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27 Cards in this Set
- Front
- Back
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Substance use disorder DSM 5 Criteria |
Person has manifested a maladaptive pattern of use at least 12 months that has led to significant impairment or distress -2 of 11 of the criteria must be met - 2-3 mild - 4-5 moderate - 6+ severe |
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SAD classification/categories DSM 5 |
A cluster of cognitive, behavior and psychological symptoms with continued use despite significant problems -impaired control -Social impairment -risky use -pharmacological criteria |
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Impaired control 1-4 dsm |
1. Using greater amounts or using over a longer time period 2. Persistent desire or unsuccessful efforts to cut down or control use 3. Lots of time obtaining, using or recovering 4. Craving |
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Cravings information |
-May occur anytime -Likely to occur in the same environment previously used/obtained -Classic conditioning -Activation of specific reward structures in the brain |
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Social impairment DSM 5 criteria 5 to7 |
1. Repeatedly unable to carry out major role obligations, work, school due to substance 2. Continued use despite persistent or reoccurring social problems caused or made worse by use 3. stopping or reducing important social life, occupational or recreational activities |
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Risky use DSM 5 criteria 8-9 |
1. Recurrent use of the substance in physically hazardous situations 2. Consistent use despite acknowledgement of physical or psychological difficulties that are caused or exasperated by use |
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Pharmacological criteria DSM 5 |
1. Tolerance 2. Withdrawal Neither is necessary for diagnosis |
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Substance intoxication is described by the following 3 |
A. Development of reversible substance specific syndrome due to resent ingestion B. Significant maladaptive behavioral or psychological changes due to the effect the substance has on the CNS during or soon after use C. Symptoms are not due to general medical conditions and not better accounted for by another mental disorder |
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Substance withdrawal is described by the following diagnostic criteria |
A. Development of substance specific syndrome due to the cessation or reduction of substance that was heavy and prolonged B. Substance specific syndrome causes significant distress or impairment of social, occupational or other important areas of functioning C. Symptoms are not due to general medical conditions and not better accounted for by another mental disorder |
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Assessment stages of drug use Nonuse of drugs by children |
Less likely to be addicts if parents - model healthy behavior -encourage participation in developmental activities - promote positive alternative activities - provide structure,discipline, consistency - sensitive to children's feelings (boundaries) -Develop climate for discussion -kids must learn active coping skills |
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Assessment stages of drug use Nonuse of drugs by adolescents |
Parents should -establish clear, consistent rules -Model Nonuse -encourage alternative active activities -promote social involvement Promote trust and healthy boundaries and relationships |
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The adolescent brain |
-Very responsive to reward - prefrontal cortex last region to develop (20s) -Striatum: key component of reward system more responsive in adolescents involves dopamine - prefrontal and Striatum connected -Connections between risk taking and reward strongest during adolescents |
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Assessment stages of drug use Initial contact with drugs |
First time considered harmless although hazards exist Set and setting are crucial Positive initial contact usually leads to next stage |
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Assessment stages of drug use Experimentation |
-Use in different situations and circumstances -various set, settings, doses, frequencies, methods of ingestion, poly drug use Referred to as recreational or social |
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Assessment stages of drug use Integrated use |
-More time, thought, energy on use -begins associating with other users - use becomes more important - buys drugs to ensure availability |
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Assessment stages of drug use Excessive use |
-Increase in use results in significant problems, consequences -Hard to define -Could be binge use or regular use -Takes more time, thought, energy -Maybe selling |
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Assessment stages of drug use Addiction |
Cannot return to any previous stages Addiction = disease Major portions of life addicted Best Recovery model = complete abstinence with treatment |
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7 Assessment stages of drug use |
-Nonuse, initial contact, experimental, integrated, excessive, addiction -Last 4 periodic excessive use |
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Early stages of drug use |
More freedom Fewer risks and less damage Possible abuse No illness Linear operating factors Easier to treat |
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Late stages of drug use |
Lack of freedom More damage Present abuse State of illness Vicious cycles Harder to treat |
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Assessment information needed 7 questions history of use |
-Age of initial use -Frequency, amount, set,settings -Patterns of use, binge, periods of Nonuse -Stage of current use -Use of medications, coffee, cigarettes -Medical history -History of negative consequences |
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Denial |
Don't even know I am lying |
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Defense mechanisms |
Rationalization Minimization |
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Identification of adolescent substance problems 11 questions |
1.Changes in Mood 2. Significant changes in friends, grades dress ect. 3. Responsibility 4. Motivation decrease 5. School are there problems 6. Engaging in negative activities 7. Lying, cheating, stealing 8. Trouble in community 9. Legal trouble 10. Physical signs 11. Parents justify the behavior
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Jellinek's types of alcoholics 5 |
1. Alpha= psychological dependence use to help with problems 2. Beta= physical problems but no physical or psychological dependence 3. Gamma =physical addiction, loose of control, severe damage to all aspects of life, periods of abstinence 4. Delta= like gamma but intake controlled but abstinence impossible due to dependence 5. Epsilon= periodic unpredictable binges |
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6 social Consequences of use |
Physical Psychological Sexual Relationship/ social Job/financial Legal |
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Addiction and Suicide assessment: 10 questions |
1. Is there a family history of drugs,suicide, depression 2. Do you use to overcome bad feelings, sleep problems, depression, stress quiet suicidal/self-destructive thoughts 3. Do you have suicidal thoughts 4. How will you, do you have a plan 5. Previous thoughts or attempts 6. Do the drugs make you more or less likely to follow though 7. 1 to 10 how likely are you to kill yourself 8.how much do you want to die/live 9. What might occur to make life worth living 10. What would prevent you from committing suicide |
