Substance Abuse and Dual Diagnosis Notes

Vocabulary practice flashcards covering dual diagnosis, hallucinogens, inhalants, PCP toxicity, substance abuse treatments, and substance use disorders in healthcare professionals.

Dual diagnosis

The co-occurrence of substance abuse and another psychiatric illness; it is difficult to treat or manage, with only $15\%$ of people achieving successful treatment.

Relapse prevention strategies

Techniques used in dual diagnosis recovery, including healthy, nurturing, supportive living environments and finding jobs.

Hallucinogens

CNS stimulants that mimic a schizo patient by causing reality distortion and symptoms similar to psychosis, increased pulse, BP, and temperature, dilated pupils, hyperreflexia, and vivid colors while under the influence.

Hallucinogen intoxication

A state marked by maladaptive behaviors, anxiety/depression, paranoid ideation, pupil dilation, tachycardia, sweating, blurred vision, and tremors.

Hallucinogen withdrawal

A condition characterized by no formal withdrawal syndrome, though some individuals report craving for the drug.

Inhalants

CNS stimulants that produce euphoria, present with neurologic and behavioral symptoms during intoxication, exhibit no withdrawals, and carry acute toxicity risks such as respiratory depression, dysrhythmias, anoxia, and possible death from bronchospasm.

Phencyclidine (PCP) toxicity

Acute toxicity presenting with seizures, hypertension (HTN), hyperthermia, nystagmus (rapid eye movement), slurred speech, and unsteady gait.

Nystagmus

Rapid eye movement, noted as a symptom of phencyclidine (PCP) toxicity.

Hazelden Clinic model

A substance abuse treatment model used alongside 12-step programs (AA) and individual or group counseling.

Lorazepam

A benzodiazepine medication used to help with withdrawal and cravings from alcohol.

Methadone

A medication used to treat cravings and withdrawal in heroin dependence, noted for potential respiratory depression.

Substance use disorder in health professionals (Reporting)

An ethical and legal responsibility held by healthcare staff to report suspicious behavior to a supervisor.

Substance use disorder warning signs in health professionals

General indicators including poor work performance, frequent absenteeism, unusual behavior, slurred speech, and isolation from peers.