Week 8 - Substance and Addictive Disorders Flashcards

1
Q

What does all substance use affect?

A

behavior

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2
Q

When is substance use a problem?

A
frequent use (dependent)
addiction
impairment in daily functioning (harming others or self)
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3
Q

What are the most commonly abuse drugs?

A
Alcohol 
Nicotine 
Opiates 
Barbiturates 
Benzodiazepines 
Over-the-counter meds
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4
Q

What are the three substance related DSM-5 disorders?

A

substance use disorder, substance intoxication, substance withdrawal

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5
Q

What is there not a substance use disorder for?

A

caffeine

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6
Q

What is there not a substance withdrawal for?

A

hallucinogens

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7
Q

What is there not a substance intoxication for?

A

tobacco

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8
Q

What are the severity of substance use disorders?

A

mild. moderate, severe

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9
Q

What is Physiological need for a drug that causes unpleasant withdrawal symptoms (e.g., physical pain, craving for a drug) when it is discontinued ?

A

physical dependence

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10
Q

What is The strong desire to repeat the use of a drug for emotional reasons (e.g., feeling of well-being and reduce stress) ?

A

psychological dependence

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11
Q

What are the CAGE questions?

A

cut down
people annoyed you by critizing
guilty about drinking
do you need an eye opener

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12
Q

What is the substance intoxication DSM-5 criteria?

A

A. reversible condition brought on by excessive use of drug

B. maladaptive changes in behavior

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13
Q

What are lengthy period of intoxication?

A

binges

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14
Q

What is the DSM-5 for withdrawal?

A

A. maladaptive behavioral changes when a person stops using a drug
B. defined by one or both:
-withdrawal symptoms for substance
-substance or closely related substance is used to relieve or avoid withdrawal symptoms

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15
Q

What is the DSM-5 for substance use disorder?

A

A. repeated use of substances that result in recurring problems (2 or more) within 12 months:
-impaired control
-social impairment
-risky use
-tolerance
-withdrawal
B. clinically significant impairment or distress

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16
Q

What are examples of impaired control?

A

difficulty cutting down on use, ingest more and more, significant time drug seeking, psychological dependence, significant time recovering from use, intense cravings

17
Q

What are examples of social impairment?

A

demonstrating significant problems in social life (missing work/school, poor performance, neglect child, driving while impaired)
continue to use despite problem
give up important and meaningful social activities

18
Q

What is risky use?

A

puts the person in risky situations and person knows that it will cause problems

19
Q

What is tolerance?

A

adjustment of brain and body to regular use of drugs

need to ingest more and more quantities of substance to get same effect

20
Q

What are the 4 A?

A

ask, assess, advise, assist

21
Q

What is another assessment tool?

A

Alcohol Use Disorders Identification Test

22
Q

What are comorbities of substance use?

A
dual diagnosis
anxiety
depressive
personality
schizophrenia
23
Q

What are some universal preventions to cut down on substance use?

A

Raise age limit, lower legal BAL for driving, commercials, workplace drug testing, taxes

24
Q

What is some prevention to do with kids?

A

Comprehensive programs, skills building, self esteem, and peer pressure

25
Q

What is some prevention to do with college kids?

A

Changing positive expectations about alcohol use and increased use of designated drivers

26
Q

What is relapse prevention the most useful for?

A

nicotine, ETOH, marijuana

27
Q

What is the problem with dual diagnosis?

A

hard to treat, high risk, rehab doesn’t know how to deal, need integrated or long term treatment

28
Q

What are some CBT things to do?

A

Identify and change behaviors and cognitions that are fueling their substance use
Coping skills

29
Q

What are some relapse prevention training tips?

A

Keep track of drinking behavior, apply coping strategies, and plan ahead for risky situations and reactions