Understanding Alcoholism

Question 1

What are the DSM5 criteria for alcohol use disorder?

Answer 1

a problematic pattern of alcohol use leading to clinically significant impairment or distress as manifested by at least two characteristics occurring within a 12 month period

Question 2

What were two major changes in the DSM-5 in these criteria?

Answer 2

the removal of legal problems as diagnostic crtieria
added craving as a criteria
also removed the distinction between abuse and dependence
also increased the threshold from 1 criteria to 2

Question 3

What is tolerance?

Answer 3

A reduced sensitivity requiring higher quantities of alcohol be consumed in order to achieve the same effects

Question 4

What is withdrawal?

Answer 4

a set of symptoms that can occur when an individual reduces or stops alcoholic consumption after long periods of use

Question 5

Describe alcohol withdrawal syndrome

Answer 5

at least two of the following symptoms: increased hand tremor, insomnia, nausea or vomiting, transient hallucinations (auditory, visual or tactile), psychomotor agitation, anxiety, tonic-clonic seizures, autonomic instability

Question 6

Is the craving to consume alcohol largely physical or psychological?

Answer 6

it’s both

Question 7

How is binge drinking defined?

Answer 7

5 or more drinks for a male and 4 or more drinks for a woman on a single occasion

Question 8

How is heavy use defined?

Answer 8

5 or more (4 or more for women) on at least 5 different days in the past week or past month

Question 9

How does the midwest stack up compared to other regions in terms of alcohol use

Answer 9

generally higher

Question 10

True or false: young adults who don’t attend college are at higher risk for heavy alcohol use.

Answer 10

false

Question 11

What is the CAGE quetionaire?

Answer 11

have you ever felt you should CUT down on your drinking?

Have people ANNOYED you by criticizing your drinking

Have you ever felt bad or GUILTY about your drinking?

Have you ever had a drink first thing in the morning as an EYE opener?

Question 12

Describe AA.

Answer 12

1. self health approach with attendance in meetings
2. new enrollees are paired with a sponsor
3. 12 step program in the development of a recovery from alcoholism
4. spiritual basis
5. abstinence based

Question 13

What is motivational interviewing/

Answer 13

a person-centered, goal-oriented method of communication for enhancing intrinsic motivation to change by exploring and resolving ambivalence

Question 14

What are the two pahses of motivational interviewing?

Answer 14

phase 1: resolve ambivalence and build motivation

phase 2: strengthen commitment and create a plan

Question 15

What are the 5 levels of the transtheoretical model?p

Answer 15

precontemplation
contemplation
determination/preparation
action
maintenance

Question 16

What is precontemplation?

Answer 16

When you don’t see any sort of problem with your action.

Question 17

What is contemplation?

Answer 17

you start to recognize you have a problem and you should maybe address it

no plan made yet

Question 18

What is the determination/preparation stage?

Answer 18

Actually starting to make a plan

Question 19

What is the action stage?

Answer 19

implementing the plan

Question 20

What is the maintenance plan?

Answer 20

making sure you maintain your success

Question 21

What percentage of people with a substance use disorder are in the precontemplation of contemplation stage?

Answer 21

80%

Question 22

What are the main goals for relapse prevention?

Answer 22

1. focus on maintenance of the habit change process
2. prevent occurrence of initial lapse
3. preventing any lapse from escalating into a total relapse

Question 23

What are some self control procedures for relapse prevention?

Answer 23

1. acquire adaptive coping skills as alternatives to addictive behaviors
2. foster new cognitives/attitudes concerning the nature of the habit change and the capacity to control one’s life
3. develop a daily lifestyle with positive self-care activities

Question 24

What is harm reduction?

Answer 24

a public health alternative to moral/criminal and disease modesl fo drug use and addition that recognizes abstinence as an ideal outcome, but accepts other alternatives

Question 25

What are some methods of harm reduction?

Answer 25

1. safer route of drug administration (clean needles)
2. alternative, safer substances
3. reduce frequency of drug use
4. reduce intesnity of drug use
5. reduce harmful consequences of drug use (used in date rape education)

Question 26

What are the three dimensions to cultural competence?

Answer 26

Dimension 1: Be aware of your own assumptions, values, and biases
Dimension 2: Understand the worldview of the culturally different patient
Dimension 3: Develop appropriate strategies and techniques