PS280 Lecture Notes - Lecture 5: Dsm-5, Depressant, Brain Damage

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13 Jun 2018
School
Department
Course
Week 5: Alcohol
Alcohol - Related Disorders
DSM-5 alcohol use disorder (at least 2 of these symptoms)
Impaired Control
Larger amounts / longer periods → more / longer than intended
Desire / unsuccessful efforts to quit
A lot of time → not just drinking but includes hangovers etc
Cravings → mind focused on drinking
Social Impairment
Social / occupational functioning affected → failure to fulfil obligations
Continued use despite interpersonal problems
Activities given up due to alcohol
Risky Use
Recurrent use despite physically hazardous → drinking and driving
Continued use despite physical / psych problems → anxiety / depression / liver
issues
Physical Symptoms
Tolerance → needing more alcohol to get same effect
Withdrawal → continues to drink to relieve the symptoms
Mild = 2-3 symptoms
Moderate = 4-5
Severe = 6+
Severity can change across time
Alcohol Withdrawal Symptoms
Sweating or increased heart rate
Hand tremors
Insomnia
Nausea or vomiting
Hallucinations
Agitation
Anxiety
Seizures
Looking for 2 or more of these symptoms when person has stopped their drinking or
significantly reduced it
DSM-IV
Use - moderate amounts; no significant interference in functioning
DSM4 distinguishes between abuse and dependence
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Document Summary

Dsm-5 alcohol use disorder (at least 2 of these symptoms) Larger amounts / longer periods more / longer than intended. A lot of time not just drinking but includes hangovers etc. Social / occupational functioning affected failure to fulfil obligations. Recurrent use despite physically hazardous drinking and driving. Continued use despite physical / psych problems anxiety / depression / liver issues. Tolerance needing more alcohol to get same effect. Withdrawal continues to drink to relieve the symptoms. Looking for 2 or more of these symptoms when person has stopped their drinking or significantly reduced it. Use - moderate amounts; no significant interference in functioning. Alcohol abuse criteria (at least one of ) these criteria are easy to meet. If they meet one criteria, then you must check for dependence. Common - 12% men, 5% women, binge drinking at canadian universities. Comorbidity - a lot with depression / anxiety, people often using alcohol to cope.

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