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Flashcards in Substance Abuse Deck (65)
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0

What drugs are most addictive?

Narcotics

1

T or F the majority of people diagnosed with a substance related disorder are unemployed

False

2

Why do individuals that are substance dependent continue to use?

To avoid withdrawals

3

When is a person in remission most vulnerable to relapse?

Within the first year

4

How many clinical signs/symptoms must a person show to be diagnosed as substance dependent?

3 or more

5

How many signs or symptoms must a person show to be diagnosed with substance abuse disorder?

1 or more within 12 month period

6

- tolerance
- increased use over longer period of time
- withdrawals
- 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

substance dependence

7

What is the long term goal of treatment?

Abstinence

8

- 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

9

What are the short term goals of treatment?

Reduction in use and minimizing negative effects of use

10

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

11

If a client has a substance abuse problem what should you do before referring them to therapy?

Refer to substance abuse treatment

12

Name some types of sub abuse tx

Detox, 12 step, self help, outpatient/inpatient, pharmacological, psychosocial, residential

13

T or F a person who spends at least 3 months in residential treatment is likely to have a better long term outcome

True

14

What are the most common psychosocial methods used to treat sub abuse to

CBT, psychodynamic, behavioral, self help, group and family therapy

15

When does fetal alcohol syndrome cause the most damage

First trimester

17

Name two syndromes associated with chronic alcohol abuse caused by a thiamine deficiency

Wernicke's enceohalopathy & Korsakoff's Syndrome

18

What disorders are linked to FAS

ADHD & facial malformation

19

What is Antabuse?

Aversion therapy

20

What is the strongest predictor for developing alcohol problems

Family history

21

Name some models on causes of substance abuse

- Biopsychosocial: wide variety of reasons
Medical/Biological: genetic, altered brain chemistry
Self-medication
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

22

Describe the AUDIT assessment

Alcohol Use Disorders Identification Test

23

Describe the CAGE AID assessment

cut down? annoyed? guilty? eye-opener?

24

Describe the TWEAK Test

Tolerance, Worried, Eye-opener, Amnesia, K (cut down)

25

Define Substance abuse

A maladaptive pattern of abuse leading to significant impairment in functioning or distress.

26

T or F to make a diagnosis of Substance Dependence, you do NOT need to have tolerance or withdrawal symptoms

True

27

T or F to make a diagnosis of substance dependence you need evidence of a significant impairment in functioning.

True

28

T or F Wernicke’s Encephalopathy if left untreated leads to Korsakoff’s Syndrome

True

29

Delirium, hallucinations, delusions, agitated behavior, autonomic hyperactivity (sweating and rapid pulse) are symptoms of what?

Alcohol Withdrawal Delirium

30

What is methadone?

synthetic narcotic taken instead of opiates; can be legally prescribed. Patient uses to detox from opiates or on daily basis as substitute for heroin.