Treating Women with SUD Flashcards
True or False, women and men have the same responses to substances.
False
ASAM Dim 1 - How are Women different
Substances metabolize differently. Females seem to be more sensitive to the rewarding effects of drugs than males and estrogen is a major factor in that underlies these sex differences.
Women have higher rates of use with what type of substances?
painkillers, sleeping pills, tranquilizers, anti-depressants and diet pills.
ASAM DIM 2 - How are Women Different?
Physical differences in size, shape and hormones. Women experience hormonal changes due to alcohol consumption.
What are the biomedical considerations that should be taken into account when working with women?
Puberty (8-13)
Menstrual Cycle (premenstrual cycle)
Peri Menopause
Women differ from one another more than men differ from women. True or false
True
What questions would you ask for Dimensions 1 & 2
When was your last period?
Is there any correlation between when you drink and your cycle?
Are you breastfeeding or pregnant?
Should we talk to our clients about sex?
If you are not talking to your patients about the first time, they have sober sex you are not doing your job. Understanding what healthy sexuality is for your client is important.
ASAM Dim 3 - Women
Women are more likely to experience bullying around issues of body image. More prevalent with eating disorders. Gastric bypass
Drug use effects all phases of the sexual response cycle including: Desire, arousal, orgasms and resolution. True or False
True
Why might someone use substances?
increase ability to sexually function
change level of desire/interest/arousal
use in order to participate in specific sex acts
to experience sexual pleasure
express feelings of love, affection and commitment.
What questions might you ask in relation to Dim 3?
When is the last time you had sober sex? What is your perception of your self? What are your eating habits? How do you feel about weight gain? If you could wake up tomorrow with a perfect sex life what would that look like?
Trauma and Women
higher levels of sexual assault, domestic violence and molestation of women.
What differences exist in genders related to Trauma?
response to trauma
how symptoms are exhibited
how one heals
What are the 3 different types of abuse?
Sexual, emotional and physical.
What is ACE?
Adverse Childhood Experience
What questions might you ask related to trauma?
I am a male you are a female; does that create any problems with you?
Have you ever experienced an interpersonal trauma/sexual trauma?
We also need to ask what their reality is of their current relationships?
What should we consider when creating a trauma informed environment?
safety, respect and dignity.
What types of behavior should we be mindful of when creating a trauma informed environtment?
eye contact, body language, tone of voice and where you stand. You should be mindful of physical touch and having appropriate boundaries.
How can pregnancy impact SUD’s in women?
Grief and loss. Shame around use while pregnant. Loss of pregnancy or termination of pregnancy. Traumatic birthing experience (also important for men)
Women cannot be effective mothers or caring family members or contribute to the community if they are using. T or F
False
Dim 4 - What may motivate women to change?
Family/Children
Health
Body Image
How can we help women navigate step one especially if they have been victimized?
Help to find empowerment in admitting powerlessness. Now you have the power to make change.
What makes women at risk for relapse?
primary caretaker of children lack of self care hormonal changes societal roles on placing others first. Grief and loss related to pregnancies
Dim 5 and women
Women tend to get lower LOC than clinically needed due to home life duties.
How do you address the needs of a women entering treatment?
Consider the needs of both the women and her children (if she has them).
