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Transcript
Substance-Related AND
Addictive Disorders/Drug
Abuse
BY: ASHLEE ANDERSON& BRIANNA BOYINGTON
Terms to know
Addiction- A compulsive or chronic requirement.
Intoxication- A physical and mental state of exhilaration and
emotional frenzy or lethargy and stupor.
Withdrawal- The physiological and mental readjustment that
accompanies the discontinuation of a addictive substance
Biological & Psychological Factors of
Substance Addiction

Studies have shown a hereditary factor is involved in addiction

Children of alcoholics are 4x more likely to become addicts themselves

People with anxiety are low self-esteem are more likely to turn to alcohol
& drugs
Alcohol Use Disorder

Alcohol exerts a depressant effect on the CNS

Alcoholism is the nations number one health problem and third
leading cause of preventable death in the US.

Fetal Alcohol syndrome is the most common preventable cause of
mental retardation in the US.
Alcohol Use disorder Phases
Phase 1: The
Prealcoholic
Phase
- Tolerance
develops
- Amount
required to
achieve
desired effect
increases
steadily
Phase 2: The early
Alcoholic Phase
- Blackouts
- Alcohol is
required
- Secret drinking
- Feels guilt
- Denial
Phase 3: The
Crucial Phase
-Loss of control
-Binge drinking
-Loss of job,
relationships
-Physiological
addiction is
evident
Phase 4: The
Chronic Phase
-Emotional /
physical
disintegration
-Withdrawal
symptoms occur
without alcohol
Effects on the body from Alcohol

Peripheral Neuropathy

Nerve damage, resulting in stinging, burning, tingling of extremities

Is reversible with cessation of alcohol

Without abstinence permanent damage can occur
Effects on the body from Alcohol

Alcoholic Myopathy

May occur as acute or chronic

Sudden onset of muscle pain or swelling and weakness occurs

Thought to be a result of Vitamin B deficiency
Effects on the body from Alcohol


Wernickes Encephalopathy and Korsakoff’s Psychosis
These two disorders are normally considered together the WernickeKorsakoff Syndrome

Confusion along with paralysis of the ocular muscles, diplopia and ataxia.

Thiamine replacement therapy must happen quickly or death can occur.
Effects on the body from Alcohol

Alcoholic Cardiomyopathy

Accumulation of lipids in the myocardial cells

Symptoms include dyspnea, tachycardia, palpitations

Treatment is total abstinence from alcohol
Effects on the body from Alcohol

Alcoholic Hepatitis/ Cirrhosis of the Liver

Inflammation/scarring of the liver from long term heavy use

Ascites

Portal Hypertension

Esophageal Varices

Hepatic Encephalopathy
Fetal Alcohol Syndrome
Alcohol Intoxication

Symptoms include:

Mood changes, Slurred speech, incoordination, unsteady gait, flushed
face, nystagmus
Alcohol Withdrawal

Within 4-12 hours of cessation effects can appear

Tremors

Nausea/Vomiting

Sweating

Irritability

Hallucinations

Headache

Tachycardia
Sedative, Hypnotic and Anxiolytic Use
Disorder

Induces varying degrees of CNS depression

Generally categorized as barbiturates, nonbarbiturate hypnotics, and
antianxiety agents
Effects on the body


Sleeping and dreaming
Barbiturates decrease the amount of time dreaming
Effects on the Body



Respiratory Depression
Barbiturates are capable of slowing breathing pattern
When other CNS depressants are used in combination, life threatening
events can occur
Effects on the body


Cardiovascular Effects
Hypotension can occur when barbiturates are used incorrectly

Impaired cardiac output
Effects on the body


Renal and Hepatic Effects
Barbiturates may suppress urine function, sedative-hypnotics have no
direct effect on the kidneys

Barbiturates may cause jaundice with large doses
Effects on the body


Body Temperature
High doses of barbiturates can lower body temperature
Sedative, Hypnotic, or Anxiolytic
Intoxication

Inappropriate or sexual behavior

Impaired judgement, functioning

Slurred speech

Unsteady gait, nystagmus

Memory impairment

Coma
Sedative, Hypnotic, or Anxiolytic
Withdrawal

Onset of symptoms depend on the drug

Symptoms are:

Sweating

Tachycardia

Hand Tremors

Anxiety

Grand Mal seizures
What have we learned???

1. What phase of alcoholics pattern of progression
begins with blackouts and secret drinking?

A. The Chronic Phase

B. The Prealcoholic Phase

C. The Early Alcoholic Phase

D. The Crucial Phase
What have we learned?

ANSWER: C- The Early Alcoholic Phase

This phase involves blackouts, sneaking drinks or secret drinking, the
individual feels enormous guild and gets very defensive about their
drinking.
What have we learned?

2. True or false:

An apparent hereditary factor is involved in the
development of substance-use disorders.
What have we learned?

TRUE- studies have shown children of alcoholics are 4x
more likely to become alcoholics.
THE END