Theme 15 derp Flashcards
Addiction Type 1
Low Novelty seeking
High Harm Avoidance
High Reward Dependence
Usually Alcoholic who start drinking after age 25
Addiction Type 2
High Novelty Seeking
Low Harm Avoidance
Low Reward Dependence
Usually Alcoholic that start drinking before Age 25
Brain Reward System
Dopaminergic neurons in Ventral Tegmentum projects to the Nucleus accumbens “pleasure center”
Part of the Reward Path Heroin acts on
Ventral Tegmentum
Part of the Reward path Alcohol acts on
Nucleus Accumbens
Part of Reward Path Cocaine, Nicotine and THC act on
Nucleus Accumbens
Stimulants
Amphetamines
Cocaine
Ecstasy
Nicotine
Hallucinogenic
Ketamine LSD Phencyclidine(angle dust) Psilocybin(Shrooms) Cannabinoids
Sedatives
Alcohol
Barbiturates
Benzos
Solvents
Alcohol Detox
Tachycardia
Hypertension
Hallucinations
*CAN BE LIFE-THREATENING
Cold Opiate Detox
Symptoms like GI flu
*not life threatening, last a week worst is 2nd or 3rd day
Warm Opiate Detox
sub opiate for methadone, then reduce methadone
Etiology of Drug addiction
Feedback from Mesolimbic pathway
reduced Prefrontal cortex-reduced self control
Drinking Limits men
Max a day 4
Max a week 14
Drinking limits women
Max a day 3
Max a week 7
Sedative Intox
Sedation, Sleepiness, Slurred speech, Respiratory depression
Sedative Withdrwal
Agitation, insomnia, ANS hyperactivity, hallucinations
Formication-“bugs on skin”
Delirium Tremens- due to heavy use, associated with high mortality rate
Stimulant Intox
Euphoria and grandiosity
Paranoia & hallucinations(MDMA, ECSTASY)
Elevated HR & BP
mydriasis
loss of appetite
Stimulant Withdrawal
Dysphoric mood
fatigue
increased appetite
Non-life threatening
LSD withdrawal
NONE
LSD intox
visual poorly formed hallucinations Dilated eyes Calm Associated with "flashback" Last 12 hours
Cannabis intox
Perceptual distortion( time slows) Dry mouth Red eyes Amotivated Conjunctival injection increased appetite
Cannabis withdrawal
irritability and nervousness
dysphoric mood
headaches, night sweats
decreased appetite
Dissociate Anesthetics Intox
(Phencyclidine(PCP) ) *depersonalization *agitation *decreased responsiveness to pain *ataxia, muscle rigidity, seizure coma Nystagmus
IS A EMERGENCY cause of violent behavior treat with Benzos/antisphys and reduced stimuli
Dissociative Anesthetic withdrawal
NONE
Opioid intox
intense rush followed by euphoria then dysphoria as high dissapates
Miosis
Respiratory depression
Test for Nicotine Dependence
Fagerstrom Test (FTND)
When is NRT recommended?
- history of withdrawal
- relapse less than a week
- high FTND
Smoking used as social crutch
Assertiveness training
Smoking used as relaxor
Relaxation training
Smoking used as crisis management
Stress management training
High enjoyment from smoking
Aversion therapy
