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Ch. 22 Addiction (Substances (Marijuana (THC chemical, Depressant and…
Ch. 22 Addiction
Substances
Alcohol
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Intoxication
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0.06=impairment; 0.30=stupor, confusion, coma
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Withdrawal
Signs develop within 6-8 hrs cessation; shakes, jitters
Peaks at 24-48 hrs, can take up to 72 hrs
Delirium Tremens (DT's)
Severe, medical emergency
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Treatment
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Disylfiram(Antabuse); aversion therapy, reacts with small amount of alcohol *after detoxing
Marijuana
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Short-term: euphoria, detachment, relaxation
Long-term: lethargy, anhedonia, loss of memory, difficulty concentrating
Hallucinogens
LSD(acid), Mecaline, mushrooms, PCP, illy-laced weed
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Inhalants
Volatile solvents, spray paint, glue, cigarette lighter fluid, nitrous oxide, aerosols, alcohol
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Cardiac arrest, bronchospasm
Opiod
Morphine, Heroin, Codeine, Fentanyl, Methadone, Merperidine
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Stimulant
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Irregular HR, decreased appetite, panic attacks
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Dissociative Anesthetics
Block signals to the conscious mind from other parts of the brain, detached
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PCP, smoke laced with weed; mimics schizophrenia
Date Rape
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Rapidly produce: disinhibition, relax voluntary muscles, anterograde amnesia
Substance Use
Addiction
Primary, chronic disease of the brain reward, motivation, memory, and related circuitry
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Withdrawal
Psychological changes occur when blood and tissue concentrations of drug decrease after heavy prolonged use of substance
Comorbidities
Psychiatric: anxiety, mood, ODD, antisocial PD
Medical: Hep C, DM, CV disease
ETOH: Wernicke's Encephalopathy, Korsokoff's Psychosis, Vitamin B deficiency
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Behavioral
Gambling
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Treatment: GA; SSRIs, Lithium, Naltrexone
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