Week 11: Substance Abuse Flashcards
List the substance use disorders
- abuse
- dependence
- intoxication
- withdrawal
- substance induced psychiatric disorders
Addiction
A primary, chronic, neurobiology disease with genetic, psychosocial, and environmental factors influencing its development and manifestations
Addiction is characterised by
- impaired control over drug use
- compulsive use
- continued use
- craving
- relapse
Craving
A compelling urge affecting mood, thought and behaviour
What can affect cravings?
- environmental cues or triggers
- physiological/psychological moderators
- release of dopamine
% of australians using an illicit drug in the previous 12 months
15%
% of australians aged 14 and over who had used illicit drugs in their lifetime
41.8%
Most common drug used by people aged 14 and over
Cannabis
Methamphetamine use
- doubled from 21.7% in 2010 to 50.4% in 2013
Early stage symptoms of alcoholism RBDRLHG
- relief drinking
- blackouts
- drunk driving
- repeated trauma
- loss of control or predictability
- hypertension
- gastritis
Middle stages of alcoholism FJLPDP
- family problems
- job problems
- legal problems
- personality changes
- decline in moral behaviour
- physical deterioration
Late stages of alcoholism CDHD
- continued physical deterioration
- decrease in tolerance
- hitting impaired functioning
- most substances have a desensitisation process
List the substance abuse continuum
- abstinence
- non problem use
- problem use
- abuse
- dependence
Abstinence
No use
Non-problem use
Social use
Problem use
Public health issue; grey area
Abuse
50% may progress to dependence
Dependence
Ongoing physical addiction and or psychological need for the substance
Moderate drinking
- men: on or above 2 drinks a day, on or above 10 a week
- women/those over 65: on or above one drink a day, on or above 7 a week
At risk or hazardous drinking
- men: more than 4 drinks per occasion, more than 10 a week
- women: more than 3 drinks per occasion, more than 7 a week
Problem drinking
Maladaptive pattern of alcohol or substance use leading to problems with major roles, physical hazards, legal issues, social difficulties, and health consequences
What are the goals with each patient?
- prevention
- screening and assessment
- brief intervention
- full intervention
When would you use a brief intervention
- heavy or problem use
- function impairment might not be existent
When would you use a full intervention
- if use or dependence is identified
- likely to involve hospitalisation, enforcing the client’s coming off the substance and helping them manage withdrawal
