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20 Cards in this Set

  • Front
  • Back

essential feature of SUDS

cluster of cognitive, behavioral, and physiological symptoms indicating that the individual continues to use despite significant problems

important characteristic of SUDS

underlying changes in brain circuitry that may persist past destoxification

when present with drug stimuli ...

drug cravings and relapses may occur due to long term changes in the brain

Criterion A in SUDS includes for all categories of substances

impaired control, social impairment, risky use, and pharmacological criteria.

1.may take the substance in larger amounts or over a longer period than was originally intended.


2. persistent desire to cut down or stop and inability to do so.


3. great deal of time obtaining, using or recovering from substance.


4. Cravings occur

impaired control

(criteria 1-4)

Intense desire or urge for the drug

craving

craving involves _________ conditioning and is associated with ____________ of specific reward structures in the brain.

classical, activation

1. failure to fulfill major obligations at work, school or home.


2. continued use despite persistent or recurrent social or interpersonal problems


3. giving up or reducing important social, occupational or recreational activities to use

social impairment

(criteria 5-7)

1. recurrent substance use in situations that are physically hazardous


2. continued use despite knowledge of having a persistent or recurrent physical or psychological problem caused or exacerbated by the substance.

risky use

(criteria 8-9)

1. Tolerance


2. withdrawal

pharmacological

(criteria 10-11)

SUD severity - two to three symptoms

mild

SUD severity - four to five symptoms

moderate

SUD severity - 6 or more symptoms

Severe

1. reversible substance specific syndrome due to recent use of a substance.


2. clinically significant problematic psychological or behavioral changes


3. not attributable to another physical condition or mental disorder.

Substance Intoxication

most common changes in substance intoxication

disturbances of perception, wakefulness, attention, thinking, judgment, psycho-motor behavior and interpersonal behavior.

multiple substances

each substance recorded seperately

what age group has relatively high prevalence rates for virtually every substance

18-24 years old

substance - induced disorders duration

usually temporary lasting 1 month or so after cessation of acute intoxication

what is the time period for assessing criterion A in SUDS

a 12 month period

what is a closely supervised and substance-free jail, therapeutic communities and locked hospital units ?

a controlled environment