Initial experimental use of chemical substances usually occurs during what ages? -
ANSWER 12-15 years of age
Stage 1: Experimental and Social Use of Drugs and Alcohol - ANSWER Occasional,
few times monthly. Typically on weekends at parties or with friends. May use when alone.
Reasons for use include to satisfy curiosity, peer pressure, obtain social acceptance, defy
parental limits, to seek a thrill, to relieve boredom, to appear grown up, and to produce
pleasurable feelings. At this stage, a person will experience euphoria and then return to a
normal state after using, a small amount may cause intoxication. Behavior indicators of
someone using while in this stage include lying about use or whereabouts, experiencing
moderate hangovers, evidence of a beer can or a marijuana joint
The metabolic effects of alcohol and other drugs alter the individual's chemistry because? -
ANSWER Psychoactive drugs mimic, displace, block, or deplete specific chemical
messengers between nerve cells in the brain
Stage 2: Abuse - ANSWER Regular use, may use several times a week, may begin
using during the day, may be using alone rather than with friends. Begin buying enough to
be prepared, may sell to keep a supply for personal use, may begin stealing to have enough
money to buy drugs/alcohol. Use to manipulate emotions, to experience pleasure that the
substance provide, to cope with stress and uncomfortable emotions. People at this stage
often experience uncomfortable emotions when not using, substances are used to maintain
normal feelings. Feels shame and guilt. More of a substance is needed to produce the same
effect. Behavior indicators of someone using in this stage are school or work performance
declining, mood swings, changes in personality, lying, losing friendships, and family conflict.
1
, Addiction - ANSWER compulsive use, impaired control over using the substance,
preoccupation with obtaining and using the drug, and continued use despite adverse
consequences
Stage 3: Dependency/Addiction - ANSWER Daily, continuous use. Will use any means
necessary to obtain and secure substances, taking serious risks, engaging in criminal
behavior. Substances are needed to avoid pain and depression. Many wish to escape the
realities of daily living. Use is out of control. Peron's normal state is pain/discomfort,
substances are used to feel normal, pain is felt when the effects wear off. Unable to
experience euphoria when using. Suicidal thoughts or attempt. Feelings of shame, remorse,
and guilt. Feelings of depression, aggression, irritation, and apathy. Behavioral indicators of
someone using in this stage include physical deterioration, poor appearance, memory loss,
flashbacks, paranoia, mood swings, mental health problems, likely to drop out of school or
lose job, absent from home, overdoses, lack of concern about being caught - focused only on
obtaining and using substances
DSM-V criteria for substance use disorder - ANSWER Mild: 2-3 criteria
Moderate: 4-5 criteria
Severe: >6 criteria
1. Substance used in larger amounts or over a longer period than intended
2. Unsuccessful efforts to control use
3. Excessive time spent obtaining, using or recovering
4. Cravings
5. Failure to fulfill obligations
6. Continued used despite interpersonal problems
7. Patient gives up on important activities
8. Recurrent use in situations where it poses physical harm
9. Continued use despite knowledge of having a problem
10. Tolerance
11. Withdrawal
2