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Notes For Exam 3 (Ch. 9-11)

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PSYC 3082
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Chapter 9 SubstanceRelated DisordersNormal Substance Use and SubstanceRelated Disorders What Are Theysubstance usea nonmaladaptive use of alcohol or other drugsubstancerelated disordera class of mental disorders characterized by substance intoxication abuse and dependence and withdrawalSubstanceRelated Disorders Features and EpidemiologySubstance intoxicationsubstance intoxicationa reversible condition triggered by excessive alcohol or other drug usemaladaptive changes may become aggressive make inappropriate sexual advances show impaired judgment decision to drive and rapid shifts in mood may lead to depressionsome may be intoxicated for short periods some go on binges for lengthy periodsDSMIVTR Features Substance IntoxicationDevelopment of a reversible substancespecific syndrome due to recent ingestion of or exposure to a substanceSignificant maladaptive behavioral or psychological changes due to the effect of the substance on the central nervous systemSymptoms are not due to a general medical condition and are not better accounted for by another mental disorderSubstance abusesubstance abuserepeated use of substances to the point that problems recurDSMIVTR Features Substance AbuseA maladaptive pattern of substance use that leads to significant impairment or distress and involves one or more of the following in a 12month periodRecurrent substance use resulting in a failure to fulfill major role obligations at work school or homeRecurrent substance use in situations in which it is physically hazardousRecurrent substancerelated legal problemsContinued substance use despite having persistent or recurrent social or interpersonal problems caused or exacerbated by the effects of the substanceSymptoms have never met criteria for Substance Dependence for a particular substanceSubstance dependence and withdrawalsubstance dependencea maladaptive pattern of substance use defined by tolerance and withdrawal addictionDSMIVTR Features Substance DependenceA maladaptive pattern of substance use that leads to significant impairment or distress and involves three or more of the following in a 12month periodToleranceWithdrawalSubstance is often taken in larger amounts over a longer period than was intendedPersistent desire or unsuccessful efforts to decrease or control substance abuseMuch time is spent in activities necessary to obtain the substance use the substance or recover from its effectsImportant social occupational or recreational activities are given up or reduced because of substance useSubstance use is continued despite knowledge of having a problem persistentrecurrent physicalpsychological that is likely to have been caused or exacerbated by the substancethe need to ingest greater amounts of a drug to achieve the same effecttolerancesubstance withdrawalmaladaptive behavioral changes that result when a person stops using a particular drugphysical changes nausea vomiting tremors fever seizures hallucinations deathbehavioral changes anxiety depression other mood statesdelirium tremensfeature of alcohol withdrawal involves severe confusion and autonomic overactivity sweating heart palpitations tremblingDSMIVTR Features Substance WithdrawalDevelopment of a reversible substancespecific syndrome due to the cessation of or reduction in substance use that has been heavy and prolongedThe SSS causes clinically significant distress or impairment in social occupational or other important areas of functioningSymptoms are not due to a general medical condition and are not better accounted for by another mental disorder
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