substance use

substance intoxication

 substance abuse

substance dependence

 substance use is associated with:

•       Substance taken in larger amounts/longer duration

•       Desire or unsuccessful efforts to reduce use

•       Much time devoted to obtaining, using, or recovering

•       Disrupted social, occupational, recreational functioning

Continued use despite knowledge of associated problems   

            Depressants

            Alcohol, sedetives

Stimulants

Opiates

Hallucinagens

Anorexia Nervosa (AN)

•       Refusal to maintain body weight (less than 85% of expected weight for age/height); weight loss is deliberate and usually achieved through severe caloric restriction, purging, and/or exercise

•       Intense fear of gaining weight

•       Disturbance in experience of body weight or shape; undue influence on self-evaluation; denial of seriousness of low weight

•       Sub types: Restriction; Binge-Eating/Purging

Bulimia Nervosa (BN)

•       Recurrent (2 – 3x/week) episodes of binge-eating: eating (within a discrete period of time) an amount of food that is clearly larger than most people would eat (average 1500 - 3000 calories); accompanied by feeling of loss of control

•       Recurrent compensatory behaviors (at least 2x/week):

•       Purging: self-induced vomiting, misuse of laxatives, diuretics, or enemas

•       Non-purging: excessive exercise or fasting

•       Most individuals with BN are within 10% of their normal body weight.

Binge-Eating Disorder (BED)

•       Recurrent episodes of binge-eating, accompanied by a sense of lack of control over eating

•       Episodes also associated with:

•       Eating more rapidly than usual

•       Eating until uncomfortably full

•       Eating large amounts of food when not hungry

•       Eating alone due to embarrassment

•       Feeling disgusted, depressed, or guilty after over-eating

•       Binging occurs in the absence of inappropriate compensatory behavior

schizophrenia Symtpoms

Two or more of the following:

•       Delusions

•       Hallucinations

•       Negative symptoms, such as flat affect, anhedonia

•       Disorganized speech

•       Disorganized behavior

•       Social/occupational impairment and duration of at least 6 months

Anhedonia

•       Paranoid PD