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Drug classifications 2


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name 5 process addictions
food, sex, work, gambling, shopping
What medical model, really opened the doors for clients to seek treatment?
1950 physiological "disease" model introduced, genetic ties
Name the 3 socio-cultural "system based models
1.Family of Origin- tx client and family
2. Learned behaviors- look at socially acquired behaviors by reinforcement and modeling
3. biopsychosocial--behavior plus nature/nurture perspective
Name 4 opiods
herion, methadone, oxycontine, morphine
name 3 sedatives
benzodiazapenes, alchohol, barbiturates
name the 6 drug classifications
1. opiods
2. stimulants
3. hallucinogens
4. sedatives
5. inhalants
6. cannabis
name 6 stimulants
methamphetamine, amphetamines, ephedrine, cocaine, speed, sudafed, caffeine
Name 4 hallucinogens
lsd, pcp, mushrooms, peyote,
Name 10 designer drugs
exctasy, mdma, rohibitol, ghb, carbona, dust away, nitro oxide, white out, whiteboard , vicks inhaler
define tolerance
a higher dosage of drug is needed to produce the same level of effect
2 types of tolerance
metabolic-liver fxn adjusts to eliminate drug quicker
2. pharmacodynamic- cns increases insensitivity to a chemical
define withdrawal
when a drug is discontinued certain symptoms arise based on the class of the drug
what does "plasticity" refer to
when the brain makes new routes to rewards and benefits to effectively stay in recovery
what is "dependence"
when you want to stop using but despite negative consequences you cannot,increased tolerance,
what is drug addiction
includes dependence plus the behavioral component "drug seeking
what is "Hedonic set point"
it is a change in tolerance.
the longer you use the more drug it take to reach "euphoric state"
define addiction or addiction dependency
a psychic and sometime physical state, characterized by behavioral esponses that include the compulsion to take a drg on a continious or periodic basis to experience its psychic effects or to avoid discomfort of it's absence
what are the 3 phases of liver disease
1. hepatitis
2. fatty liver
3. cirrosis
what are the 3 basic parts of the brain
hind brain- cerebellum
forebrain- blood/brain barrier
define hypersensitization
"triggers" the familiar rituals used when chaseing your drug
what is "progression"
the path of disease to recovery
what is "post addictive withdrawal syndrome and when is it likely to occur?
physical craving, thoughts to seek, bad feelings

cycles at 30,60,90,6mos, 9mos, 12mos and 2yrs
Name some neurotransmitters,
what does a neurotransmitter do/
ACH,DA,NE,5-HT,GABA,Glutamate, histamine

they send messages to the nerves
What drug affect the neurotransmitter DA?
DA is dopamine, herion,pcp,nicotine
What drug affect the neurotransmitter 5-ht
alchohol and cocaine
What drug affect the neurotransmitter ACH
marijuana, LSD
What drug affect the neurotransmitter NE
What drug affect the neurotransmitter E
What drug affect the neurotransmitter Enkephallin
natural opiate, activiated by injury or exercise
how do drugs interacte with neurotransmitters
1. Increase the speed of neurotransmitters
2. slow them down, so the dendrites keep firing to the nerve over and over
Give an example of a controlled substance with the second highest schedule and potential for abuse
heroin, mdma, marijuana
Give an example of a controlled substance with the third highest schedule and potential for abuse
LSD,morphine, cocaine, methamphetamines
Give an example of a controlled substance with the highest schedule and potential for abuse
amphetamines, barbituates, ketamine, pcp
Give an example of a controlled substance with the fourth highest schedule and potential for abuse
barbitol, chloral hydrate
Give an example of a controlled substance with the fifth highest schedule and potential for abuse
codeine, opium
What is a "schedule" for controlled substances, and what are the criteria for it
potential for abuse
medical uses
physical or psycholigical dependence
What is delerium tremens
most serious form of withdrawal, with out intervention, mortality rates as high as 20%
Where is the "pleasure center"
the hypothalmus
when is a drug psychoactive
when it can cross the blood barrier
describe the effects and withdrawal symptoms of
effects- poor judgement, staggering,slurred speech, blackout

Withdrawal- shakes, irritability, anxiety,nausea,diarhea,disorientation
describe the effects and withdrawal symptoms of
effects-depression,elevated mood,disinhibitor,increase energy and confidence

withdrawal- hand tremor,hyperactivity,nausea,hallucinations,illusions, anxiety,panic attacks,mania
describe the effects and withdrawal symptoms of
effects-anxiety reduction, muscle relaxant,reduces adverse effects of cocain,heroin and alchol

withdrawal- tremors, nightmares, insomnia,anorexia,vomiting,seizures
describe the effects and withdrawal symptoms of
effects--analgesic,rapid tolerance,drowsiness,distress,constricted pupils

withdrawal- dysphoria,nausea,yawning,sweating,tearing,craving
describe the effects and withdrawal symptoms of
effects- tremendous mood elevation,exhilaration,feeling of well being,limitless energ,pupilary dialation,chestpain,vomiting, weightloss

withdrawal- hypotension, depression,anziety,panic attacks, obsessions ,insomnia
describe the effects and withdrawal symptoms of
effect--impaired motor performance,short term memory,increased appetite,dry mouth

name some examples of amphetamines
speed,crystal,crank, ice
name some examples of
solvents, glue,thinner,correction fluid,refrigerants,whipppedcream propellants
name some examples of
name some examples of benzodiazapines
name some examples of
sodium pentathol, nembutal,tuinal,butisol, quaaludes
name the 3 "etiological" causative theories of substance abuse
1. moral-religious-1600's (poor drunks)
2. genetic/biological-1700's (drunkeness accross classes)
3. socio-cultural -1900's (temperance "bolstead act"
Name the 7 eithological theories of substance abuse
1. moral
2. physiological-disease
3. biological-heredity,environ
5.behavoral-social learning
7. integrated-pyschosocialcultural
5 examples of hallucinogens
name 3 types of drugs that fall into the stimulant classification.
name some common stimulants
what are some of the health consequeces/signs of amphetamines abuse
rapit heart rate and breathing
weight loss/loss of appetite
blood pressure changes
dilated pupils
"chemical breath"
health consequences/signs of cocaine
feeling of exhilaration
high blood pressure
sexual problems
dilated pupils
loss of appetite
health consequences/signs of methamphetamines
digestive problems
psychotic episodes
bp changes
pressured speech and actions
constricted pupils
flush face
signs of marijuana abuse
impaired memory,
loss of motivation
impaired judgement
increased appetite
dilated pupils/red eyes
slowed reactions/coordination
signs of inhalant use
rapid heart rate
loss of bladder control
racing heart beat
red runny eyes or nose
excessive sweating
sighs of opioids
low blood pressure
night sweats
confusion, stupor
staggering gait
5 acute effects of alchol on the body
1. liver
2. blood pressure/heart disease
3. wet brain
4. depression
5. dementia
why do women have a higher Blood alchol than men if they consume the same amount of alcohol
alcohol is absorbed into the fat
name 5 symptoms present with alcohol dependence
1. tolerance
2. withdrawal
3. blackout
4. cravings
5. lose of control
what are the 3 phases of drug addiction
1. denial--crucial
2. contemplation--chronic
3. preparation/action-rehabilitative
list two alcohol screening tests
Michigan alcohol test
what does CAGE stand for
1. try to CUT down
2. anoyyed with peoples comments
3. Guilty about use
4. Eyeopener drink in morning
Cocaine stimulates what part of the CNS
the pleasure center
name 3 anti-anxiety medications
what are some drugs commonly used with cocaine
how can HIV be transmitted to another
unprotected sex
blood transfusion
name the 2 methods used in screening
1. short questionairre
2. brief interviews
name the 5 methodes used in a comprehensive assesment
1. standardized questionairre
2. structure interviews
3.lab tests
4. direct observation
5. diagnostic test
name the 2 sources used for a screening
1. client
2. parents
name the 4 sources that can be used in an full assesment
1. client
2. parent(s)
3.archival records
4. significant others
describe the content of a screening
1. define substance use/severity
2.home life
3. psychiatric status
4. school status
content of a full assesment
1. sustance use/severity
2. home life
3. delinqunecy
4. physical/sexual abuse
5. medical status
6. learning status
7. psychiatric status
8. environmental risks
9. sexual behaviour
10. developmental status
11. leisure and recreation
12 family dynamics

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