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31 Cards in this Set
- Front
- Back
Substance Use
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Low to moderate use of a substance that does not impair functioning
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Substance Intoxication
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Acute effects of substance use
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Substance abuse
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Physical/relational impairment. Lots of distress over the impairment.
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Substance Use Disorder
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Problematic pattern of use leading to significant impairment/distress. Must have at least 2 symptoms over 1 year: *Greater use than intended, *Tried and failed to cut down, *Spends excessive time on it, *Cravings, *Work/interpersonal problems, *Physically harmful situations, *Tolerance, *Withdrawal
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Caffeine
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Legal drug; A central nervous system(CNS) stimulant that boosts energy, mood, awareness, concentration, and wakefulness. Can have withdrawal, but not considered a use disorder.
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Nicotene
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Legal drug; A highly additive component of tobacco that is considered to be both a stimulant and a sedative. Increases epinephrine (rush) and dopamine (pleasure).
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Alcohol
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Legal drug; Called a depressant b/c it depresses the CNS. It is absorbed by the stomach into the blood stream. Impacts GABA, an inhibitory neurotransmitter. There are both physiological and psychological effects of alcohol.
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Functional Impairment of Alcohol
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Withdrawal symptoms include: anxiety, irritability, tremors, headache, vomiting, sweating, seizures, hallucinations, and delirium tremens. Can cause alcohol cirrhosis, Wernicke-Korsakoff syndrome, and fetal alcohol syndrome (FAS).
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Marijuana
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Illegal drug; Active ingredient is tetrahydrocannibal (THC). Can be used in food, drink, or can be smoked. The "high" is characterized by relaxation, intensified senses, and slowed perception of time. Activates the cannibinoid receptors (for pleasure) and increases dopamine.
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Functional Impairment of Marijuana
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Persistent memory loss, impairment in attention, learning skills, and motor movement. Withdrawal symptoms include: sleep difficulties, increased mood problems, and weight loss. Physical health problems also may be present.
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Amphetamines
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Illicit drug (CNS stimulant); Stimulant drugs that prolong wakefulness and suppress appetite. Include ecstasy, crystal meth, and even ADHD medicaiton.
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Amphetamine High
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Includes euphoria, increased energy, mental alertness, and rapid speech.
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Functional Impairments of CNS Stimulants
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Causes increased heart rate and blood pressure, as well as damage to blood vessels in the brain. People develop psychotic symptoms, paranoia, anxiety and insomnia that persists. Their tolerance develops rapidly, and overtime users can become violent and aggressive.
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Cocaine
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CNS Stimulant; Derived from the leaves of a coca plant. The high is characterized by euphoria, increased energy, and can be used as a painkiller. Can be made into a powdered form to be snorted or injected, or a rock form to be smoked.
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Functional Impairment of Cocaine
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Highly addictive; Prevents reabsorption of dopamine.
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Barbiturates
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Sedative Drug; Acts on GABA the same way alcohol does. Characterized by disinhibition/euphoria, impaired coordination, impaired memory, slurred speech, and paranoia/anxiety. Common ones are amobarbital, pentobarbital, and secobarbital.
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Benzodiazepines
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Sedative Drug; A short term anxiolytic. Lower abuse potential, but tolerance is quickly developed. Common ones are Valium, Xanax, and Halcion.
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Functional Impairment of Sedative Drugs
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Can easily over-sedate; Issues in thinking and interacting with others; High potential for overdose; death; interaction with alcohol is deadly; Withdrawal symptoms are similar to those of alcohol.
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Opioids
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Derived from opium poppy (heroin, morphine and codeine). It mimics the body's natural opioids, which are endorphins. Typically used to treat physical pain. Can be smoked, snorted, or injected. The high is characterized by tranquility, euphoria, pain relief, and reduced anxiety.
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Functional Impairment of Opioids
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Tolerance develops rapidly; Can be needle complications (unknown contents, AIDS).
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Hallucinogens
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Causes altered states of bodily perception and sensations; intense emotions; detachment from self and environment; feeling of insight with mystical/religious significance. They disrupt the transmission of serotonin. Naturally found in shrooms and mescaline, synthetically found in LSD.
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Functional Impairment of Hallucinogens
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Psychological symptoms of emotional swings, panic, and paranoia.
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Inhalants
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Vapors from a variety of chemicals - immediate effect of euphoria/sedation. This can cause permanent damage to all organ systems.
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Functional Impairment of Inhalants
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Damage to vital organs, nerve damage and neurological problems, and muscle spasms and tremors.
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Etiology of Substance-Related Disorders
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Operant and Classical Conditioning; Beliefs about self when using/need for drugs.
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Treatment of Substance Use Disorders
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No single approach; Behavioral therapies are a critical component; Willingness is not critical; Usually requires multiple rounds of treatment; Avoidance of stimulus; Motivation enhancement; Twelve step approaches.
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Lapse
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Isolated incident of breaking their abstinence
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Relapse
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Complete return to substance use behaviors.
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Treatment of Substance Use Disorders: Biological
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Detoxification; Replacement therapy; Methadone and naltrexone treatment; Aversive treatment; Vaccines.
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Methadone
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Works on same receptors as drug, just less severe over time.
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Naltrexone
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Works on same receptors as drug, but tries to counteract the effects of the drug.
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