PSY114 — Substance Related Disorders

Substance-Related Disorders

• range of disorders

• mild to severe states of chronically relapsing, compulsive pattern of substance taking.

Substance Use Disorders

Involve the consequences arising from continued use of substances

• Substance Dependence

• Substance Abuse (outdated term)

Substance Induced Disorders

conditions caused by the immediate effects or discontinuation from substance use

• Subst. Intoxication

• Subst. Withdrawal

• Subst. Induced…

  • Delirium

  • Persisting Dementia

  • Persisting Amnestic Disorder

  • Psychotic Disorder

  • Mood Disorder

Substance Dependence

• maladaptive pattern of substance use

• Leads to clinically significant impairment/ distress

• Symptoms such as tolerance & withdrawal

3 or more; 12 month

• Substance dependence can be diagnosed if ________ required criteria manifest

• Must occur at the same time within a ________ period

Tolerance

Criteria of Substance Dependence

Either…

• need for increased amounts of substance to achieve intoxication/ desired effect

• diminished effect with continued use of the same amount of subst.

Withdrawal

Criteria of Substance Dependence

Either:

• characteristic withdrawal syndrome for the substance

• Same/ closely related substance taken to avoid withdrawal symptoms

Withdrawal Symptoms

• fatigue

• Vivid unpleasant dreams

• Insomia/ hypersomnia

• Increased appetite

• Psychomotor retardation/ agitation from ampethamine withdrawal

Larger Amounts; Longer Period

• Criteria of Substance Dependence

• Substance is often taken in __________, or over a _______ than intended

Unsuccessful Efforts to Cut Down

• Criteria of Substance Dependence

• Persistent desire/ ____________ or control substance use

Effort, Obtain, Use, Recover

• Criteria of Substance Dependence

• Investing excessive time and _____ in activities needed to ____ or ____ the substance, or _____ from its effects

Social, Occupational, Recreational Activities

• Criteria of Substance Dependence

• Important ____, ______, ______ ______ are given up/ reduced due to substance use

Continued; physical/ psychological problem

• Criteria of Substance Dependence

• Substance use is ________ despite knowledge of having a persistent/ recurrent _____/ ______ ______ due to substance