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16 Cards in this Set
- Front
- Back
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Neurological factors:
Incentive-sensitization theory activate what? with what system? and that is when? |
want vs like
activate pleasure sensor with dopamine system: that is when dopamine system becomes sensitive to the drug AND cues associated with the drug. sensitivity cues induces and strengthens want. |
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tx of alcohol abuse
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AA
inpt detox counseling, therapy CBT aversion therapy: shock when approach alcohol covert sensitization: imagine become violently ill from drinking contingency-management: reinforce behaviors inconsistent w/ drinking = avoid places associated with drinking control drinking - drink in moderation medication - antabuse - HARM REDUCTION. puke if alcohol consumed. psychological: CBT plus rogerian : making them think they can do it |
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desipramine
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psych tx with CBT effective for cocaine. CBT very important for high dependence levels
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drug replacement therapy
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heroin replacement - METHADONE. wean them from dependence. most effective when combined w/ psych treatment.
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DSMIV TR Criteria :
anorexia nervosa |
-refusal to maintain normal body weight
- less than 85% norm -intense fear of gaining weight and being fat fear NOT reduced by weight loss - distorted body image (body dysmorphic disorder) feel fat even when emaciated amenhorhea: loss of menstrual period |
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2 types of anorexia nervosa
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restricting
and binge-eating-purging |
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ONSET anorexia nervosa
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-early onset early to middle teen
- triggered by diet and stress - women 10x as likely - high comorbid (OCD [BDD], phobs, panic, pd) |
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prognosis of anorexia nervosa
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70 % recover, relapse common, may take long time
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DSM IV TR CRITERIA
BULIMIA |
-uncontrollable eating binges followed by compensatory behavior to prevent weight gain
- at least 2x / week for 3 months - either purging or non-purg e(fasting, excessive exercise) |
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bulimia vs anorexia
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extreme weightloss in anorexia
at or above normal weight in bulimia |
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binge often triggered by
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stress and negative emotions
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typical food choices:
affects what physiological? avoiding craved food can... |
high calorie and carbs = comfort
affect SEROTONIN levels can increase likelihood of binge |
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bulimia comorbid:
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depression, pds, anxiety and all the bad stuff
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prognosis
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70%, 10% fully asymptomatic
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Binge Eating Disorder
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Recurrent binges. 2x per week for > 6 months
loss of control during binge binge cause distress NO weight loss/purging often accompanied by OBESITY BMI>30 |
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Neurobiological factors: Binge Eating Disorder
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hypothalamus NOT directly involved (controls appetite)
LOW levels of endogenous opioids - substance that reduces pain. released during starvation. low levels = promote craving = binge |
