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30 Cards in this Set
- Front
- Back
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What is the strongest predictor for having an alcohol problem?
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A family Hx of alcoholism
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What are some theories around the causes of SA?
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Biopsychosocial Model - a wide variety of reasons people continue to use
Family and Environment Clinical - drug abuse linked to emotional problems Social Model Medical/Biological Self-medication |
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What is the CAGE?
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An assessment model for alcohol and drugs:
Have you ever felt you should CUT-DOWN Have people been ANNOYED by your use Have you ever felt GUILTY over use Have you had to use drink or drugs as an EYE-opener |
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What is the AUDIT model?
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Alcohol Use Disorder Identification Test
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TWEAK
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SA questionnaire for pregnant women
Tolerance Worry (friend and relatives) EYE opener Amnesia Cut Down on drinking |
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MAST
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Michigan Alcohol Screening Test
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What should be the clinical protocol if a client has an established SA problem?
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Refer to SA treatment before beginning therapy
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What are Wernicke's encephalopathy and Korsakoff Syndrome?
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Alcohol induced disorders that are caused by a thiamine (b1) deficiency. They cause memory problems. Karsakoff is also called Alcohol Induced Persisting Amnesic Disorder
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To make a Dx of a Substance Dependence must you prove withdrawal or tolerance issues?
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No. You must only meet 2 out of the 7 criteria. The critical criteria to meet is impairment in functioning in one area of their life.
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What is the current main goal of SA treatment?
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Abstinence
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What are symptoms of alcohol withdrawal delirium?
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Hallucinations, delirium, agitation, delusions, autonomic hyperactivity (sweating and rapid pulse)
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What are the stages of SA treatment?
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Withdrawal
Rehabilitation Maintenance |
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Is detoxification a treatment modality?
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No
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What are some signs of cocaine use?
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Dilated pupils, high BP, euphoria, restlessness, anxiety, hyperactivity
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What might you do if you were utilizing a BIOLOGICALLY based SA treatment?
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Antabuse - alcohol (aversion therapy)
Methadone - opiates |
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What sort of intervention might you use if you choose to treat SA with a Psychosocial or psychological intervention?
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Individual or family therapy
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What sort of intervention might you use if you choose a behavioral therapy for SA?
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Behavior modification
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When does relapse occur?
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generally early. If you get past 2 years there is a 90% chance of success
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What is AVE?
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Abstinence Violation Effect - If a person can not cope with distress / situation than their self-efficacy decreases making it more likely they will relapse.
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Is a person more likely to recover after relapse if they feel they relapse was caused by internal or external events?
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External
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What is involved in Marlatt and Gordon's relapse prevention?
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Learning new coping skills, being able to identify triggers and high risk situations for relapse
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According to Marlatt & Gordon, what are the risk factors for relapse?
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Interpersonal conflict, social pressure, and a negative emotional state
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What is DMR?
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Developmental Model of Recovery by Gorski
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DMR is based on what?
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A disease-model of SA
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What are the stages of DMR?
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Transition, stabilization, early, middle, late recovery, maintenance
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What is PAW?
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Post-Acute Withdrawl. A group of biopsychosocial symptoms after acute withdrawal from substances usually 7-14 days afterwards
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What is a dual-diagnosis?
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When SA and an underlying mental health issue exist together
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True of False: Patients with Dual-Diagnosis are more resistant to treatment and have poorer outcomes?
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TRUE
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In dual diagnosis, how can you help determine if the mental health issues is NOT caused by the substance?
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Pre-morbidity
nature and severity seem more acute than others you have treated After a period of abstinence (4 weeks) the Sx do not disappear Family Hx of mental illness Positive response to psychotropic medications |
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Are alternative treatment options (support groups, self-help groups, individual psychotherapy) the best option when treating dual diagnosis?
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Yes
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