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substance-related & addictive disorders |
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-disorders assoc w the abuse of drugs/substances -alter the way they think, feel, & behave -what type? how do they interfere w/daily life? -usually see more 1 substance |
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-an inability to resist acting on a certain urge or temptation -no self control |
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alter mood behavior or both (general & some are illegal & some are not) |
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-someone is ingesting a psychoactive substance in moderate amounts -doesn't interfere w/functioning |
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impaired judgement, mood changes, change in motor ability -how much? which drug? biological reaction? |
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significant interference w/someone's life (job, relationships, functions) |
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substance dependence 1)tolerance 2)withdrawal |
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full blown addiction/cant function without it 1)need more & more of the drug for the same effect 2)taking away substance & then get a bodily response to the absence of the drug |
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substance abuse-intro in DSM III in 1980 substance dependence distinction -someone can be dependent on a substance w/o being a substance abuser -ind. given morphine for pain, but still experience withdrawal |
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substance Use disorder includes severity of addiction |
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substance disorder is comorbid w/other disorders ___ have another disorder other than substance abuse |
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-all related to sedation -used to increase relaxation -alcohol (most common)must you drink to avoid hangover?)early abuse=later abuse -sedatives -hypnotics |
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Fetal Alcohol Syndrome (FAS) |
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Definition
-results when the mother drank alcohol while pregnant -one of the most common causes of birth defects in the U.S. -facial features: nasal bridge (low),wide spaced eyes, thin upper-lip, indistinct phitrium(bumpy lip), short midface -cognitive deficits -learning disabilities |
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barbiturates & benzodiazepines |
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-sedative drugs -benzos used -reduce anxiety, but highly addictive |
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amphetamines cocaine nicotine caffeine |
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-people are more active & alert -elevate mood -most commonly used of all psychoactive drugs |
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-ecstacy -cocaine paranoia low birth weight -crystal meth -nicotine 20% of ppl smoke relapse rate=rate of ppl that use heroin & -ridilyn -adderal
caffeine-is the most common 90% drink caffeine psychoactive substance-changes mood * behavior |
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-used to reduce pain & induce sleep -opioid is a broader term than opiate -Wizard of Oz when girl falls to sleep from poppies |
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heroin opium codeine morphine |
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-alters sensory perceptions of the world -produce hallucination, delusions, & paranoia |
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Cannabis LSD ERGOT-fungus on grain & people ate infected grain |
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-abused drugs. but not listed in other categories |
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-nail polish remover -dust remover -free-on -over the counter meds -inhalants -spray paint -rubber cement |
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Causes of Substance Abuse: biological factors |
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Causes of Substance Abuse: -genetic influence-runs in families -disease model of dependence(addiction is a disease) positive reinforcement(everybody is drinking) negative reinforcement/self medicating(using substances & removing oneself from stressful situation) social aspects-friends, peers, media moral weakness model-this person has no self control which equals to a substance use problem integrated model- genetic vulnerability, but the psychosocial factors play a huge role |
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Treatments related to substance abuse TABLE 11.3 |
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Definition
aversion treatment (Antabuse) -treatments that makes you sick if you take this medication & interact with alcohol causing the client to avoid drinking inpatient facilities alcoholics anonymous comprehensive treatments-behavioral model (what leads to substance use & what the the consequences of it) seeks to manage stress levels acceptance & commitment therapy "the wisdom to know the difference" less than 25% seek treatment |
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Prevenion: 1. D.A.R.E. 2. comprehensive approach |
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-instill fear into people to prevent substance abuse DOESN'T WORK -learn to deal w/ social approaches & broader life skills |
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Predictors of drug abuse for adolescents |
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Definition
drug use by peers parental drug use deliquency parental maadjustment-stressed parents poor self-esteem social nonconformity-be dff from everybody else stressful life changes |
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-gambling disorder -set financial limits using CBT -preventing relapse - |
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-when individuals are unable to resist the urge to gamble, so they have negative personal consequences(losing job, bankruptcy) treatment? |
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Impulse-Control Disorder: Intermittent Explosive Disorder (IED) |
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people have aggressive impulses resulting in assault & destructive of property -not diagnosed b/c behaviors are similar to other disorders -common in children |
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Impulse control disorder: Kleptomania |
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urges to steal things tat are not needed for personal use -no financial reason to steal it -high impulsivity & rare |
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Impulse-Control Disorder: Pyromania |
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-irresistible urge to play with/set a fire -just solely to set a fire NOT ARSON(setting fire for revenge) -diagnosed in only 3% of arsonists |
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