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Lecture 3

PSYT 301 Lecture Notes - Lecture 3: Pupillary Response, Rhinorrhea, Goose Bumps


Department
Psychiatry
Course Code
PSYT 301
Professor
Kathryn Gill
Lecture
3

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Lecture 3: Case wrap-up
DSM5 sedative/hypnotic and anxiolytic withdrawal: two or more of the following
developing after cessation of use that has been heavy and prolonged
autonomic hyperactivity (sweating, increased pulse, increased hand tremors)
psychomotor agitation/anxiety
insomnia
nausea or vomiting
transient visual, tactile, or auditory hallucinations or illusions
generalized tonic-clonic seizures (full brain seizures)
alcohol withdrawal symptoms begin 4-12 hours following cessation, peak 2 days,
duration around 5 days
DSM5 opioid withdrawal: three or more of the following after cessation
dysphoric mood
nausea and vomiting
muscle aches
lacrimation or rhinorrhea
pupillary dilation, piloerection
diarrhea (explosive)
yawning
fever
insomnia
opioid withdrawal usually not life-threatening, but can seem unbearable
DSM5 diagnostic criteria for substance use disorders: a maladaptive pattern of
substance use, leading to clinically significant impairment or distress, as
manifested by at least 2 of 11 criteria, occurring within a 12 month period:
impaired control, compulsion to obtain and take the substance:
the substance is often taken in larger amounts or over a longer period
than was intended
there is a persistent desire or unsuccessful efforts to ct down or
control substance use
a great deal of time is spent in activities necessary to obtain the
substance, use the substance, or recover from the effects
craving or a strong desire or urge to use
detrimental effects on users and their close relations
recurrent substance use resulting in a failure to fulfill major role
obligations at work, school, home
continued use despite having persistent or recurrent social or
interpersonal problems caused or exacerbated by the effects of the
substance
important social, occupational, or recreational activities are given up or
reduced because of substance abuse
recurrent substance use in situations in which it is physically
hazardous
substance use is continued despite knowledge of having a persistent
or recurrent physical or psychological problem that is likely to have
been caused by the substance
development of tolerance and withdrawal
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