Substance Abuse/Addiction

Sustained Full Remission

Client does not meet the criteria for Substance Abuse Disorder (except cravings) for at least 12 months or longer.

Early Full Remission

Client does not meet the criteria for Substance Abuse Disorder (except cravings) for at least 3 months but less than 12 months

Signs of Caffeine Use

Restlessness
Nervousness
Rambling flow of speech and thoughts
Excitement
Increased energy
Increased heart rate

Signs of Caffeine Withdrawal

Headaches
Fatigue
Difficulty concentrating
Irritable
Depressed mood

What do you do if a client comes in under the influence?

Refer to a substance abuse program immediately. Do Not try to treat the client, ask to reschedule.

Signs of Heroin Use

Weight loss
Scabs or bruises as the result of picking at the skin
Delusions
Disorientation
Hallucinations
Paranoia
Decreased attention to personal hygiene

Signs of Heroin Withdrawal

Bone pain
Muscle spasms
Anxiety
Extreme sweating
Cramping of limbs
Feelings of heaviness in the body
Severe muscle aches and pains

What is the safest way to alleviate opioid withdrawal symptoms?

through medically supervised treatment. Some medications used to relieve withdrawal symptoms are methadone and buprenorphine (subutex)

How is heroin treated?

methadone and suboxone

what is the most addictive substance

heroin

Signs of Opiate/Opioid Use

Pupillary constriction
Slurred speech
Drowsiness or coma
Impairment in memory and attention
Chronic constipation

Signs of Opiate/Opioid Withdrawal

Restlessness
Diarrhea
Sweating
Nausea
Runny eyes and nose
Tremors
Abdominal pain

What is the difference between opiates and opioids?

Opiates come from the natural part of the plant, opioids are synthetic

Signs of Amphetamines/Cocaine Use

Dilated pupils
Runny nose
Euphoria (feeling like on top of the world, unstoppable)
Grandiosity
HyperactivityEnergetic
Lack of appetite
restless

Signs of Amphetamines/Cocaine Withdrawal

insomnia/fatigue cycle
Depression
Vivid and unpleasant dreams
High blood pressure
Increased appetite
Chills
confusion

What is Antabuse?

used to treat problem drinking by creating an unpleasant reaction to alcohol, it’s used in recovery programs that include medical supervision and counseling

Signs of Marijuana Use

Increased appetite
Redness of eyes
Social withdrawal
Slowed sense of time
Slower reaction speed
Dry mouth
Increased anxiety

Signs of Marijuana Withdrawal

Mood changes
Irritability
Stomach issues
Sweating
Chills
Increased depression symptoms

Signs of Alcohol Use

Impaired judgement
slurred speech
Unsteady gait
Inappropriate behaviors
Inhibited emotional control
Stupor (too much was consumed)
Coma

Signs of Alcohol Withdrawal

Tremors
Seizures
Anxiety
Restlessness
Nausea
Headaches