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42 Cards in this Set
- Front
- Back
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Substance Dependence
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Maladaptive substance use continued despite of having substance related problems
SX: Tolerance, Withdrawal, Time spent obtaining substance, given up activities |
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Substance Abuse
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Maladaptive substance abuse that causes impairment
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Specific Substances
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Alcohol Intox & WD, Cocaine, Cannabis, Caffeine
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Treatment
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Multimodal: Inpatient detox, 12 step group, family, groups, voc counseling, break denial
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Sustances:
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Alcohol, amphetamines, caffeine, cannabis, cocaine, hallucinogens, inhalants, nicotine, opioids, PCP, sedatives, hypnotics, anxiolytics
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Substance Dependence: 3 signs in past 12 months
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1. Tolerance
2. Withdrawal 3. Greater amount or longer time 4. Desire or attempts to reduce or abstain 5. Time spent in obtaining, using, recovering 6. Activities reduced or stopped 7. Continued use despite problems |
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Substance Abuse: 1 sign in past 12 months
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1. Failure to perform major obligations
2. Use in hazardous situations 3. Legal problems 4. Continued use despite problems 5. No previous dependence |
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Alcohol effects on body
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Mild sedation, anesthesia, coma, death
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Alcohol Intoxication
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Inappropriate aggressive and sexual behavior, mood lability, talkativeness, impaired memory and judgment. Slurred speech, loss of coordination, nystagmus, stupor,coma
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Cognitive deficits from Alcoholism
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WAIS: Performance suppressed - visual-spatial (BD, OA, PA). Abilities may return
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Alcohol Withdrawal
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Autonomic hyperactivity, psychomotor agitation, hand tremor, insomnia, depression, grand mal seizures, nausea, vomiting, anxiety, hallucinations, illusions, convulsive seizures
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Delirium Tremens
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Less than 5%
Vivid hallucinations, delusions, autonomic hyperactivity, agitation. Assoc: liver failure, pneumonia, head trauma |
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Korsakoffs Syndrome
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Thiamine deficiency damaged thalamus
Impaired recent memory, disorientation, lack of insight, retrograde amnesia, confabulation |
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Risk Factors for Alcoholism
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Multi-problem families, childhood emotional problems, truancy/school problems, poor health. Other mental disorder, age before 30. More common in men (tolerance/societal norms)
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Cocaine Intoxication: BX
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Euphoria, interpersonal sensitivity, talkativeness, hypervigilance, impaired judgment. Blunting, social wd, sad mood
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Cocaine Intoxication: Phys
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Tachycardia, pupillary dilation, elevated/lowered bp, psychomotor agitation/retardation, nausea/vomiting.
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Cocaine WD/Amphetamine WD
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Dysphoric mood, fatigue, insomnia/hyper, increased appetite, vivid dreams, retard/agitation
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Cannabis Intox
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Sedation, mild euphoria, altered perception of time/senses
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Cannabis Impairments
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Short term impaired perceptual motor tasks - no long term
No phys dependence/WD May allow impulsive aggression if at risk |
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Cannabis Intox
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Sedation, mild euphoria, altered perception of time/senses
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Cannabis Impairments
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Short term impaired perceptual motor tasks - no long term
No phys dependence/WD May allow impulsive aggression if at risk |
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Caffeine Intox
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Over 250 mg (coffee contains 150)
Restless, nervous, excitement, insomnia, diuresis, muscle spasm, wandering thoughts/speech, tachy/arrhythmia, inexhaust, agitation, gi disturb, flushed |
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Caffeine Intox
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Over 250 mg (coffee contains 150)
Restless, nervous, excitement, insomnia, diuresis, muscle spasm, wandering thoughts/speech, tachy/arrhythmia, inexhaust, agitation, gi disturb, flushed |
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Alcohol TX
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Admit problem - deal with denial, AA, antabuse, individual/family, inpt/outpt
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Alcohol TX: Inpt
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Imminent danger, antisocial bx, medical prob, failure outpt, continued use, lack of support system
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Alcohol TX: Abstinence Violation Effect
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Feelings of guilt/failure lead to more relapses (internal, stable)
Unstable, external, transient causes to relapse is less self-defeating - Cognitive restructuring |
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Opiate TX
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Methadone (substitute) or antagonist Naloxone
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Nicotine Dep TX
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Stop on own - strong desire to quit, awareness of health conquences, social support
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Nicotine Dep TX
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Multimodal and Individual: social skill and relapse training, stimulus control, rapid smoking, nicotine replacement (gum/patches/inhaler)
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Nicotine WD
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Anxiety, irritability, depression, impatience, impaired concentration
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Relapse Prevention Therapy
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CBT: Maladaptive, overlearned bx - responsible for learning more adaptive habits
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Relapse Prevention Therapy
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CBT: Maladaptive, overlearned bx - responsible for learning more adaptive habits
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RPT: 3 high risk situations
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1. Negative emotional states
2. Interpersonal conflict 3. Social pressure Develop coping skills for these situations |
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RPT: 3 high risk situations
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1. Negative emotional states
2. Interpersonal conflict 3. Social pressure Develop coping skills for these situations |
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RPT
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Cog tx, coping skills training, lifestyle mod, meditation, exercise, spiritual
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RPT
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Cog tx, coping skills training, lifestyle mod, meditation, exercise, spiritual
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Abstinence Violation Effect
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Internal and stable attribution to relapse causes further relapse. Cognitive restructure to transient, unstable, and external causes
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Opiate addiction
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Methadone or Antagnoist (Naloxone)
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Nicotine TX
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Most stop on own. Desire to quit, awareness of health defects, social support
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Nicotine TX: Multimodal
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Social skills, relapse prevention, stimulus control, rapid smoking
Tailor to individual |
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Nicotine replacement TX
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Fear of wd - gum , patch, inhaler
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Relapse Prevention TX - Marlatt & Gordon
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CBT - overlearned maladaptive habits must learn more adaptive
3 high risk - neg emotions, conflict, social pressure - build coping Coping skill, lifestyle modification (meditation) |
