Reading...
Play button
Play button
Use LEFT and RIGHT arrow keys to navigate between flashcards;
Use UP and DOWN arrow keys to flip the card;
H to show hint;
A reads text to speech;
32 Cards in this Set
- Front
- Back
- 3rd side (hint)
|
What is a disease characterized by?
|
* Continued use of a specific psychoactive substance, despite physical, psychological, or social harm.
|
|
|
|
What steps can be made to put an addiction into long-term remission?
|
1) Compulsory external supervision 2) Establishment in a new network of friends 3) "A new love interest" 4) Inspiration group membership
|
|
|
|
Is AA more effective or is Detox/Hospitalization?
|
AA- 78% effective (300 Meetings)
Detox/Hospitalization- 3% effective |
|
|
|
Define Substance Abuse and why it differs than dependence.
|
It's a harmful use of a psychoactive substance. In one category of psychoactive substance use disorders. Defined ONLY in terms of behaviors
|
|
|
|
What 4 criteria are used for knowing if it's abuse?
|
1) Failure to fulfill role obligations at school, work, or home.
2) Physically hazardous situations 3) Legal problems 4) Social/Interpersonal Problems |
Only 1 needs to occur in a 12 month period. Usually significant through distress/impairment
|
|
|
Once a diagnosis of _________ has been made, a diagnosis of substance abuse ___________.
|
*Addiction/Dependence
*Cannot be made |
|
|
|
Who would, most likely, meet Addiction/Dependency criteria?
|
Patients who continue to drink or use that are meeting abuse criteria.
|
|
|
|
Substance Dependence criteria is what?
|
1)Tolerance 2) Withdrawal 3) Amount Used (intention) 4)Loss of control (desire) 5) Time (preoccupation) 6) Narrowing Behavioral Repertoire 7) Adverse Consequences
|
At least 3 must occur to be Addiction ("dependence")
|
|
|
Explain tolerance.
|
Majorly increased amounts of said substance to achieve intoxication, desired effect, or diminished effect with same amount of substance
|
|
|
|
Explain withdrawal
|
1- Characteristic WDS which is specific for substance and happens while abstinent
2- Closely related substance which relieves or avoids WDS |
|
|
|
Explain amount used
|
Substance usually taken in larger amounts over longer periods of time
|
|
|
|
Explain loss of control
|
Persistent desire or unsuccesful efforts to control use.
|
|
|
|
Explain preoccupation (time)
|
Use a lot of time in activities necessary to get, use, or recover from said drug
|
|
|
|
Explain the Narrowly focused behavioral repertiore
|
Social, occupational, or rec. activities are given up or reduced because of the drug
|
|
|
|
Explain adverse consequences
|
Drug is continued to be used even though knowledge of problems (physical or psychological, or persistent or recurrent) exacerbated the substance
|
|
|
|
When is it the ONLY part of psychiatry that we have convenient and easily obtainable evidence in a lab testing UDS and UDT?
|
Substance Use and Addiction.
*ALWAYS GET URINE DRUG TEST* |
|
|
|
Explain loss of control
|
Persistent desire or unsuccesful efforts to control use.
|
|
|
|
Explain preoccupation (time)
|
Use a lot of time in activities necessary to get, use, or recover from said drug
|
|
|
|
Explain the Narrowly focused behavioral repertiore
|
Social, occupational, or rec. activities are given up or reduced because of the drug
|
|
|
|
Explain adverse consequences
|
Drug is continued to be used even though knowledge of problems (physical or psychological, or persistent or recurrent) exacerbated the substance
|
|
|
|
When is it the ONLY part of psychiatry that we have convenient and easily obtainable evidence in a lab testing UDS and UDT?
|
Substance Use and Addiction.
*ALWAYS GET URINE DRUG TEST* |
|
|
|
DSM IV "Dependence"=?
|
Addiction. When criteria has been met. EXCEPT when therapeutically prescribed drugs are used.
|
5/7 DSM-IV NOT valid for identifying addiction in pain pts
|
|
|
What Maladaptive behaviors are used during therapy for addiction?
(for non-theraputic pathologic substance use) |
1- tolerance 2- withdrawal 3- amount used 4- loss of control 5- time spent pursuing All these are not valid.
6- Important activites reduced or given up 7- Continued use despite harm 6&7 are valid for identifying addiction in pain pts |
|
|
|
What does the pseudoaddictive behavior describe?
|
The inaccurate interpretation of behaviors in pts who have severe pain that is undermedicated or not been treated
|
|
|
|
How can pseudoaddictive behavior be distinguished from addiction?
|
When the pt seeking pain relief receives adequate analgesia they demonstrate improved functioning in daily life. ADDICTS DON'T
|
|
|
|
How else can pseudoaddictive behavior be distinguished from addiction?
|
legit pain pts use their meds as prescribed, addicts don't. Addicts mix their meds with other drugs, including alcohol, whereas pain pts don't.
|
|
|
|
what can continue to have separate diagnostic codes that are based on specific substances and behaviors?
|
DSM and ICD systems
|
|
|
|
What is focused on the internal prain processes in addiction rather than external reward sources?
|
ASAM
|
|
|
|
What is the ASAM recommended unitary approach that asseses and treats more comprehensively?
|
Abstinence from all psychoactive substances recommended and monitoring of all potential addictive behaviors on an ongoing basis.
|
|
|
|
Who is vulnerable to loss of control?
|
the individual with the disease if engaged with other addictive substances or pleasurable behaviors.
|
|
|
|
What are the 5 c's of addiction during opioid Rx?
|
*Loss of CONTROL over medication
*COMPULSIVE use of medication * CRAVING & preoccupation with opioids * CONCURRENT use of mood altering drugs |
|
|
|
What if the pt has a Hx of an addictive disorder and requires controlled substance Rx during treatment of pain?
|
Doesn't actively participate in an addiction treatment program
|
|
