Mark Klimek Lecture 2 – Alcoholism & Abuse Questions and Answers

The number one psychological problem in abuse is what? - Answer-Denial Denial - Answer-Refusal to accept the reality of a problem How do you treat denial? - Answer-Confront it by pointing out to the person the difference between what they say and what they do Aggression vs. Confrontation - Answer-Aggression attacks the person Confrontation attacks the problem NEVER attack a person - Answer-Use "I" statements instead of "you" 5 Stages of Grief & Loss - Answer-Denial Anger Bargaining Depression Acceptance When is denial accepted as a healthy normal first reaction? - Answer-During grief & loss. In this case, support the denial. The number two psychological problem that abusers have is... - Answer-Dependency & Codependency Dependency - Answer-When the abuser gets the significant other to do things for them or make decisions for themCodependency - Answer-When the significant other derives positive self-esteem from doing things for or making decisions for the abuser When treating dependency/codependency: - Answer-Set limits and enforce them. Agree in advance on what requests are allowed, then enforce the agreement. Teach significant other to say no! Manipulation - Answer-When the abuser gets the significant other to do things for him/her that are not in the best interest of the significant other. The nature of the act is harmful or dangerous to the significant other. Treating manipulation - Answer-Set limits and enforce them With denial how many pts do you have? - Answer-One With dependency how many pts do you have? - Answer-Two With manipulation how many pts do you have? - Answer-One Wernicke's is an - Answer-Encephalopathy Korsakoff's is a - Answer-Psychosis Wernicke's (Korsakoff's) is number one psychosis induced by... - Answer-Vitamin B1 or thiamine deficiency Primary symptoms of Wernicke's (Korsakoff's) Syndrome - Answer-Amnesia (memory loss) with confabulation (make up stuff) How do you deal with someone who has Wernicke's (Korsakoff's)? - Answer-Redirect! Don't present reality (They can't learn it)Characteristics of Wernicke's (Korsakoff's) Syndrome - Answer-1. Preventable 2. Arrestable 3. Irreversible Antabuse/Revia is... - Answer-Aversion Therapy Aversion Therapy is... - Answer-Really strong gut hatred for something Why is Antabuse used? - Answer-Goal is for alcoholics to develop a gut hatred for alcohol What is the onset and duration of effectiveness of Antabuse? - Answer-2 weeks What will you teach your patient using Antabuse? - Answer-Avoid ALL forms of alcohol to avoid nausea, vomiting, and death Products that contain alcohol: - Answer-- Mouth wash - Cologne - Perfume - Aftershave - "Elixir" - most OTC liquid medicines - Insect repellent - Vanilla extract - Vinagerettes - Hand sanitizer Every abused drug is either an... - Answer-Upper or downer Uppers - Answer-- Caffeine - Cocaine - PCP/LSD - Methamphetamines - Adderall S/s of Uppers - Answer-- Euphoria - Tachycardia - Restlessness - Irritability - Borborygmi - Diarrhea - Hyperreflexia - Spastic - SeizuresDowners - Answer-135, everything that isn't an upper S/s of downers - Answer-- Lethargy - Bradycardia - Hyporeflexia - Resp. Arrest What two questions do you ask about drug abuse? - Answer-1. Upper or downer? 2. Overdose or withdrawal? Upper overdose looks like... - Answer-Downer withdrawal Downer overdose looks like... - Answer-Upper withdrawal Resp. Depression & arrest is the highest priority for... - Answer-- Downer overdose - Upper withdrawal Seizures are the biggest risk for... - Answer-- Upper overdose - Downer withdrawal At birth, always assume... - Answer-Intoxication not withdrawal 24 hours after birth it is... - Answer-Withdrawa