Podcast
Questions and Answers
What is a key characteristic of a substance use disorder?
What is a key characteristic of a substance use disorder?
Which of the following substances is NOT typically associated with substance use disorders?
Which of the following substances is NOT typically associated with substance use disorders?
What is the term used for the body’s adaptation to a substance that leads to increased tolerance?
What is the term used for the body’s adaptation to a substance that leads to increased tolerance?
What best describes the withdrawal symptoms experienced when a person stops using a substance?
What best describes the withdrawal symptoms experienced when a person stops using a substance?
Signup and view all the answers
Which of these factors is central to understanding addictive use disorder?
Which of these factors is central to understanding addictive use disorder?
Signup and view all the answers
What does intoxication refer to within the context of substance use?
What does intoxication refer to within the context of substance use?
Signup and view all the answers
What is the significance of comorbidity in relation to substance use disorders?
What is the significance of comorbidity in relation to substance use disorders?
Signup and view all the answers
Which screening tool is specifically designed to identify alcohol use disorders?
Which screening tool is specifically designed to identify alcohol use disorders?
Signup and view all the answers
What is the primary focus of the Transtheoretical stages of change theory in relation to alcoholism?
What is the primary focus of the Transtheoretical stages of change theory in relation to alcoholism?
Signup and view all the answers
Which medication can cause serious nausea and vomiting if used to treat alcohol dependence?
Which medication can cause serious nausea and vomiting if used to treat alcohol dependence?
Signup and view all the answers
What is the first stage of the Transtheoretical stages of change theory?
What is the first stage of the Transtheoretical stages of change theory?
Signup and view all the answers
Which of the following is NOT a component of the TACE screening tool?
Which of the following is NOT a component of the TACE screening tool?
Signup and view all the answers
What is a common consequence of opioid overdose?
What is a common consequence of opioid overdose?
Signup and view all the answers
Which of the following is a risk factor for psychiatric comorbidity?
Which of the following is a risk factor for psychiatric comorbidity?
Signup and view all the answers
What substance is most widely used as a psychoactive drug?
What substance is most widely used as a psychoactive drug?
Signup and view all the answers
How is the severity of Alcohol Use Disorder classified?
How is the severity of Alcohol Use Disorder classified?
Signup and view all the answers
What is a common treatment for opioid withdrawal?
What is a common treatment for opioid withdrawal?
Signup and view all the answers
Which of the following describes binge drinking?
Which of the following describes binge drinking?
Signup and view all the answers
What is a potential treatment for cocaine withdrawal?
What is a potential treatment for cocaine withdrawal?
Signup and view all the answers
What is the definition of alcohol intoxication in most states?
What is the definition of alcohol intoxication in most states?
Signup and view all the answers
Hallucinogens primarily cause disturbances in which area?
Hallucinogens primarily cause disturbances in which area?
Signup and view all the answers
What condition is characterized by significant impairment in life roles due to cravings?
What condition is characterized by significant impairment in life roles due to cravings?
Signup and view all the answers
Study Notes
Substance Use Disorders
- A pathological use of a substance leading to a disorder of use.
- When substance use becomes problematic, symptoms fall into four groups: impaired control, social impairment, risky use, and physical effects (intoxication, tolerance, and withdrawal).
Substances That Lead to Use Disorder
- Tobacco
- Cannabis
- Alcohol/Caffeine
- Hallucinogens
- Inhalants
- Opioids
- Sedative-Hypnotics
- Stimulants
- Gambling, Shopping, Sex
Concepts Central to Addictive Use Disorder
- Addiction: A chronic medical condition
- Intoxication: Using a substance to excess while in the process of using
- Tolerance: Needing a higher dose to achieve the initial effects
- Withdrawal: Symptoms that occur when a person stops using a substance
Comorbidity
- Psychiatric comorbidity: Any combination of two or more substance use disorders and mental disorders.
Risk Factors
- Genetic
- Environmental
- Neurobiological
Clinical Picture
Caffeine
- Most widely used psychoactive substance in the world.
- Can result in intoxication, overdose, and withdrawal.
Cannabis (Marijuana)
- Third most commonly used psychoactive drug in the United States after alcohol and illicit drugs.
Hallucinogens
- Causes a profound disturbance in reality.
Inhalants
- Solvents for glues, adhesives, fuels, propellants, thinners.
Opioid Use Disorder
- Heroin and prescription drugs.
- Opioid intoxication: craving in larger amounts, larger period of use, significant impairment in life roles.
- Opioid overdose: death usually due to respiratory arrest.
- Treatment for overdose: Promote breathing with naloxone.
- Opioid withdrawal: Methadone, clonidine, buprenorphine, lofexidine. Gradual reduction to prevent seizures.
Stimulant Use Disorder
- Amphetamine-type, cocaine.
- Withdrawal treatment: Groups, individual therapy. Possible diazepam for agitation.
- 1 to 2 weeks of cocaine withdrawal requires no inpatient detoxification.
- Depression treatment once withdrawal is complete: Bupropion.
Alcohol Use Disorder
- Sedative effects, initial euphoria.
- Severity is based on the number of DSM-5 symptoms:
- Mild: 2-3 symptoms
- Moderate: 4-5 symptoms
- Severe: 6 or more symptoms
- Types:
- Binge drinking: Too much alcohol but not frequently.
- Heavy drinking: Daily.
- Alcohol Intoxication: Legal definition in most states is a blood alcohol concentration of 0.08g/dL or higher.
- Cognitive Disturbances: Alcohol use disorder syndrome.
Screening Tools
- SBIRT: Screening, brief intervention, referral to treatment.
- AUDIT: Alcohol use disorders identification test. Used to identify alcohol abuse.
- LAGE: 4 questions to identify alcohol abuse.
- CAGE-AID: Same questions as CAGE, but also includes potential dependence.
- TACE: Tolerance, Annoyance, Cut down, Eye-opener.
Treatment Modalities
Pharmacotherapy
- Disulfiram: Serious N/V if used with alcohol.
- Naltrexone: Serious N/V if used with alcohol.
- Benzodiazepines: For anxiety.
Psychotherapy
- Motivational Interviewing
- Treatment for Alcoholism: Recovery models to prevent relapse.
- Transtheoretical Stages of Change Theory:
- Precontemplation
- Contemplation
- Preparation
- Action
- Maintenance
- Transtheoretical Stages of Change Theory:
Studying That Suits You
Use AI to generate personalized quizzes and flashcards to suit your learning preferences.
Related Documents
Description
This quiz explores the complexities of substance use disorders, focusing on the various substances involved and the central concepts related to addiction. Participants will learn about the symptoms, risk factors, and the role of comorbidity in these disorders. Gain a deeper understanding of how these factors interact and contribute to addiction.
