, vivid/unpleasant dreams, insomnia or hypersomnia, increased appetite, psychomotor agitation or retardation

Answer 4

Amphetamine/Cocaine withdrawal

Question 5

Signs of withdrawal: headache, changes in mood, difficulty concentrating, fatigue, increased appetite

Answer 5

Caffeine withdrawal

Question 6

Signs of withdrawal: irritability, anger/aggression, nervousness/anxiety, sleep difficulty, decreased appetite or weight loss, restlessness, depressed mood, shakiness, sweating, fever, chills, or headache

Answer 6

Cannabis withdrawal

Question 7

Hallucinogen Persisting Perception Disorder (flashbacks)

Answer 7

re-experiencing of one or more perceptual sxs that were experienced while intoxicated - causing significant distress or impairment in functioning

Question 8

Signs of withdrawal: dysphoric mood, nausea or vomiting, muscle aches, runny eyes/nose, diarrhea, yawning, fever, insomnia

Answer 8

Opioid withdrawal

Question 9

Early Full Remission (does not apply if on agonist therapy e.g. methadone or in controlled environment)

Answer 9

No criteria for SUD except cravings are met for at least 3 months but less than 12 months

Question 10

Sustained Full Remission (does not apply if on agonist therapy e.g. methadone or in controlled environment)

Answer 10

No criteria for SUD except cravings have been met for at least 12 months (or longer)

Question 11

Pre-contemplation

Answer 11

not thinking about or ready for change

Question 12

Contemplation

Answer 12

thinking and talking about change - considering whether to work towards it

Question 13

Preperation

Answer 13

planning steps to take in order to make change happen

Question 14

Action

Answer 14

taking positive steps to put the plan from previous stage into practice

Question 15

Maintenance

Answer 15

maintaining the change that has been made

Question 16

Often the spouse, the person who does everything to get the dependent to stop using except what might actually work (confrontation or leaving)

Answer 16

Enabler

Question 17

The family member who is aware of what is going on and tried to assume responsibility for the family by being successful (often the oldest child)

Answer 17

Hero

Question 18

The family member who rejects the family system (often 2nd child)

Answer 18

Scapegoat

Question 19

The member who quietly withdraws from the family system (often 3rd child)

Answer 19

Lost child

Question 20

The member who “plays clown” in order to relieve family tension or their own pain (often the youngest child)

Answer 20

Mascot

Question 21

Substance Use Disorder (must have 2 symptom for a substance within same 12-month period)

Answer 21

1. Taking the substance in larger amounts or for longer than you meant to
2. Wanting to cut down or stop using but not being able to
3. Spending a lot of time getting, using, or recovering from the use of substance
4. Cravings and urges to use the substance
5. Not managing to do what you should at work, home, school b/c of substance use
6. Continuing to use despite problems caused
7. Giving up important social, work, or recreational activities
8. Using substances again and again even when it puts in harms way
9. Continuing to use even when you know you have a physical or psychological problem that could be made worse by substance use
10. Needing more of the substance to get the effect you want (tolerance)
11. Development of withdrawal sxs, which can be relieved by taking more of substance