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Substance Use Disorders

Chapter 12

Substance Use Disorders

Misuse of substances is common and costly

Substance Use Disorders

Substance Use Disorders

Misuse of substances is common and costly

Diagnosis

Depressants

Depressants

Effects: slow system down, reduce tension and inhibitions, interfere with movement and thinking

Depressants

Effects: slow system down, reduce tension and inhibitions, interfere with movement and thinking

Alcohol

Depressants

Effects: slow system down, reduce tension and inhibitions, interfere with movement and thinking

Alcohol

Sedative-hypnotic drugs

Depressants

Effects: slow system down, reduce tension and inhibitions, interfere with movement and thinking

Alcohol

Sedative-hypnotic drugs

Opioids

Stimulants

Stimulants

Effects: speed system up, increase alertness, speed up movement and thinking, improve mood

Stimulants

Effects: speed system up, increase alertness, speed up movement and thinking, improve mood

Cocaine

Stimulants

Effects: speed system up, increase alertness, speed up movement and thinking, improve mood

Cocaine

Amphetamines

Stimulants

Effects: speed system up, increase alertness, speed up movement and thinking, improve mood

Cocaine

Amphetamines

Caffeine

Hallucinogens

Hallucinogens

Effects: perceptual changes, strong emotions

Hallucinogens

Effects: perceptual changes, strong emotions

LSD, Ecstasy

Cannabis

Cannabis

Effects: hallucinogen, stimulant, and depressant

Etiology

Etiology

Sociocultural issues: life stressors; family/peer values

Etiology

Sociocultural issues: life stressors; family/peer values

Psychodynamic view: seeking comfort they did not receive in early childhood

Etiology

Sociocultural issues: life stressors; family/peer values

Psychodynamic view: seeking comfort they did not receive in early childhood

Cognitive-Behavioral view: operant conditioning; classical conditioning. Expectancy, “self-medicating”

Etiology

Sociocultural issues: life stressors; family/peer values

Psychodynamic view: seeking comfort they did not receive in early childhood

Cognitive-Behavioral view: operant conditioning; classical conditioning. Expectancy, “self-medicating”

Biological view: genetic predisposition; synaptic regulation (homeostasis); sensitization of brain reward center; stimulate low reward sensation

Treatment

Treatment

Psychodynamic: uncover and resolve early needs

Treatment

Psychodynamic: uncover and resolve early needs

Behavioral: aversion therapy; contingency management

Treatment

Psychodynamic: uncover and resolve early needs

Behavioral: aversion therapy; contingency management

Cognitive-Behavioral: relapse-prevention training; acceptance and commitment therapy

Treatment

Psychodynamic: uncover and resolve early needs

Behavioral: aversion therapy; contingency management

Cognitive-Behavioral: relapse-prevention training; acceptance and commitment therapy

Biological: detoxification; antagonist drugs; drug maintenance treatment

Treatment

Psychodynamic: uncover and resolve early needs

Behavioral: aversion therapy; contingency management

Cognitive-Behavioral: relapse-prevention training; acceptance and commitment therapy

Biological: detoxification; antagonist drugs; durg maintenance treatment

Sociocultural: self-help groups; residential treatment centers; multiculturally sensitive programs; community prevention programs

Quiz