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PSYC62H3 (143)


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Suzanne Erb

ADDICTION MOVIE NOTES Saturday night in dallas hospital ER - 95% of all adults dependent on or abusing alcohol started drinking before age 21 - At Parkland Memorial Hospital, there are over 30 000 injury related visits to the emergency room, almost half of them involving drugs or alcohol o A stabbing victim who was high on cocaine when attacked o A man who snapped his ankle after a night of drinking o An underage accident victim who celebrated his 20 birthday by downing 15-20 whiskey shots o A level 1 trauma patient who dies in the OR (had been on marijuana) Mother’s desperation - Donna as had a warrant issued for her daughter’s (Aubrey) arrest - Aubrey is 23 and a heroin addict for 7 years o Been in/out of rehab 12 times o She was in the gifted program at school, cheerleading, singing, but she never liked herself - Ppl ask Donna where were you when this happened? She was right there - Aubrey turned herself in after 5 weeks - Aubrey was released the first time on her own recognizance The science of relapses - The tendency to relapse is very strong and part of the disorder, not a failure of treatment - William, addicted to crack cocaine, has entered a study at the university of Pennsylvania that is investigating the brain’s response to drug cues - In the brain we have the go system for helping us respond to natural rewards, and the stop system, that is importatnt for telling us when it is important not to go, to stop - The stop system evolved to help us weigh the consequences of our impulses - With patients, it’s like the two systems are disconnected and the go system has run off on its own - The patient sees, smells, experiences reminding them of the drugs - Backlivan sort of reduces the go system The adolescent addict - 15 year old Dylan has drug problem after being left by father at 10 - Adolescents are more susceptible to lure of drugs than adult brains - Dylan’s stepfather says be became a cutter and used a slingshot to shoot out windows in a fit of rage - Many families are unwilling to look outside the home for help - Less than 1 in 10 adolescents who meet clinical criteria for abuse or dependence are showing up to treatment - Dylan liked marijuana the most for its calming effect - Dylan would hurt himself or material things, not other people - His mom had to call the sheriff when he had a raging moment - They’re doing a bad job of identifying and getting kids who have problems into treatment, often parents and teachers think they will just grow out of it Brain imaging - John, a 43 year old methamphetamine user, is shown at MRI image of his brain next to a normal one, - Despite the visual evidence of damage, he is ambivalent about quitting - The brain has the tremendous capacity for recovery - Dopamine is the neurotransmitter that defines the brain’s pleasure pathways - Denial is a core feature of this disorder Opiate addiction: a new medication - In the 1960s, methadone was found to be successful in treating addiction to opiates like heroin. More recently, buprenorphine, which can be prescribed by physicians under the brand name Suboxone, has taken the treatment one step further. Amanda, 20, has been addicted to opioids (painkillers and heroin) for three years; her boyfriend Justin, 23, has been addicted six years. Together, they attend an orientation session at Acadia Hospital in Maine, learning about replacement therapy and Suboxone from Scott Farnum, Administrator of Substance Abuse Services. Explaining that the stimulation from opiates is "way more potent" than anything the brain produces, Farnum says that Suboxone - an opiate blocker - might replace methadone in certain cases. While Amanda and Justin both show improvement after six months, Justin says he may return to the more affordable methadone. Either way, Farnum explains that kicking the heroin habit without replacement drugs is virtually impossible: "After gross withdrawal, you feel like shit - that's why 90% of the people who don't use replacement therapy relapse." - Maine is the most opioid addicted state in America - Over 45 million americans do not have insurance Topiramate: a clinical trial alcoholism - An estimated 17 million Americans suffer from alcohol- use disorders, but only 13% are being treated with medication proven to be effective. While there are three approved medications currently available in the U.S. - disulfiram (brand name: Antabuse), acamprosate (Campral) and naltrexone (Revia) - a new medication called topiramate is currently being tested at the CARE Clinic in Charlottesville, VA. This segment focuses on two test subjects who have turned to the drug as a way to combat chronic alcoholism. One is Tom, a "functional drunk" who drank morning, noon and night when he retired. Now, "My drinking's killing me, and I desperately need help." The other is Adam, who "went crazy" in college, and has put his music
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