Addictions Exam 1 Notecards (#2)

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1

Use

using a substance but not necessarily to the point where it is disordered or causing problems in your life

2

misuse

inappropriate use of a substance (inherently means there is right and wrong way to use substances)

3

dependency

a physiological effect (tolerance and or withdrawal) to a substance. worse than use

4

Why treat addiction?

  • common/ prevalent
  • pervasive
  • highly treatable
5

Top 3 DSM dx in US

anxiety

SUD

mood dx

6

What happens when substances are used in combination?

when substances are used in combination, the risk of having a co-occurring psychiatric disorder increases

7

what is rebound?

the feelings that one has after their high has ended.

Its usually the opposite of however the drug/ substance makes you feel while you're using it

Important-- make sure when you're diagnosing NOT to diagnose a dx that is actually characteristics of the rebound

8

serious mental illness`

schizophrenia, bipolar, MDD-- things that impair daily functioning

9

under 25 drug/ alcohol use....

use before 25 increases chance of developing any mental illness or a serious mental illness

10

Of those with other mental health disorders, who is most at risk of developing a SUD?

those with antisocial personality dx, dependent PD, adn borderline PD are most like 11x more likely to develop a SUD than those not in these populations

11

effectiveness of alcohol tx in US

  • 25% see come recovery
  • abstinent 3-4 days
  • less alcohol consumed on days of drinking
12

what does the previous # of treatment episodes mean?

Nothing! its unrelated to outcome of a subsequent course of treatment. It doesn't matter what happened before. In fact, the more you go to treatment, the longer you go to treatment, the more successful you are in treatment

13

Misconceptions about addictive behavior and their treatment

  1. Tx requires a mysterious and highly specialized expertise, separate from common psychosocial practices
  2. Treating addictions takes an exorbitant amount of time
  3. To be effective addictions counselor, you have to be in recovery yourself
  4. People who struggle with addictive behavior are different from the general public and/ or from other mental health clients
14

addiction

  • A chronic relapsing disease
  • At lease resembles a chronic illness
  • A syndrome at the center of which is impaired control over a reward- seeking behavior
  • Path towards all-consuming
15

Seven dimensions of addiction

  1. Use
  2. Problems
  3. Physical adaptation (tolerance, physiological dependence)
  4. Behavioral or psychological dependence
  5. Cognitive impairment: temporary or long term
  6. Medical harm: acute vs chronic
  7. Motivation for change
16

Etiologies (models) of addiction

  1. personal responsibility
  2. agent
  3. dispositional
  4. social learning
  5. sociocultural
  6. public health
17

personal responsibility model

  • addiction and use is a failure of self control
  • includes moral models
  • general assumption that substance us is a voluntary, chosen behavior, and that the personal could have done otherwise
  • includes 12 step programs like AA
18

agent model

  • strong effects of the agent (the drug/ substance) itself
  • anyone who is exposed to the drug is at risk of being addicted bc of its inherent addictive properties
  • US Temperance movement
19

dispositional model

  • disease model
  • primary cause of addiction within the person, but outside of their control
  • diminished personal responsibility
  • favors humane treatment bc it doesn't blame the individual for their addiction
20

social learning model

  • role of experience in shaping addiction
  • use of substances is responsive to both classical and operant conditional
  • use are influenced by modeling (observational learning)
21

sociocultural model

  • societal and cultural factors underlie addiction
  • availability and price of substance within a community
  • level of use within a community (its normalized)
22

public health model

multi-dimensional model that encompasses the other 5 models.

  • the agent (substance), the host (the individual), and the environment (society, culture) all play a role and shape addiction