The Diagnostic And Statistical Manual Of Mental Disorders

The third model of substance use disorders presented is the disease of the human spirit. This model suggests that as we enter the burdens and trials of life and become ungrounded with pain or voids in our lives we allow ourselves to feel pity and open ourselves up to our inwardly sinful nature. “It is at this point that some recoil in horror and become spiritual narcissists: self-centered, unwilling to see any reason to deny the “self” any desire or pleasure” (Doweiko, 2012, p. 357). This model believes that all individuals “all start out with hope, faith and fortitude” but when exposed to the ills of the world some “turn to chemicals to fill the perceived void within or to ease their pain” (Doweiko, 2012, p. 361).

“Substance use disorders” or “substance-related disorders” are intended synonymously and are used interchangeably when referring to the broad category of addiction to psychoactive substances. Additionally, the word “drug” should be considered in the context in which it appears and can refer to alcohol specifically and/or other psychoactive substances such as cocaine or heroin etc. Again, this is because of the large overlap within the broader category of substance use and the high prevalence of polysubstance use. For the sake of clarity, “drug” as used in North America to generally refer to any illicit or controlled substance has been avoided. Instead, “medication” will be used to denote a prescribed substance used to treat physical symptoms. However, many legally prescribed medications (such as morphine) can and are abused and have addictive quality, making them just as devastating as “street drugs” or alcohol (Compton & Volkow, 2006).

Relapses and drug taking are both heavily influenced by similar factors such as the drugs neurochemistry, the user’s history, environment, and dose of the pharmacokinetics. After a period of abstinence or non-use the drugs reinstating is more often an initiation of more than one factor, namely; re-exposure to drug, stress, cues in the environment, priming of the drug to user. In the user’s mind, neurochemical responses are commonly induced through these factors, in that they create a craving by mimicking the drug and this in turn prevents reinstatement and desire to use the drug (McGovern, Xie, Segal, Siembab, & Drake, 2006).

Antwone Fisher is a character who is very hostile and antisocial. He feels alone and confused by previous events that occurred during his childhood. Fisher is very withdrawn, unforgiving, and apprehensive. The constant battle of flashbacks denoting verbal, physical, and sexual abuse frequently interferes with his everyday life. The diagnostic criteria for post traumatic stress disorder explain the details of Antwone’s life in its entirety. Antwone meets the following criteria in the Diagnostic and Statistical Manual of Mental Disorders, 5th edition: “Directly experiences a traumatic event, experiences extreme exposure to aversive details of the traumatic event, recurrent, involuntary distressive memories” (271).

The Diagnostic and Statistical Manual of Mental Disorders (DSM) has a number of features. First of all, every disorder is identified using a name and a numerical code. In addition, the manual provides the criteria for diagnosing each disorder as well as establishes subtypes of a disorder and examples that would illustrate the disorder. The manual goes further by addressing the typical age of onset, culturally related information, gender-related information, prevalence of a disorder, typical clinical course of a disorder, typical predisposing factors of a disorder and genetic family patterns of a disease (Summers, 2009). The DSM-IV is a tool that is used by mental health practitioners and social service workers. As has been demonstrated

It is believed that certain individuals are predisposed or vulnerable to addiction based on biological, psychological and social influences. The euphoric high produced by many addictive substances is the result of overstimulation of the “pleasure center” of the brain. This is the same area that controls emotions, fear, self-control and overall feelings of wellness. The presence of these foreign chemicals creates a response that the brain will crave as soon as it fades. The brain’s chemistry works against its own health, as it rewires its decision making faculties around the primary goal of finding and taking more of the drug” (1). Many people mistakenly believe that psychological addiction is somehow less serious or real than physical addiction. The psychological aspects of addiction are much more challenging to repair and recover from than the physical addiction. Psychological addiction can last for years or even a lifetime.

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 definition provided above is accessible and easy to understand; however, it initiates false beliefs among individuals because it fails to acknowledge that drug addiction is a mental health problem. Moreover, when words such as, “dependence”, “control” and “craving” are used to define drug addiction, it leaves an impression to the reader that addicts are indeed “people who cannot control their impulses.” Consequently, when we fail to recognize that drug addiction is a mental health problem, our focus is diverted towards the physical aspect of drug addiction. This could cause the belief among individuals that drugs alone cause the addiction. It is essential to acknowledge that there are chemical hooks in drugs; however, individuals need to understand that drugs alone do not cause the addiction. We need to identify and distinguish the “root cause” of addiction and ask ourselves: what caused the individual to take the drug in the first place?

There are a number of models associated with substance abuse. Each having its own criteria and advocates. The medical model offers that those suffering from substance abuse are doing so because of a biological malfunction, an imbalance. A different model, the psychosocial model, suggests the user is making a choice to use. The spiritual foundation of chemical dependency suggests a sickness of the soul (Doweiko, 2012). Each of these models interrelate and coexist as indicated by a model termed bio-psycho-social-spiritual model (Addiction Foundation of Manitoba, 2000).

Financial Aspects. Rosa Lee reports that she receives welfare and social security checks monthly (Dash, 2006). Rosa Lee has tried to meet some of her financial needs by engaging in selling drugs and prostitution. Social Functioning. Rosa Lee reports that she has friends whom she meets with at McDonald’s after visiting the methadone clinic.

Substance abuse involves the usage of psychoactive substances like drugs and alcohol for various reasons like excessive stress, low self-esteem, loneliness and much more. However,

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

Substance abuse disorders is easily defined when an “individual continues to use the substance despite experiencing negative consequences from their use. These negative consequences can include health problems; difficulties in their family, work, and social life; and financial and legal problems. They are said to be dependent on the substance when,” in addition to theses negative consequences, they build tolerance and experience withdrawal if they stop using the drug” (Martin, 2007, p. 265). Substance abuse dates back to the early Americans colonies with beer that was brought over by the pilgrims and more popularly the ratification of the Constitution to prohibit the use of alcohol

From time to time we all have periods of sadness, unhappy thoughts. Among the United States population, around eight to ten percent suffer from a form of depression as unipolar depression. Depressive and bipolar disorders show to be a principal cause of disability, without cure a person can have a tough experience with relationships, work, and social activities. Substance abuse disorders are becoming an rampant. The need for instant indulgence has become more and more widespread in the world. The DSM-5 shows the symptoms checklist for diagnosis of substance abuse disorder (see table 1.3 in appendix a), and according to Comer, (2014) “the substances people misuse fall into several categories: depressants, stimulants, hallucinogens, and cannabis”

Chapter 14 and the DSM IV defines substance abuse as “a maladaptive pattern of substance use manifested by recurrent and significant adverse consequences related to the repeated use of substances” (Ashman, 4th edition 2013, pg. 442).