Flashcards in Substance Abuse Deck (65)
What drugs are most addictive?
T or F the majority of people diagnosed with a substance related disorder are unemployed
Why do individuals that are substance dependent continue to use?
To avoid withdrawals
When is a person in remission most vulnerable to relapse?
Within the first year
How many clinical signs/symptoms must a person show to be diagnosed as substance dependent?
3 or more
How many signs or symptoms must a person show to be diagnosed with substance abuse disorder?
1 or more within 12 month period
- increased use over longer period of time
- dedication to acquiring substance
- persistent desire to quit
- missing social, economic, or recreational events to continue use
- continued use despite physical or psychological problems
are signs of
What is the long term goal of treatment?
- failure to fulfill major role obligations at home, work, school
- continued substance use in situations that are hazardous
- reoccurring substance related legal problems
- no diagnosis of substance dependence
- continued use despite interpersonal problems
are symptoms of
substance abuse disorders
What are the short term goals of treatment?
Reduction in use and minimizing negative effects of use
When conducting a full clinical evaluation what are some things to discuss
- type of substance, duration, and frequency of use
- medical history
- severity if withdrawal symptoms
- mode of onset
- social history
- family history of substance use
- impact if use on everyday life
If a client has a substance abuse problem what should you do before referring them to therapy?
Refer to substance abuse treatment
Name some types of sub abuse tx
Detox, 12 step, self help, outpatient/inpatient, pharmacological, psychosocial, residential
T or F a person who spends at least 3 months in residential treatment is likely to have a better long term outcome
What are the most common psychosocial methods used to treat sub abuse to
CBT, psychodynamic, behavioral, self help, group and family therapy
When does fetal alcohol syndrome cause the most damage
Name two syndromes associated with chronic alcohol abuse caused by a thiamine deficiency
Wernicke's enceohalopathy & Korsakoff's Syndrome
What disorders are linked to FAS
ADHD & facial malformation
What is Antabuse?
What is the strongest predictor for developing alcohol problems
Name some models on causes of substance abuse
- Biopsychosocial: wide variety of reasons
Medical/Biological: genetic, altered brain chemistry
Family & Environment: peer pressure, abuse, disorganized communities
Clinical: used to escape painful problems in life, poor coping mechanisms
Social: drug use is learned and reinforced by role models
Describe the AUDIT assessment
Alcohol Use Disorders Identification Test
Describe the CAGE AID assessment
cut down? annoyed? guilty? eye-opener?
Describe the TWEAK Test
Tolerance, Worried, Eye-opener, Amnesia, K (cut down)
Define Substance abuse
A maladaptive pattern of abuse leading to significant impairment in functioning or distress.
T or F to make a diagnosis of Substance Dependence, you do NOT need to have tolerance or withdrawal symptoms
T or F to make a diagnosis of substance dependence you need evidence of a significant impairment in functioning.
T or F Wernicke’s Encephalopathy if left untreated leads to Korsakoff’s Syndrome
Delirium, hallucinations, delusions, agitated behavior, autonomic hyperactivity (sweating and rapid pulse) are symptoms of what?
Alcohol Withdrawal Delirium