Substance-Related Disorders
1. Describe a number of short- and long-term effects of alcohol abuse.
Some short-term effects of alcohol abuse are the reduction of tension, production of pleasurable affects, as well as slowed thinking and memory loss. Studies also show poor decision making to be a short-term effect of alcohol consumption. Some long-term effects are psychological deterioration as well as a physical deterioration. Just about every organ is adversely affected by the long-term consumption of alcohol. For example, a person who uses alcohol long term reduces the amount of food intake due to the calories consumed by alcohol that has little nutritional value. Over time this person can become malnourished. Long term use of alcohol can
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Describe therapy for alcohol abuse and dependence, with reference to Alcoholics Anonymous, couples and family therapy, and cognitive and behavioral approaches.
Alcoholics Anonymous (AA) as a type of therapy for dependency is a community based and lead support group that functions under the guise of a 12-step program. These groups work best in conjunction with other therapies and are very helpful in helping to hold the person accountable for their drinking behaviors as well as feel that they are not alone in their plight to succeed in their sobriety.
Couples and family therapy can be helpful in that it focuses on the family system and their involvement in both the support of recovery and the possible contribution to the person’s dependency. Working on how the family contributes to the overall health of the individual can make recovery more possible.
Cognitive and behavioral approaches used are aversion therapy or contingency-management therapy. In aversion therapy a person dependent on alcohol is shocked or made nauseous when they reach for or consume alcohol. The person is asked to imagine that the drink is going to make them violently ill. This type of approach is not always supported as the evidence is not strong and can cause the person discomfort. Contingency-management therapy helps to provide the person with training to refuse drinks in situations they would typically indulge as well as to help develop life skills such as interviewing and social
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Distinguish between substance abuse and substance dependence. What are the DSM-IV-TR criteria for each?
Substance abuse is an intense desire to use increasing amounts of a particular substance to the exclusion of other activities whereas drug dependence relies on the body’s physical need for a particular substance.
The DSM IV-TR criteria for substance dependence requires the person to have three or more of the following; tolerance, characteristic withdrawal symptoms, substance taken in larger amount and for a longer period of time than intended, persistent desire or repeated unsuccessful attempt to quit, more time or activity to obtain, use and recover, important social, occupational, or recreational activities given up or reduced, and use that continues despite the knowledge of adverse consequences.
Drug abuse requires the person to have one or more of the following symptoms in a 12-month period; recurrent use resulting in failure to fulfill a major role or obligation at work, home, or school, recurrent substance related legal problems, continued use despite persistent or recurrent social or interpersonal problems or exacerbated by
According to the Diagnostic Statistic Manual 5 (DSM-5) substance use disorder is when the individual has a dependency on alcohol or drug, followed by penetrating craving and antisocial behavior to acquire the substance. The terms substance abuse and substance dependence refer to substance use disorder, which has been separated into three classifications as follows
The purpose of this research paper was to attend two support group meetings and share my experiences. The meetings that were to be attended were an Alcoholics Anonymous
Substance abuse is any nonstop pathological use of a medication, drugs, or alcohol. Substance abuse is most likely to be diagnosed among people who have just started taking drugs or medication and is often an early symptom of substance dependence. However, substance dependence can show without any symptoms of substance abuse, and substance abuse can last long periods of time without changing into substance dependence. Substances that are abused are, but not limited to, alcohol, tobacco, and other drugs for varied reasons. Substance addiction symptoms include the need for increasing amounts of the substance to maintain desired effects, withdrawal if drug taking stops, and a lot of time spent in activities related to substance use. Due to substance abuse and addiction our society pays a significant
First criteria that needs to be present for substance dependence according to the DSM-IV is Tolerance. Tolerance is when a person take a drug and the body does not react to the drug like it indicated. This happened because the body has gotten use to the drug that is been taken. The person will end up, taking the drug in a larger amount for the drug to work like it supposed to. Pain drugs are one of the number one drug that people end up having high tolerance to.
Binge drinking can also have other serious short term effects on a person’s health due to its effects on the brain. This is due to the alcohol being consumed entering into the brain via the receptors in the synapses, which then prevents messages from being sent properly both within the brain, and from the brain to the rest of the body (Purdy, 2010). This also causes you to have less control over your ability to make the same judgements that you would when sober. This can cause serious damaging health effects as it has been found that people who binge drink have been proven to be more likely to choose to drive while drunk and to smoke or use illicit drugs. (Miller et al, 2007). Blackouts and memory loss are also caused by binge drinking as the
Since alcohol may cause tolerance, craving, a persistent desire, or recurrent it tends to cause Alcohol withdrawals. Through increased amounts of alcohol exacerbated. leading to psychological or physical issues. When use for a 12 month period or longer. Causing Similar symptoms of hypnotic, sedative, or anxiolytic use disorder. In a comorbidity or a person diagnosed with psychotic disorders such as: anxiety, schizophrenia, and depressive disorders
DSM-IV criteria for substance dependence include several specifiers, one of which outlines whether substance dependence is with physiologic dependence (evidence of tolerance or withdrawal) or without physiologic dependence (no evidence of tolerance or withdrawal). In addition, remission categories are classified into four subtypes: (1) full, (2) early partial, (3) sustained, and (4) sustained partial; on the basis of whether any of the criteria for abuse or dependence have been met and over what time frame. The remission category can also be used for patients receiving agonist therapy (such as methadone maintenance) or for those living in a controlled, drug-free environment.Tolerance, as defined either by the need for increasing amounts of
When a person continues to use regardless of having continual or periodic social or interpersonal problems caused or intensified by the effects of its use important social, occupational, or recreational activities are given up or reduced because of use of the substance. Use of the substance is continued even though there is knowledge of having a persistent or recurrent physical or psychological problem that is likely to have been caused or worsened by the substance (“The Science of Drug Abuse and Addiction: The Basics”).
Three short-term effects of alcohol abuse include disinhibited behavior, decreased perception and coordination, and slow reflexes. In terms of disinhibited behavior, someone who is consuming a low to moderate dose of alcohol may begin to have a lack of restraint when it comes to interaction. This type of behavior can come off as rude or even offensive. In addition, decreased perception and coordination also become an issue when someone has had a few drinks, since coordination and balance may become difficult. Lastly, slow reflexes are also one of the short-term effects for alcohol abuse. The consumer may have a delayed reaction since they are not in the right state of mind. More then often, this impairment is not apparent to the affected person
The progression of substance dependence varies from one person to another; one common way involves a progression through the following stages
Another method to treating alcoholism is outpatient therapy. Outpatient therapy offers a wide variety of programs for patients who visit on a consistent basis. Almost all of the programs will offer psychological therapy of some sort, in the form of individual or group counseling. Often it is easier to talk about the addiction in a group of people with the same problems rather than alone. Out-patient therapy often is not effective by itself for the serious alcoholic. Usually this therapy is combined with another method.
As defined by the DSM–IV–TR (2000) 4th ed., text rev, drug dependence is defined as a persistent use of alcohol or other drugs despite problems associated with the use of that substance. The following are criteria for the diagnosis of drug dependence. A person needs to exhibit any 3 of the following criteria:
drinking, serve as an ego surrogate to guide the client towards action, promote the illness model of
Alcohol abuse has many negative effects on the body. One way it affects the body is through the heart. It can cause a stroke, high blood pressure along with many other complications. Alcohol abuse can also cause cancer in the mouth, liver, thought, and esophagus. It can also weaken the immune system and prevent proper digestion in the pancreas.
The effect of alcohol abuse in the body is tremendous. It can harm many organs of the body, for example, the brain, heart, liver and pancreas. The effect of alcohol in the