Counseling Desk Reference Module 1
(up to Hallucinogens) 2025 Expert
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Designer psychoactive substances - 🧠 ANSWER ✔✔psychoactive substances
specifically invented with a different molecular chemical formula of similar
controlled substances to evade law enforcement.
half life - 🧠 ANSWER ✔✔the amount of time necessary to eliminate one half of
the original dosage of a psychoactive substance from the body.
Central Nervous System - 🧠 ANSWER ✔✔Reticular Activating System, Limbic
System, Basal Ganglia
Central Nervous System Depressants - 🧠 ANSWER ✔✔Alcohol, Barbituates,
Benzodiazepines
,CNS Depressant Physiological Effects - 🧠 ANSWER ✔✔Impaired coordination,
slurred speech, staggering gait, drowsiness, muscle relaxation, slowing of breath,
slowing of heart rate, dizziness, sedation
CNS Depressants Short Term Psychological Effects - 🧠 ANSWER ✔✔loss
ofmemory, euphoria, impaired judgement, feeling of decreased inhibition,
decreased fear, confusion, irritability, paranoia, reduction in tension and anxiety,
inappropriate obnoxious behavior
Habituation - 🧠 ANSWER ✔✔the circumstance where an individual takes daily,
therapeutic doses of the prescribed medication for sleep and finds that it is difficult
to induce sleep without it.
BAC Limits - 🧠 ANSWER ✔✔0.08 while operating a motor vehicle is illegal in
most states
Lethal Alcohol Toxicity (Alcohol Poisoning) - 🧠 ANSWER ✔✔BAC is .40 or
above
ETOH Stages of Withdrawal (Stage 1) - 🧠 ANSWER ✔✔Stage 1: (Tremors) 8 hrs
after heavy drinking. Peak intensity is 24-36 hours after the last drink. Symptoms:
tremors, slurred speech, irritability, nausea, vomiting, easily startled, face flushed,
,diuretic effects, sweating, rapid heart rate, increased blood pressure and temp., loss
of appetite, unsteady gait, inxomnia, inattention, poor coordination, mild
disorientation, poor recent memory and uneasiness. (Experience by 90% of ETOH
dependent clients.)
ETOH Stages of Withdrawal (Stage 2) - 🧠 ANSWER ✔✔Stage 2: (Hallucinations)
25% of clients sx distorted perceptions. auditory and/or visual hallucinations.
ETOH Stages of Withdrawal (Stage 3) - 🧠 ANSWER ✔✔Stage 3 (Withdrawal
Seizures) Grand Mall type in bursts of 2-6. 90% occur between 7-48 hours after the
last drink. Peak incidence: 13-24 hours after last drink. 1/3 will go on to develop
delirium tremens.
ETOH Stages of Withdrawal (Stage 4) - 🧠 ANSWER ✔✔Stage 4: (Delirium
Tremens) Profound confusion, delusions, vivid hallucinations, tremors, severe
agitation, sleeplessness, reduction in psychomotor activity, dilated pupils, fever,
tachycardia and profuse perspiration. 15% Fatality Rate in severe cases. A single
episode lasts 72 hours or less in 80% of cases.
FDA Approved Pharmacologies to treat ETOH Dependence - 🧠 ANSWER ✔✔1.
disulfiram (Antabuse)
2. acamprosate (Campral)
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, 3. naltrexone (ReVia, Depade or Vivitrol)
Barbituate Uses - 🧠 ANSWER ✔✔1. anticonvulsant
2. anesthetic
3. sedative (daytime sedatives replaced by Benzodiazepines)
4. analgesic
Barbituate Short Term Physiological Effects - 🧠 ANSWER ✔✔muscles relax,
drowsiness, slowing of breath, slowing of heart rate, slurred speech, slowing of
motor activity, impaired coordination, dizziness, double vision
Barbituate Long Term Psychological Effects - 🧠 ANSWER ✔✔mood swings
(depression), irritability, inappropriate, obnoxious behavior, manipulation,
nervousness, confusion, insomnia, lack of coordination, anxiety, hyperactivity,
nightmares, hallucinations.
Barbituate Physical Dependence - 🧠 ANSWER ✔✔Requires Hospitalization for
gradual reduction of dose.
Barbituate Withdrawal Symptoms - 🧠 ANSWER ✔✔Within 6-8 hours of last dose:
Expect nausea, vomiting, increased heart rate, excessive sweating, abdominal
cramps, tremors of the extremities, anxiety, restlessness, agitation. Peak on 2nd/3rd