2307 FINAL W11: Concurrent Disorders

concurrent disorders are a combination of…

MENTAL HEALTH disorder + SUBSTANCE use disorder (NOT 2 MENTAL HEALTH DISORDERS)

4 Factors that support resiliency

• Supportive adult

• Opportunities to strengthen functional skills and self regulation

• Self efficacy and perceived control

• Faith, hope, cultural traditions

SOS-F

4 Rs of Trauma Informed Care

Realize the impact of trauma and potential roads to recovery

Recognize signs and symptoms of trauma

Respond by using knowledge of trauma in policies and practices

Resist retraumatization of children and adult carers

10 classes of drugs in substance use disorder (ACCHI SHOOT)

• Alcohol

• Caffeine

• Cannabis

• Hallucinogen

• Inhalants

• Sedatives

• Hypnotics

• Opioids

• Other or unknown substances

• Tobacco

6 criteria for substance use disorder (CUNT-WC)

“oi you CUNT! stop using substances in the Wash Closet!”

• Craving to use substance

• Using even when it puts you in danger

• Neglecting other parts of your life bc of

• Taking MORE or LONGER than you’re meant to

• Want to stop but cant

• Continue to use even when causes relationship problems

name 3 stages of addiction cycle

Intoxication stage

Withdrawal stage

Anticipation stage

Describe Intoxication stage (1st stage Addiction cycle) and brain area affected

pleasure hijacks brain and form habits

Basal ganglia: controls reward system

Describe Withdrawal stage (2nd stage Addiction cycle) and brain area affected

absence of substance causes negative emotions and physical pain

Extended amygdala: regulates stress and anxiety which accompany withdrawal

Describe Anticipation stage (3rd stage Addiction cycle) and brain area affected

cravings overcome executive function and lead to substance seeking

Prefrontal cortex: exerts control on substance use

Early use of marijuana increases risk of…

developing depression, anxiety, and other mental health problems

the earlier a person begins to use substances…

the more likely they are to develop problems related to substance use

nicotine use impacts…

the reward system, making it less sensitive to usual rewards

early use of alcohol impacts…

frontal lobe responsible for judgment and controlling emotions

Name at least 3 examples of behavioral addictions (behavioral addictions not yet in DSM 5)

Videogame

sex

phone

caffeine

internet

shopping

severity of alcohol use is determined by number of symptoms they have. how many does MILD, MODERATE, and SEVERE have?

Mild 2-3 symptoms

Moderate 4-5

Severe 6 or more

CREATE and TRIGGER

substance use can CREATE psychiatric symptoms

substance use can TRIGGER emergence of mental health disorder

MIMIC and EXACERBATE

substance use can LOOK LIKE symptoms of psychiatric disorder

symptom of mental illness CAN GET WORSE using alcohol and drugs

MASK and INDEPENDENT

symptoms of mental illness CAN BE HIDDEN by substance use

mental health disorder and substance use MAY NOT BE RELATED to each other but can have a common factor

(4 points) ppl get better when they…

GET and STAY in treatment

LEARN about their disorders

have peer and family SUPPORT

have POWER and CONTROL over own life

6 stages in the transtheoretical model of change

• Precontemplation

• Contemplation

• Preparation

• Action

• Maintenance

• Relapse

Name the 3 stages of Relapse

Emotional, Mental, Physical

Describe Emotional relapse

remember your last relapse and you DONT WANT to go back there

Everything you’re doing, all beh, all emotions, SETTING YOU back to relapse

Name at least 3 early signs of emotional relapse and the defining keyword

POOR SELF CARE

• Isolating

• IRRITABILITY

• focusing on others

• bottle up emotions

• not asking for help

• few meetings

• poor diet and sleep

4 tips of Relapse prevention (kindergarten stuff💀)

• Good night SLEEP

• EAT 3 meals a day

• Ask for help

• Share your feelings

Describe Mental Relapse

WAR in mind: part of you wants to use and other doesn’t

longer you stay in mental relapse, harder it is to resist

Name at least 3 warning signs of Mental relapse

• Lying to yourself and others

• Bargaining

• Minimizing past consequences

• looking for opportunities to relapse

Name at least 3 prevention strategies for MENTAL relapse

Distract yourself

• change your scenery

• go for a walk

• dont give your cravings room to grow

• WAIT 30 min

• Talk about your cravings to others (easier to handle)

relapse happens G-

Gradually

5 Ds of Relapse prevention in TR

• Delay

• Distract

• Deep breather

• De-catastrophize

• Drink Water

name the 3 zones of Window of Tolerance

Hyper Arousal: overwhelm, panic, anxiety

Optimal Arousal

Hypo Arousal: no feeling no energy disconnection

2 things that SHRINK your window of tolerance

stress and trauma

3 things that expand your window of tolerance

meditation, music, hobbies

2 Motivational Interviewing techniques

WIIFM What’s in it for me?

OARS

• Open-ended questions

• Affirmations

• Reflections

• Summary

What does SMART recovery stand for?

Self-Management and Recovery Training

The philosophy of AA is… while SMART Recovery focuses on…

spiritual-based community support,

evidence-based self-empowerment

The activity in AA involves… while SMART recovery…

sharing personal experiences with community,

learns skills like coping with urges and building motivation

The Addiction focus of AA is… while SMART recovery focuses on…

Primarily alcohol but also other.

alcohol, drugs, gambling, etc

The key focus of AA is… while SMART recovery emphasizes…

surrendering to higher power with community support

Personal responsibility, CBT skills