EX3: Substance Use Disorders (ch22)

this is NOT everything, just the main points bruv

how the brain registers all pleasures the same way

releasing dopamine in the nucleus accumbens (pleasure center)

ways 2 do drugz

smoking/injecting faster & stronger dopamine signal

swallowing pills

neurotransmitter that dopamine interacts with

dopamine interacts with NT glutamate

meow

meow

SUD characteristics

• Loss of control

• participation in use despite family/work/health problems w/ a tendency to relapse

• cravings increase risk of relapse

SUD risk factors

• genetics

• chronic stress (socioeconomic factors)

• Hx of trauma, abuse, combat experience

• low self esteem

• low pain tolerance

• low success

• risk taking tendencies

cultural consids

• Alaska natives/Native americans have high % of aud

• Asian groups have a lower % of aud

• Metabolism of alcohol differs btwn cultures

• older adults can have new onset of AUD/SUD due to loss of partner/family & social isolation

ROS/subjective changes

• blackout/LossOC

• severe WtL/WtG

• trauma

• sleep problems

• chronic pain

• accidents

bowel movement changes with drugs

opioids: constipation

etoh: bright/dark red blood (rectal bleeding)

screening tools

• CAGE

• AUDIT self-report

• SBIRT

• CIWA-Ar