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19 Cards in this Set
- Front
- Back
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Current Alcohol Use
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at least 1 drink in the past month
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Binge Use
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5 or more drinks on same occasion at least once in the past month
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Heavy use
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5 or more drinks on same occasion at least 5 days in the past month
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Age most likely to use illicit drugs
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18-20 y/o
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average age of smoking initiation
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15
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what drug has the highest addiction potential
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nicotine
(highest % of current users out of those who have of ever used) |
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what drug is the leading cause of death
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nicotine followed by alcohol
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One drink equivalent
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= 12oz beer (5% ethanol)*
= 5oz wine (13% ethanol)* = 1.5oz liquor (40% ethanol)* = 20 mg/dl rise in blood alcohol conc. in 150lb person |
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at what rate does the liver metabolize Etoh
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20mg/dl per hour
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legal blood alcohol in CA
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0.080
80mg/dl |
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how many drinks does it take for that 150 lb person to reach .08
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5 drinks in an hour and one drink every hour after that to maintain.
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genetics of alcoholism
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-60% concordance in MZ twins
-alcoholics tend to have noticed earlier on a higher EtOH tolerance |
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Diagnosis of Dependence: 3 “C’s”
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Compulsion or Preoccupation
Loss of Control Continued use in spite of adverse consequences |
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DSM-IV: Substance Dependence
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Tolerance
Withdrawal Use chemical more of or longer than intended Desire or unsuccessful effort to modify use Time spent to obtain, use, or recover from chemical Important activities reduced or given up Chemical use continued despite knowledge of its adverse consequences 3 elements at any time within 12 months |
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DSM-IV: Remission
early vs. sustained |
Early: 12 months or less
Sustained: >12 months |
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DSM-IV: Substance “Abuse”
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Maladaptive pattern of use leading to significant impairment or distress
Symptoms have never met Substance Dependence criteria |
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C.A.G.E. Questions
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Have you ever felt you ought to Cut down on your use of alcohol?
Have people Annoyed you by criticizing your use of alcohol? Have you ever felt bad or Guilty about your use of alcohol? Have you ever had a drink first thing in the morning to steady your nerves or get rid of a hangover (Eye-opener)? |
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Stages of Change & Strategies
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Precontemplation--Raise doubts
Contemplation--Tip the balance Preparation--Which is best course Action--Help take steps to change Maintenance--Help identify strategies Relapse--Help prevent discouragement |
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Co-Dependence
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The focusing on the needs of another at the exclusion of identifying/meeting needs of oneself.
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