What is Substance Dependence (DSM-IV-TR criteria)?
3 or more the past 12 months: tolerance, withdrawal, taken in larger amounts, attempts to cut down use, great deal of time spent obtaining / using / recovering from use, social / occupational activities given up, continued use despite knowledge of physical or psychological problem caused by use
What is Substance Abuse (DSM-IV-TR criteria)?
1 or more in the past 12 months: Failure to fulfill major role obligations, recurrent use in physically hazardous situations, legal problems, continued use despite recurrent social or interpersonal problems caused by abuse
What are substances in the DSM that can be abused?
Alcohol, Amphetamines, Caffeine, Cannabis, Cocaine, Hallucinogens, Inhalants, Nicotine, Opioids, Phencyclidine, Sedatives / Hypnotics / Anxiolytics, Polysubstance, Other / UKN
Can withdrawal from EtOH kill you? What is the treatment?
You better believe it. Immediate hospitalization. Anti-anxiety medications used to treat acute withdrawal.
What are the substance intoxication or withdrawal disorders of the DSM-IV-TR?
Delirium, Dementia, Amnestic, Psychosis, Mood, Anxiety, Sexual Dysfunction, Sleep
Tell me about Wernicke-Korsakoff Syndrome.
Other names for substance induced persisting amnestic disorder due to alcohol abuse. Wernicke's is an acute condition that is reversible with treatment (the amnesia is temporary). Korsakoff is reversible in only 20% of cases (the amnesia is permanent). They are caused by Thiamine deficiency.
What substance is associated with immediate, permanent brain damage?
What is Dementia?
1.) memory impairment plus 1 out of 4 cognitive impairments 2.) causes significant impairment in social/ work functioning 3.) gradual onset with progressive decline
What is Delirium?
1.) disturbance of consciousness & poor attention 2.) cognition or perceptual disturbance 3.) rapid onset & fluctuates