Chapter 22 PDF

Chapter 22 keytermsand of on questions  Substance Use Disorders of a substance that leads to Pathological use · a disorder off use to : symptom groups I have adisorder...

Chapter 22 keytermsand of on questions  Substance Use Disorders of a substance that leads to Pathological use · a disorder off use to : symptom groups I have adisorder when it leads · - Impaired control - social impairment lisky use - - physical effects Lintoxication,tolerance, withdrawal) Substances that lead to Use Disorder # I Tobacco - Cannabis #2 Alconol/Caffience - Hallucinogen Inhalant Opiod - - Sedative-hypnotic Grambling ,shopping - - - stimulant sex  Concepts Central to Addictive Use Disorder · Addiction - chronic medical condition Intoxication · a substance to excess - In the process of using Tolerance · to achieve th initia as takesahigherdose - · Withdrawal when a person that occur - symptoms a substance stops using  Table 22 1 /highlightine Comorbidity. Psychiatric comorbidity ; any combination of · more substance use disorders two or and mental disorders Risk Factors - Genetic - Environment - Neurobiological  Clinical Picture Caffeine most widely - used psychactive substance inthed - can result in intoxication, overdose, withdrawal Cannabis (Marijuana) -Third most commonly used psychoactive drug in the united States after alcohol , Billicit drugs Hallucinogens -cause a profound disturbance in reality Inhalants - solvents for glues I adhesiveness Fuels - propellants Thinners - -  Opiod Use Disorder - Heroin is prescription drugs - Opiod intoxication ↳ crave in larger amounts larger period of use liferoles L significant impairment in Opiod overdose - death usually due to respiratory arrest - Treatment ; promote breathing : haloxone Opiod withdrawal /naloxone - methadone ,clonidine , buprenorphine - Lofexidine withdrawal ; gradual reduction to prevent seizures  Stimulant Use Disorder Amphetamino-type, cocaine - withdrawal treatment - Groups individual therapy - possible diazepam for agitation I to 2 looks i cocaine withdrawal requires no inpatienta - - Depression treatment once withdrawal is complete ; pupropion  Alcohol Use Disorder - Sedative col initial euphoria based of DSM symptoms Seventy on number - Mild : 2-3 symptoms CModerate: -Ssymptoms ↳severe Sor more symptoms of Problematic Drinking Types - Binge Drinking itoo much but not frequently Heavy Drinking i Daily - Alcohol Intoxication definition of intoxication in most states: - legal 100mg ensee blood concentration o 8 or , - often expressed 08 as 0. to 0. 10g/d CognitiveDisturbanceaoff syndrome  Toolsluse same tools) Screening SBIRT ; Screening , brief intervention , referral to treatment identification test AUDIT ; Alcohol use disorders alcohol abuse to identify LAGE ; 4 questions bdis sche CAGE-AID ; samequestions TACE ; Tolerance , Annoyance, Cut down , Eye-opener  Treatment Modalities Pharmacotherapy · cl alcohol Disulfiram Serious N/ if used Naltrexone - alconol - Seriou N/V if usedwol - Benzodiazepines ; anxiety Psychotherapy · · Motivational Interviewing Alcoholism; recovery modelts o prevent relapse Transtheoretical stages of change theory Precontemplation - Contemplation - Preparation - - Action - Maintenance