Treatment and Prevention Pt 2

Question 1

Abstinence

Answer 1

• goal of many self help groups
• typically not questioned
• illicit drugs due to legality

Question 2

Moderation

Answer 2

• controversial despite numerous reports on self-change
• depends on individuals’ beliefs

Question 3

What doesn’t harm reduction do?

Answer 3

condone or criticize substance misuse

Question 4

What does harm reduction emphasize

Answer 4

• reducing negative consequences of substance use

Question 5

Exmples of harm reductino

Answer 5

• DD
• training bartenders to stop serving
• narcan
• educational class

Question 6

Why is there widespread resistance to the concept of harm reduction?

Answer 6

contrasts w goals of war on drugs

Question 7

What’s the biggest problem with abstincence?

Answer 7

• relapse rates very high in addiction
• addiction is a disease- relpase rates for common disease like diabetes is als very high

Question 8

Stages leading to relapse

Answer 8

• social drinking
• problem/abusive drinking
• dependence/altered brain function
• excessive and uncontrollable drinking
• abstinence
• acute/protracted withdrawal symptoms
• relapse

Question 9

Can neuroadaptations be reversed?

Answer 9

meth abuser after 14 months abstinence had dopamine transporters practically back to normal

Question 10

How can relapse initially be prevented?

Answer 10

• preventing withdrawal symptoms (self medication)
• goal is to detoxify the individual and get them through the initial withdrawal symptoms

Question 11

What does detox depend on?

Answer 11

• depends on drug of misuse
• if wihtdrawal symptoms are severe then better to be monitered during detox

Question 12

How can withdrawal symptoms be prevented/lessened during and after detox?

Answer 12

pharmacotherapies

typically well accepted in our society

Question 13

What pharmacotherapy prescribed for hyper-excitability of the CNS and PNS during alc detox?

Answer 13

benzodiazepines

Question 14

What pharmacotherapy prescribed for seizure and tremors during alc detox?

Answer 14

benzodiazepines, anti-epileptics

Question 15

What pharmacotherapy prescribed for anxiety/irritability during alc detox?

Answer 15

benzodiazepines

Question 16

Goal of pharmacotherapies post-alc detox?

Answer 16

lessen the impact of protracted withdrawal symptoms by restoring neurochemical balance

Question 17

Pharmacotherapies post-alc detox: anxiety

Answer 17

benzos and SSRIs

Question 18

Pharmacotherapies post-alc detox: negative effect/depression

Answer 18

SSRIs

Question 19

Pharmacotherapies post-alc detox: sleep disturbances/insomnia

Answer 19

benzs

Question 20

Pharmacotherapies post-alc detox: craving

Answer 20

naltrexone (opioid antagonist)

Question 21

Are pharmacotherapies post-alc detox well accepted in society?

Answer 21

no bc why use drugs to treat a drug problem

Question 22

Pharmacotherapies post-alc detox: Disulifrim (Antabuse)/temposil (outside US)

Answer 22

• used during protracte abstinence because if they drink on it they will not geel good, can even lead to feeling adverse to alcohol
• aversion therapy

Question 23

disulfiram (antabuse) effect on alc breakdown

Answer 23

• block aldehyde dehydrogenase to increase aldehyde in body

Question 24

Disulfiram/ antabuse effects

Answer 24

• flush,rapid heart rate/respiration
• nausea, vomiting, headache at higher alc amounts

Question 25

Do ppl w SUD misuse only one drug?

Answer 25

* Study found in 1981 that out of 1340 people: * 50% used at least 1 drug other than alcohol in the past 30 days * 20% used drug combo | many differences in combinations/drug interactions

Question 26

What is better than trying to treat each addiction separate?

Answer 26

treating an individual as having an addictive behavior

Question 27

What do you do if addiction is the result of another condition?

Answer 27

* dual-diagnosis patients have both psychiatric problem and addiction problem * drug use initiated to alleviate symptoms of psychiatric problem (self-medication)

Question 28

Treatment settings: hospital

Answer 28

* medical and psychological treatment * detoxification

Question 29

Treatment settings: intermediate

Answer 29

* half-way houses * focus on counseling, psychotherapy, self-help groups

Question 30

Treatment settings: outpatient

Answer 30

* individual: work w professional one-to-one * group: sessions led by a professional, organized around specific themes (ex. preventing relapse)