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Addictions Exam

Terms in this set (51)

Hard Drugs
Heroin, Crystal Meth, Crack, Cocaine
"Soft" Drugs
Alcohol, cannabis, mushrooms, acid
Motivation
the drugs become more pleasurable than the thing naturally wired within you ... have to keep having more and more
Attachment View
bond or relationship, unhealthy surrogate relationship, drugs are more consistent than people
Disease Model
we can help manage the negative impact, there is a really good reason why porn/drugs were introduced into their story
12 Step
Higher Power, Community
Displacement
(ANGER) the drugs are covering up a displaced emotion/feeling/desire
DSM 5
addiction is not on the DSM / Substance Use Disorders (needing an increased amount of the drug to get the same payoff)
ASAM'S 6 Dimensaions
Acute Intoxication/Withdrawal potential
Biomeidcal conditions and complications
Emotional, Beh., Cognitive Conditions and Complications
Readiness to change
relapse, continued use, or continued problem potential
Recover/living environment
ACE Study
correlation between multiple adverse childhood experiences and health problems/addiction
Name 3 Biblical Views
Beast at the Door
Slavery
Worship Disorder
Beast at the Door
Genesis 4:7 "sin is crouching at the door."
1 Peter 5:8 ""your adversary the devil prows around like a roaring lion, seeking to devour."
Slavery
John 8:3-4 "everyone who practices sin is a slave to sin."
Romans 6:15-23 "you are slaves of the one whom you obey, either of sin, which leads to death, or of obedience, which leads to righteousness."
Worship Disorder
Exodus 20:3-6 "I am the Lord your God who brought you out of the land of Egypt, out of the house of slavery. You shall have no other gods before me."
Psalm 4:2 "how long will you people turn my glory into shame? How long will you love delusions and seek false gods?"
Biblical Foundations For Recovery
powerlessness
contentment
self-discipline
Powerlessness
Matthew 5:3 "blessed are the poor in spirit."
Psalm 53:3 "they have all fallen away; together they have bcome corrupt; there is none who does good, not even one."
Contentment
Phil. 4:12-13 "In any and every circumstance, I have learned the secret of facing plenty and hunger, abundance and need. I can do all things through him who strengthens me."
1 Timothy 6:6-7 "godliness with contentment is great gain."
Self-Discipline
Romans 8:13 "for if you live according to the flesh you will die, but if by the spirit you put to death the deeds of the body, you will live."
Romans 6:11 "so you must consider yourselves dead to sin and alive to God in Christ Jesus"
Biblical Pictures of Healing
Following the Wonderful Counselor
Exchanging
Rebuilding
Following the Wonderful Counselor
Called to (Is 61)
preach the good news, bind up the brokenhearted, comfort those who mourn and grieve
Exchanging
Is 61
crown of beauty, garment of praise, oil of gladness
Rebuilding
Is 61
rebuild ancient ruins, repair ruined cities, restore places, for the display of his splendor
Distribution and Elimination of Drugs in the Body
Distribution - the drug has to make it's way through the blood stream to the brain .. needs to be OXYGENATED. hearts - lungs - brain
Elimination - the drug has to leave the body .. kidneys, skin, lungs
Agonist
the drug mimics a natural NT in the brain but with higher intensity
Partial Agonist
the drug stimulates activity in a specific NT system and the drug blocks further stimulation by other agonists
Antagonist
doesn't allow someone to be high, brings withdrawal
drug binds to the receptor and blocks other drugs from acting on the system
Alcohol
- depressant
- physical: low to moderate
-psychological: moderate to high
-effects: decreased inhibitions, relaxation, euphoria, decreased awareness of pain, reduced use of the frontal lobe
- withdrawal: shakes, sweating, nausea, death (severe withdrawal)
Opiates
-depressant
-physical dep: high
-psych dep: high
-effects: drowsiness, respiratory distress, constricted pupils, nausea
-Withdrawal: nausea, repeated yawning, sweating, tearing, gooseflesh, diarrhea, disorientation
Benzos
depressant
anxiety and insomnia
reduced anxiety, muscle relaxant
slurred speech, heavy eyes, sluggish
physical: low
psych: moderate to high
Cannabis
phys: unknown
psych: moderate
thickens cell walls
munchies, dry mouth, red eyes
Cocaine
stimulant
phys: possible
psych: high
tremendous mood elevation, exhileration, sense of limitless power and energy
insomnia, weight loss, chest pain, confusions
How does drug addiction damage the brain?
loss of learning capacity to - make new choices
acquire new information
adapt to new circumstances
Ventral Tegmental Apparatus (VTA)
triggers the release of dopamine into the VTA
nucleus accumbens
the drug moves from the VTA to the NA
Amygdala
fear, shame, pleasure
orbitofrontal cortex (OFC)
like a bouncer deciding who can come in
evaluates nature and potential value of stimuli - on basis of present and past experiences
cannot evaluate risk or consequence, initiates craving
GABA
inhibits the release of dopamine
calms anxiety and fight/flight reaction
Gambling Addiction
elevated dopamine levels, diminished serotonin
need to gamble in increasing amounts, can't slow down or cut back, restless when trying to stop, preoccupied with gambling, lies to conceal degree of gambling
Sexual Addiction - Progression Elements
tolerance and escalation
withdrawal symptoms
increased time spent
desensitization
dissatisfaction and boredom
deception and denial
Stages of Change
Pre-Contemplation
Contemplation
Preparation/Determination
Action
Maintenance
Relapse
(PCCPAMR)
Pre Contemplation
you do not know that the problem exists
contemplation
"DO I really need to change?"
" Could there really be a problem."
ambivalence shows up here
Preparation/Determination
learning what is needed / how to move on
Action
taking those action steps
Maintenance
continuing the action plan
Relapse
using again, but increasing your awareness and commitment to the plan
Brief Intervention
low cost
can be done anywhere
better than await list
raisting awareness, increasing motivation, increasing mobilizing their resources, activating their internal change process and self-regulation
CRA - community reinforcement approach
positive reinforcement through community
take away positive reinforcement of addiction, increase good alternative positive reinforcement outside of the addiction
CBT
addressing the thinking and behavior patterns of a person's life
teach refusal skills, coping skills, emotional regulation, social skills, assertiveness skills, job finding, toelrating urges and craving
Medication Assisted Treatment
replace with an agonist - gives longer acting or safer version of the drug as a replacement
block with antagonist - use a medication to stop the effects of use

adding a deterrant - prescribed to initiate alcohol abstinence
Harm Reduction
a set of practical strategies and ideas aimed at reducing negative consequences associated with drug use
aimed at meeting drug users where they are at
how can we keep it from being as harmful as it could be?
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