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NEED some drugs???.doc

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Nursing 3340A/B
Tom Haffie

Substance use abuse and dependence • Psychoactive – a blanket term to include drugs and other substances • Drugs = chemicals other than food that are intended to affect the structure or function of the body Drugs include: • Prescription medicines (antibiotics and antidepressants • Over the counter substances (alcohol, tobacco, caffeine) • Illegal substances Substance use abuse and dependence • APA differentiates between substance abuse and substance dependence • Abuse involves one of the following o Recurrent use resulting in a failure to fulfill major responsibilities at work school or home o Recurrent use in situations in which it is physically hazardous (before driving) o Recurrent substance related legal problems o Continues substance use despite persistent social or interpersonal problems caused by or exacerbated by the effects of the substance o Physical dependence may or may not be present o Tolerance – need more o Withdrawal – reduced amount of substance and experience symptoms Dependence involves three or more of the following during a 12-month period: • Developing tolerance to the substance • Experiencing withdrawal • Taking the substance in larger amounts or over a longer period than was originally intended • Expressing a persistent desire to cut down on or regulate substance use • Spending a great deal of time obtaining the substance, using the substance, or recovering from its effects • Giving up or reducing important school, work, or recreational activities because of substance use • Continuing to use the substance in spite of recognizing that it is contributing to a psychological or physical problem Who uses and abuses drugs • Characteristics/factors that place p
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