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Do you treat the detox symptoms or the alcohol psych problem first??
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Detox symptoms
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Co-morbidity of alcoholism
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6 out of 10 people have a mental health disorder who have alcoholism
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Symptoms of Alcohol Abuse
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Maladaptive pattern
Recurrent usage
Little psychological dependence
No signs of withdrawal
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Addiction or Dependence-
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A pattern of out of control or compulsive use of psychoactive substances in which use continues despite negative consequences
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Tolerance
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Pharmacologic property of some abused substances in which increased amounts over time are required to achieve similar results in earlier use
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Which axis is substance abuse/dependency?
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Axis 1
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Withdrawal syndrome
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Substance specific signs and symptoms precipitated by abrupt cessation or reduction of a substance that produces tolerance and dependence after prolonged use
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Alcoholism Disease Theory
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Recognizes substance dependence as a complex biological and psychosocial disorder that is chronic, progressive, and potentially fatal.
-Moves away from alcoholism as Geneta problem of flawed character -Addict is seen as someone in need of help -Addiction involves biological, psychological and social factors |
Genetic factors of alcoholism
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-tendency to become addicted is inheritied-increased vulnerability to addiction to drugs when family history is present-does not guarantee development of addiction but increases risk
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Biologic Theory of Alcoholism
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-alcohol and drug use may be a result of imbalances in neurotransmitters-person self-medicating-incentive salience-gene therapy
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Incentive Salience
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Cues sensitivity when exposed to substance. reason for first year relapses
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Psychosocial Theories of Alcoholism
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-disease with feelings-lack of success-maladaptive coping-risk taking propensity-low self esteem-lack of meaningful relationships
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Sociocultural Theories of Alcoholism
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-it is a learned behavior-socio-economic stress-helps cope with anxiety
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Substance Intoxication
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-reversible substance specific syndrome-recent ingestion-causes behavioral and psychological changes-effects CNS
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Synergistic Effects of Alcoholism
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Refers to intensification or prolongation of drugs taken together (ex: alcohol and valium= both downers)
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