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12 Cards in this Set

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What percentage of individuals with a SUD have a comorbid Axis I psychiatric syndrome? But, what is the nature of many of the psychiatric syndromes seen? (implications for treatment)
2/3
they are temporary in nature...not necessary to pump with meds
Substance induced psychiatric illnesses... what types due stimulants(cocaine/amphetamines) causes? what types due to sedatives/hypnotics (benzos, opiates, OH)?
stimulants- lead to anxiety disorders (panisc, PTSD), mania, paranoia, hallucinations/delusions
sedatives lead to depression
Many primary alcoholics (80%) show what symptoms that mimic a panic attack?
withdrawal palpitations and SOB..not permanent
What is the "Self-Medication Hypotheses?" How about the "Disease Concept"? Which is more common? Best way to determine this with a patient?
Self-Med Hypotheses- the idea that a psychiatric illness (depression) precedes a SUD and the patient uses to cope
Disease concept- the psychiatric issues are secondary to the SUD

More common to see SUD that induces psychiatric issues secondarily

Ask whether they experienced the psychiatric symptoms during sobriety.
Detox, relapse prevention, and maintenance of recovery...what is a SLIP vs relapse?
SLIP- when you use OH/drugs for 1-2 days but don't lose control vs. relapse where you lose total control
What did the MATCH study show? For what SUD are the following used and what are the success rates?
12 Steps (AA and Minnesota Model)
Physician/Nurse Interventions
THerapuetic communities
Voucher programs
that by using motivatinal enhancement therapy and CBT alcoholics were able to reduce the % of drinking days by 70%!
1. drugs and OH; only successful with open people who are spiritually inclined (not someone with antisocial person disorder)
2. OH; results are (+), but it is unclear how much, mixed results
3. Drugs; not very good; high dropout rates(70%) because don't use meds to maintain
4. Drugs mostly; good but controversial
How would you define the standard of care in a malpractice case?
It is what a reaonsable physician would do in similar situations..takes into account location/setting of medical care
To win a malpractice case, platiff must show that (just read)
- death was directly caused by errors involving gross negligence and recklessness
or a proximate cause, meanign the injuries were foreseeable (i.e. lithium causes renal toxicity...must do monthly tox screenings)
When there was a breach of duty on the physician's part....?
What are two common S.O.C deviations that get physicians sued alot?
he must prove that He was not negligent

Generally, plantiff must show fault

Off Label use of a drub and use of drugs with black box warnings
Hedonic theories of happiness include (MILL? eudaimonic theories? (aristotle) What is the fundamental principle of positive psychology with respect ot the meaning of happiness?
hedonism- feeling good and maximizing pleasure
eudaimonic- reaching full potential; cultivating good character
Happiness does not equal the absence of unhappiness..it is multifaceted, involving physical, mental, and emotional health, meaning in life, etc.
The three pathways to happiness..what is meant by the pleasant life? the engaged life? the meaningful life?
pleasant life- our positive subjective experience within
1. our biological limits
2. our environments
3. the choices we make
(can quantify these 3 into a subjective well being measure)
engaged life- the core values of life by which we live by...similar across culture..such as courage, wisdom, love, kindness, etc.
the meaningful life- using our strengths to engage in institutions, community, school, churches, etc.
tangible things to be happier and that has been proven
1. three blessings exercise
gratitude visit
identifying strengths and using them