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Substance Related Abuse

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Submitted By TamVan22
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Substance-related disorders

Terms:

Substance: affects body or mind
Intoxication: temporary change
Abuse: excessive, chronic use and impairment
Dependence: abuse + physical or psychological dependence -Tolerance - Withdrawal

Substance-related conditions recognized by the DSM-IV:

* Substance dependence; diagnosis is given when substance use leads to psychological dependence or significant impairment or distress. * Substance abuse; diagnosis is given when recurrent substance use leads to significant, harmful consequences. * Substance intoxication; experience of significant maladaptive behavioral and psychological symptoms due to the effect of a substance on the central nervous system. * Substance withdrawal; experience of clinical significant distress in social, occupational or other areas of functioning due to the cessation or reduction of substance use.

DSM criteria for substance abuse:

* One or more of the following occurs during a twelve month period, leading to significant impairment or distress 1. Failure to fulfill important obligations at work, home or school as a result of substance abuse. 2. Repeated use of the substance in situations which is physically hazardous to do so e.g. driving. 3. Repeated legal problems as a result to substance abuse. 4. Confirmed use of the substance despite repeated social or legal problems as a result of use.

DSM criteria for substance Dependence:

* Maladaptive pattern of substance use leading to three or more of the following: 1. Tolerance –same amount doesn’t work as well as before so now they need more. 2. Withdrawal - usually physical psychological symptoms such as hallucinations, vomiting etc.
-either take more or something else that is similar e.g. sedatives to prevent the withdrawal.
- most typical on a Sunday night or Monday morning.
3. the substance is often taken in larger amounts or over a longer period than was intended.
4. there is a persistent desire or unsuccessful efforts to cut back or control the use.
5. a great deal of time in activities necessary to obtain the substance, use it or recover from its effects.
6. important social, occupational or recreational activities are given up or reduced because of the substance use.

Five main categories of substances:

1. Depressants: result in behavioral sedation 2. Stimulants: increase alertness and elevate mood 3. Opiates: primarily produce analgesia (pain relief) and euphoria. 4. Hallucinogens: alter sensory perception 5. Others: include inhalants, anabolic steroids, medications

Depressants:

* Slow activity of the central nervous system. * Binds to GABA receptors (sedative, sleepy, calm)

Casual influences: 1. Biological factors : genetic but adoptive by others 2. Neurological factors: GABA system, serotonin system, Dopamine system 3. Psychological and environmental factors: social settings, parental drinking habits, positive reinforcement, self-medication, expectancies, personality

Alcohol intoxication:

* Recent alcohol ingestion * Changes develop during or shortly after ingestion * Slurred speech, gait unsteady, incoordination, memory impairment

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