Substance Abused Disorder

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04Townsend(F)-04 8/23/07 6:27 PM Page 65 CHAPTER 4 Substance-Related Disorders ● BACKGROUND ASSESSMENT DATA The substance-related disorders are composed of two groups: the substance-use disorders (dependence and abuse) and the substanceinduced disorders (intoxication and withdrawal). Other substanceinduced disorders (delirium, dementia, amnesia, psychosis, mood disorder, anxiety disorder, sexual dysfunction, and sleep disorders) are included in the chapters with which they share symptomatology (e.g., substance-induced mood disorders are included in Chapter 6; substance-induced sexual dysfunction is included in Chapter 10, etc.). ● SUBSTANCE-USE DISORDERS Substance Abuse Defined The DSM-IV-TR (APA, 2000) defines…show more content…
Hallucinogens Hallucinogens act as sympathomimetic agents, producing effects resembling those resulting from stimulation of the sympathetic nervous system (e.g., excitation, increased energy, distortion of the senses). Therapeutic medical uses for lysergic acid diethylamide (LSD) have been proposed in the treatment of chronic alcoholism and in the reduction of intractable pain, such as terminal malignant disease and phantom limb sensations. At this time there is no real evidence of the safety and efficacy of the drug in humans. Examples: LSD, mescaline, phencyclidine (PCP). 04Townsend(F)-04 8/23/07 6:27 PM Page 68 68 ● ALTERATIONS IN PSYCHOSOCIAL ADAPTATION Common Street Names: Acid, cube, big D, California sunshine (LSD); angel dust, hog, peace pill, crystal (PCP); cactus, mescal, mesc (mescaline). Cannabinols Cannabinols depress higher centers in the brain and consequently release lower centers from inhibitory influence. They produce an anxiety-free state of relaxation characterized by a feeling of extreme well-being. Large doses of the drug can produce hallucinations. Marijuana has been used therapeutically in the relief of nausea and vomiting associated with antineoplastic chemotherapy. Examples: Marijuana, hashish. Common Street Names: Joints, reefers, pot, grass, Mary Jane (marijuana); hash (hashish). Inhalants Inhalant disorders are induced by inhaling the aliphatic and aromatic hydrocarbons found in substances such
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