Addiction

Question 1

Substance use disorder - impaired control criteria

Answer 1

Taking in larger amounts or for longer than intended

Persistent attempts or unsuccessful efforts to cut down/control use

Significant time spent obtaining, using, or recovering

Cravings or strong urges to use

Question 2

SUD 4 category criteria and duration

Answer 2

Impaired control
social problems
risky use
physical dependence

at least 2 sx within 12month period

Question 3

What are the risky use criteria for SUD

Answer 3

Recurrent use in physically hazardous situations

Continued use despite knowing it causes/worsens physical/psychological problems

Question 4

What are the pharmacological criteria for substance use disorder

Answer 4

Tolerance

Withdrawal

Question 5

What are the social impairment criteria for SUD

Answer 5

Failure to fulfill major role obligations at work/school/home

Continued use despite persistent social/interpersonal problems

Important social, occupational, or recreational activities reduced or given up

continued use but unable to stop despite interpersonal/social problems

Question 6

incentive salience

Answer 6

an urge to engage in behaviours that sustains the experience

Question 7

Types of addiction

Answer 7

Substance
Behavioural

Question 8

Chronic brain disorder

Answer 8

result of addiction

Behaviour + brain changes = chronic brain disorder

Question 9

examples of substances

Answer 9

alcohol, caffeine, hallucinogenics, inhalants, cannabis, opioids, sedatives, stimulants, tobacco

Question 10

Most common substances

Answer 10

Tobacco = 14.6%
Alcohol = 13.0%
Cannabis = 8.4%

Question 11

Gambling disorder (behaviour disorder)

Answer 11

persistence and recurrent problematic gambling behaviour that leads to clinical significant impairment or distress

gambling disorder activates reward systems similar to drug abuse
- produces behavioural sx similar to SUD

Question 12

gambling disorder criteria

Answer 12

4 of 9 criteria within a 9month period

preoccupation, tolerance, loss of control, restlessness or irritability, escapism, chasing losses, lying, risking significant relationship opportunities, bailout

Question 13

How do addictions develop

Answer 13

Learning theories: reinforcement/conditioning/social learning theory

Expectancies connections/associations

Information processing/ Modelled/Normalised

Coping response and skill deficit

Neurobiological Changes

Question 14

Assessment for Addictions - substance and behavioural

Answer 14

questionnaires based on DSM5 criteria

Functional analysis of addiction behaviour - CBT

persons motivation to change

Question 15

What is Functional analysis of addiction behaviour

Answer 15

a cognitive behavioural therapy that identifies triggers and consequences that maintain addictions

Question 16

Motivational interviewing

Answer 16

CBT that identifies peoples motivations

• helps them reframe mindset and gives them tools and tips for motivation

Question 17

Stages of Change (prochaska & dilclemente)

Answer 17

Pre contemplation, contemplation, preparation, action, maintenance, relapse/lapse

Question 18

CBT benefits for addiction

Answer 18

Identify triggers, coping strategy formation, changing negative though patterns, enhancing problem solving skills, support networks

Question 19

Relapse Prevention

Answer 19

CBT approach with a goal of identifying high risk situations for relapse and assisting individuals in maintain desired behavioural changes

Question 20

Relapse prevention coping response in high risk situation

Answer 20

increased self esteem and increase sense of self efficacy leading to reduced relapse rate