LCSW Exam Quick Study: Substance Abuse, Questions and answers, Rated A+

LCSW Exam Quick Study: Substance Abuse, Questions and answers, Rated A+ Substance Abuse Disorder - -problematic pattern of using alcohol or another substance that results in impairment in daily life or noticeable distress, a person with this disorder will often continue to use the substance despite consequences Criteria for Substance Abuse Disorder - -1. Taking substance in larger amounts or for longer than meant to 2. Wanting to cut down/stop but not being able to 3. Spending a lot of time getting, using, or recovering from use 4. Cravings and urges to use the substane 5. Not managing responsiblites at work,home, or school because of use 6. Continuing to use when it causes relationship problems 7. Giving up important social, occupational, recreational activities because of use 8. Contininuing use when it creates danger 9. Continuing to use when known to have physical/psychological problem made worse by substance 10. Needing more of substance to get desired effect (tolerance) 11. Development of withdrawl symptoms, relived by substance Substance Intoxication - -Development of a reversible, substance specific syndrome as a result of the result ingestion of a substance, must include maladaptive behavior or psychological changes and specific sings of the substance's effects on the nervous system Substance Withdrawl - -substance-spercific maladpative behavioral hange with psychological and cognitive correlates, due to cessation or reduction of heave or prolonged substance use Alcohol Signs of Intoxication (same for sedatives, hypnotics, anxiolytics) - -inappropriate sexual or agressive bevahiors, impaired judgement, slurred speech, emotional lability, incoordination, unsteady gait, involuntary rythmic movement of the eyes, impaired attention or memory, stupor, coma Alcohol signs of withdrawl (same for sedatives, hypnotics, anxiolytics) - -sweating, tachycardia, hand tremor, insomia, nausea or vomiting, transient illusions or hallucinations, anxiety, psychomotor agitation, grand mal seizures, delirium tremors Wernicke's Encephalopathy - -caused by thiamine defincey often associated with alcoholism, symptoms include confusion, loss of muscle coordinaton (leg tremors) and vision changes (abnormal eye movements, double vision, eye lid drooping) Korakoff's Syndrome - -retrograge and anterograde amnesia and confabulation (attempts to compensate for memory loss by fabricating memories); hallucinations Ampehtamines/Cocaine Signs of Intoxication - -euphoria, anxiety, hyperactivity, grandiosity, confusion, anger, paranoia, auditory halucinations, tachycardia, elvevated or lowered blood pressure, dilated pupils, perspiration or chills, nausea or vomiting, weight loss, psychomotor agitation, muscular weakness, confusion, seizures Ampehtamines/Cocaine Signs of Withdrawl - -dysphoric mood, fatigure, vivid and unpleasant drams, insomnia or hypersomnia, increased appetite, psychomotr agitation or retardation Caffeine signs of intoxicaiton - -restlessness, nervousness, excitement, insomnia, flushed face, dieresis, gastrointestinal disturbance, muscle twitches, rambling flow of thought, tacyhardia or arrhymia, periods of inexaustability, psychomotor agitation Cannabis signs of intoxication - -impaired motor coordination, euphoria, anxiety, sensation of slowed time, impaired judgement, social withdrawl, conjuctival infection (eye redness), increased appetite, dry mouth, tachcardia Hallucinogens signs of intoxication - -perpetucal changes, anxiety, depression, ideas of refernce, paranoid ideation, pupillary dilation, tachycardia, sweating, palpatations, blurred vision, tremors, incoordination Hallucinogen persisting perception disorder (flashbacks) - -after stopping use, reexperiencing one or more of the perceptual symptoms that were expereinced while intoxicated with the hallucinogen, causes significant distress or impairmentin social, occupational, or other areas of funcitoning Opioids signs of intoxication - -initial euphoria followed by apathy or dysphora, pupillary constriction, drowsiness or coma, slurred speech, impairment in attention and memory Opiod signs of witdrawl - -dysphoric mood, nausea or vomiting, muscle aches, lacrimation or rhinorrea (runny eyes and nose), pupillary dilation, diarrhea, yawning, fever, insomnia AA, NA - -based on disease model, cannot be cured, only controlled Motivational Interviewing - -treatment model focused on resolving ambibalence and using person's own values and concerns to elicit change (rather than coercing person to change behavior) Alcoholic Family Dependent - -the alcoholic family member Alcoholic Family Enabler - -often the spouse, person who does everything to get the dependent to stop drinking except what might actually work (confrontation, leaving relationship) Alcoholic Family Hero - -family