Term
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Definition
| chronic, relapsing brain disease that is characterized b compulsive drug seeking and use, despite harmful consequences |
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Term
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Definition
reversible substance-specific syndrome due to recent ingestion/exposure to a substance
the clinically significant maladaptive behavior or psychological changes are due to the direct physiological effects of the substance on the CNS |
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Term
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Definition
| condition of cellular adaptation to a pharmacologically active substance so that increasingly larger doses are required to achieve the same physiologic effect |
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Term
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Definition
development of a substance-specific syndrome due to cessation/reduction of substance that has been heavy or prolonged
causes clinically significant distress or impairment in social, occupational, or other important areas of function
opposite effects of whatever the drug caused |
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Term
| *substances with medically dangerous withdrawal risk* |
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Definition
**the 3 B's**
*booze
*benzodiazepines
*barbiturates |
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Term
| patterns of substance use |
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Definition
experimentations
bunge use
social use
chronic use
single vs poly-substance |
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Term
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Definition
abuse vs. dependence
MUTUALLY EXCLUSIVE DIAGNOSES |
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Term
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Definition
3+
-physical dependence
-impaired control
-life organized around drugs
continued use despite adverse consequences
**physical dependence is NOT necessary** |
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Term
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Definition
| continued use despite adverse consequences or when physically hazardous |
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Term
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Definition
genetics
alcoholic parent increases 2.5x
family environment
abuse of another substance |
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Term
| current trends in substance dependence |
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Definition
-increase in narcotic pain relievers
-decrease in cocaine
-alcohol largest (steady)
-peak in late adolescence/early adulthood
-M>F in all ages ranges except 12-17 |
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Term
| *guidelines for low rosk drinking* |
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Definition
**0--3--4--7--14**
0: pregnant, meds, medical illness
3: 4: 7: 14: |
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Term
| diagnosis of alcohol abuse |
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Definition
*critical to know what happens when a person drinks; what happens when they try to stop
CAGE, T-ACE questionnaires |
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Term
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Definition
2 or more "yes" = positive screen
have you every felt you should Cut down on drinking?
have people Annoyed you be criticizing your drinking?
have you ever felt bad or Guilty about your drinking?
Eyeopener?
76% sensitive
94% specific |
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Term
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Definition
2+ points = high risk (max 5)
Tolerance - how many drinks does it take to make you feel high?
Annoyance (from others)
Cut down
Eye opener
76% sensitive
79% specific |
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Term
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Definition
-effective treatment attends to multiple needs of the patient (medical, social, legal, family)
-remaining in treatment for adequate period of time is critical
-coexisting mental disorders should be treated
-does not need to be voluntary to be effective |
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Term
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Definition
CBT
MET: motivational enhancement
12-step |
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Term
motivational enhancement therapy
MET |
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Definition
motivate pt to internalize the drive to get clean
stages:
precontemlation
contemplation
determination
action
maintenance
relapse |
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Term
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Definition
rule of thirds
1/3 abstain completely
1/3 use, but improve
1/3 don't improve
(2/3 improve) |
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