Cannabis Use Disorders: A Case Study

With the possibility of drugs capable of suppressing the urge to consume alcohol in addicts, many people who normally would not be helped by a simple 12 step program, could use such drugs in combination with standard treatment in the future to help combat their addiction.

To be diagnose with substance use disorder the person will have the following symptoms that has occurred during a 1 year period. The inability to manage key obligations at home not paying mortgages and bills, work not showing up or missing important deadline or school not going. Driving while under the influence which could cause physical harm and hazard to yourself and others, social and personal issues because of substance use, legal problems because of substance use disorder.

Alcohol withdrawal syndrome: A group of symptoms which may range from mild to severe, usually occurring 6-24 hours after the last alcohol intake. The health issues involved in this syndrome are delirium tremens, seizures, Wernicke-Korsakoff syndrome, depression, liver disease, and electrolytes disturbances. The mild symptoms may be managed at the outpatient setting and there severe symptom in the hospital under close supervision and benzodiazepine therapy (McKeon, Frye & Delanty, 2008)

The symptoms of the co-occurring disorder may temporally be stabilized by substance abuse or addictive behavior. Individuals' anxiety levels can be reduced by either smoking marijuana or drinking alcohol. Symptoms of bipolar disorders, especially the continuation of down episodes, include the utilization of a variety of substances such as marijuana. Opiates and downers can numb the effects of their mood swings. Nevertheless, the temporary relief from these mental health symptoms leads to substance abuse and addictive behavior

The choices he used to cope with his life events created his disorder. It almost seemed as inevitable for him to avoid this path because the cues that presented themselves were all just factors that amplified his poor mental health outcome. The biological indicator, the alcohol dependence for stress relief, and then the substance abuse that was evoked by the physicians were all measures that built on top of each other. The DSM-V categorizes substance use disorder as a combination of substance abuse and substance dependence. It is said that only two symptoms need to be apparent in order to be diagnosed with the disorder. Mark’s pharmacological effects of tolerance and withdraw of the pain medication are alone enough criteria for the diagnosis. In conclusion, Mark substance use disorder is a cluster oh his behavioral, cognitive, and physiological symptoms which resulted in his continue use of the substances despite the evident

The principle of treatment therapy is to helping the patients to reduce problematic drinking, deterring relapse back to heavy drinking and achieving and maintaining abstinence from alcohol (Edmunds, 2014). An oral naltrexone (ReVia) or injectable Vivitrol, Acamprosate and Disulfiram are used for the treatment of alcohol abuse (Edmunds, 2014). Disulfiram are used more often if unpleasant physical symptoms when alcohol is ingested but is reported to be more expensive and have reported to have adverse reaction to the patients (Edmunds, 2014). Benzodiazepines such as Lorazepam and Diazepam are also widely used for treatment of alcohol withdrawal. With the side effects and overdosing of benzodiazepines remains controversial in treating alcohol withdrawal and is always in need to monitor the patient for abuse (SAMHSA, 2013). Additionally, social detoxification and lifestyle management would benefit the whole treatment process such as referring the patient to social support groups and encouraging the family to support the patient during the treatment

Clearly, it would be in the best interests of society to address the problem with substance use disorder. There are ten separate classes of drugs, which include alcohol, caffeine, cannabis, hallucinogens stimulants, and unknown substances (American Psychiatric Association, 2013). In order to diagnose someone with substance use disorder the DSM 5 (2013) lists eleven separate criteria. The individual may require higher amounts or longer periods than was originally planned. Obtaining, using and recovering from the effects of the drug may take the majority of their time. The daily routine revolves around the drug. When the

However, there is accumulating evidence of the psychological consequences of using marijuana. Many chronic marijuana smokers have a psychosis that is now medically deemed as, “A-motivational Syndrome” (Chopra 38). A psychosis is a condition where a person experiences some loss of contact with reality. A person with a psychosis can experience any or more of the following symptoms: auditory hallucinations (hearing voices that aren't really there), visual hallucinations (seeing things which aren't there), delusions (believing things that aren't true), jumbled thoughts and strange behavior. Patients with A-motivational Syndrome are left with the well-recognized and permanent symptoms of memory loss, apathy and loss of motivation (Chopra 38). After marijuana started to be widely used approximately 20 years ago, for permanent damage to occur it was felt by some that marijuana had to be heavily used over at least three years. However, there is accumulating evidence that smaller amounts will do damage. It is logical that to get the permanent “ A-motivational Syndrome”, small amounts of damage have to accumulate incrementally (Chopra 40). Although many marijuana connoisseurs of today may totally deny that that the use of this drug has lasting effects on the brain, research findings clearly indicate that long-term use of marijuana produces changes in the brain similar to those seen after long-term use of other major drugs of abuse (Erickson 89).

A “Substance Use Disorder” is new to the DSM-5. Previously, the terms “abuse” and “dependence” where used instead. In general, the DSM-5 considers a Substance Use Disorder to be recurrent drug use that causes impairment and continued use despite substance use related problems. The DSM-5 also focuses on how substance use causes a change in brain functioning. The change is primarily responsible for intense drug cravings, as well as repeated relapses. Finally, the DSM-5 divides the criteria for Substance Use Disorder into four groupings: impaired control (Criteria 1-4), social impairment (Criteria 5-7), risky use (Criteria 8 and 9), and pharmacological criteria (Criteria

Alcohol-dependent people are often unable to stop drinking once they start as alcohol dependence is characterized by tolerance or the need to drink more to achieve the same "high", in addition, serious withdrawal symptoms if drinking is stopped suddenly. The sooner that the individual begins to receive help for the treatment of their alcoholism means that, the shorter period that they will be able to stop use. Individuals who receive treatment

According to the American Psychiatric Association chronic drug abuse may occur together with any mental illness that may include some of the following disorders. “Some common serious mental disorders associated with chronic drug abuse include schizophrenia, bipolar disorder, manic depression, attention deficit hyperactivity disorder (ADHD), generalized anxiety disorder, obsessive-compulsive disorder, post-traumatic stress disorder, panic disorder, and antisocial personality disorder” (Center, 2004). Some of these disorders carry with them an increased risk of drug abuse. Another example of a drug that can cause a mental disorder, is MDMA (3, 4-methylenedioxymethamphetamine) which is commonly known as ecstasy. It produces long term deficits in serotonin function in the brain, leading to mental disorders such as depression and anxiety.

One common myth associated with smoking marijuana is smoking marijuana can cause permanent mental illness. There is no convincing scientific evidence proving that smoking marijuana can cause psychological damage and mental illness in teenagers and young adults. Marijuana does not cause profound changes in people’s behaviors.

Physicians have several options for treating alcohol use disorders. Behavioral therapy can help alcoholics recognize and avoid high-risk situations, and referral to programs that provide peer support, such as Alcoholics Anonymous, can increase a person’s chance of recovery. Therapists can also prescribe medications that decrease the appeal of alcohol. Studies show disulfiram, acamprosate and naltrexone help most people abstain from alcohol. Disulfiram causes unpleasant side effects such as sweating, nausea, headache, vomiting and chest pain when patients consume alcohol. The severity of the effects differs among patients, and is correlated with the amount of alcohol consumed. Naltrexone inhibits euphoric effects or feelings of intoxication

Although alcohol is the most commonly-known substance, substance usage can be applied to ten different classes of substances, including but not limited to cannabis and hallucinogens. According to the fifth edition of the Diagnostic and

Mental illness is another major reason why individuals start using drugs and eventually become dependent. Chronic drug abuse may occur in concurrence with any mental illness identified in the American Psychiatric Association (DSMIV). Some common serious mental disorders associated with chronic substance abuse include schizophrenia, bipolar disorder, manic depression, attention deficit hyperactivity disorder (ADHD), and generalized anxiety disorder (National Drug Intelligence Center). Some people may use drugs on a regular basis as ways to self- medicate themselves if they are dealing with any