Substance Abuse 06.22.2015 Flashcards Preview

Psych lectures > Substance Abuse 06.22.2015 > Flashcards

Flashcards in Substance Abuse 06.22.2015 Deck (12)
Loading flashcards...
1
Q

difference between abuse and dependence

A

abuse: using it too much, dependence: using it b/c you need it

2
Q

three facets of definition of addiction

A

person, substance or activity regularly used to escape fro negative feelings and uses despite negative consequences

3
Q

is physiological dependence a part of addiction

A

not necessarily

4
Q

four Cs of addiction

A

crave to use, compulsion, continued use despite adverse consequences, then loss of control

5
Q

trademark addictive behaviors

A

denial (first and most basic), manipulation, throwing focus, blaming, minimizing, rationalizing

6
Q

development of continuum of drugs

A

recreational use -> gateway drugs -> abuse -> dependence -> the “Slide”

7
Q

What is SBIRT

A

screen, brief intervention, and refer to treatment (MI skills - deliver treatment and intervention early)

8
Q

what percent of population will have a substance abuse problem

A

50%

9
Q

what is the Audit-C

A

alcohol screening test (3 questions): how many standarad drinks do you ahve on a typical day, how often do you drink alcohol, how often do you have 6 or more

10
Q

what is B-DAST

A

drug abuse screen tool (cocaine, opiates, etc)

11
Q

what are the symptoms of alcohol, cocaine, and heroin

A

CWIA: will tell us how to treat with benzos for withdrawal b/c don’t want them to have a seizure/flee (uses a score)

  1. alcohol: peaks at 24 hours, can begin as early as several hours after last use
  2. Cocaine: chest pain, anhedonia, irritability
  3. heroin: 12-72 hours, major symptom of withdrawal -> piloerection
12
Q

what two meds are used to treate opiate withdrawal?

A

methadone -> for people who don’t have insurance
subtrex

  • are schedule 2 and mimic effects of opioids, dose downward as recover continues

(remember still working with CBT, coping skills, MI or motivational interviewing)