Substance Use & Abuse Fall 2013

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    Substance Use & Abuse

    Maria Benitez, Briana Bonner, Kimberly MacDonald

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    Use and Abuse Use: Drug consumption that does not meet the criteria for drug

    abuse

    Used for socializing and to feel the effects

    Abuse: long-term, pathological use of alcohol or drugs,characterized by:

    Daily intoxication

    Inability to reduce consumption

    Impairment in social or occupational functioning Use in situations that are physically hazardous

    Substance related-legal problems

    Continued use despite of persistent and recurrent social or

    interpersonal problems caused and exacerbated by the

    substance

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    DependencyDependency(also addiction): a pattern of use resulting in

    three or more of these factors in 12 months...

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    Dependency Factors

    Higher tolerance: needing more to get the same effect

    Having withdrawls

    Drugs taken in larger amounts and over longer periods of time

    Unsuccessful effort to control substance use

    Great deal of time spent obtaining, using, or recovering

    Activities given up due to use

    Continued use despite physical or psychological problems

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    Types of Dependency

    Physical Dependency

    Increases tolerance

    Tolerance

    Base Tolerance

    Ceiling Tolerance

    Experience withdrawal symptoms without substance

    Psychological Dependency

    Drug will help cope with reality

    Problem will go away with use of drug

    Mental/emotional reliance on chemicals

    Habits are hard to break

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    Why do somepeople become

    addicted to drugs

    while others do not?

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    What areYOU

    addicted to ?

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    Types of Addictions

    Chemical

    Includes tobacco, coffee, alcohol, cocaine, heroin ect.

    Caffeine

    You can experience withdrawals from caffeine i.e. anxiety,

    depression, nervousness, headache, and dizziness

    Food

    Eating to release stress, when bored, or as a reward

    Exercise

    Obsession with working out, injuries can occur due to overuse.

    Feel guilty when they miss a workout

    T.V.

    Average adult watches 7 hours of TV a day

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    Who Can BecomeAddicted?

    Family history of abuse/addiction

    Being male

    Having another psychological problem

    Peer pressure

    Lack of family involvement

    Anxiety, depression, or

    loneliness

    Taking a highly addictive drug

    Risk-taking personality

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    Facts

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    Marijuana

    Main ingredient is THC (tetrahydrocannabinol)

    Can be smoked or ingested

    Taken in small doses, you get a sedative effect

    Large doses result in physical and psychic changes

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    Marijuana

    Acute Effects: Tachycardia

    Dryness of mouth

    Reddening of eyes Enhanced appetite

    Less coordination

    Difficulty concentrating

    Intermittent confusion

    Impairment of short term

    memory

    Amotivational syndrome

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    Marijuana

    Health Risks Atrophy of brain

    Decreased resistance to infectious disease

    Chronic bronchitis

    Lung cancer

    Possibly sterility and

    impotence

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    Opioids

    Heroin Injected, smoked, or snorted

    Opium Swallowed or smoked

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    Opioids

    Acute Effects Euphoria

    Drowsiness

    Impaired coordination

    Dizziness

    Confusion

    Nausea

    Sedation

    Feeling of heaviness in body

    Slow or arrested breathing

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    Opioids

    Health Risks

    Constipation

    Endocarditis

    Hepatitis

    HIV

    Addiction

    Fatal overdose

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    Stimulants

    Cocaine Snorted, smoked, or injected

    Methamphetamine Swallowed, smoked, snorted,

    injected

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    Stimulants

    Acute Effects Tachycardia

    Increased blood pressure, body temperature, and metabolism

    Feelings of exhilaration

    Increased energy

    Mental alertness

    Tremors

    Reduced appetite

    Irritability Anxiety

    Panic

    Paranoia

    Violent Behavior

    Psychosis

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    Stimulants

    Health Risks Weight loss

    Insomnia

    Cardiac/Cardiovascular complications

    Strokes

    Seizures

    Addiction

    Nasal damage from

    snorting

    Severe dental problems

    Fatal Overdose

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    Club Drugs

    MDMA or Ecstasy Swallowed, snorted, injected

    Flunitrazepam Swallowed or snorted

    GHB (Date Rage Drug) Swallowed

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    Club Drugs

    Acute Effects Hallucinogenic effects

    Increased Tactile Sensitivity

    Empathetic feelings Lowered inhibition

    Anxiety, chills, sweating

    Teeth clenching

    Muscle cramping

    Sedation

    Muscle relaxation

    Confusion

    Memory loss

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    Club Drugs

    Health Risks Sleep Disturbances

    Depression

    Impaired memory

    Hyperthermia

    Addiction

    Unconsciousness

    Seizures

    Coma

    Fatal Overdose

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    Hallucinogens

    LSD Swallowed, absorbed through mouth tissues

    Psilocybin Swallowed

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    Hallucinogens

    Acute Effects Altered states of perception and feeling

    Hallucinations

    Nausea Increased body temp, heart rate, blood pressure

    Loss of appetite

    Sweating

    Sleeplessness

    Impulsive behavior

    Rapid shifts in emotion

    Nervousness

    Paranoia

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    Hallucinogens

    Health Risks Flashbacks

    Hallucinogen Persisting Perception Disorder

    Fatal overdose

    Heart attack

    Stroke

    Respiratory failure

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    Tobacco

    4,ooo chemicals in cigarette smoke

    Tar: dark, gummy brown mixture

    of chemicals containing carcinogenic

    agents

    Nicotine: stimulant

    Carbon Monoxide gas: destroys hemoglobin molecule

    Environmental tobacco smoke (ETS): Carcinogen

    Sidestream smoke- smoke from end of a burning cigarette

    Mainstream smoke- has been filtered either from cigarettes filteror from smokers lung

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    Tobacco

    Acute Effects Fatigue

    Insomnia

    Diarrhea

    Impaired visual acuity

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    Tobacco

    Health Risks Lung cancer

    Cardiovascular disease

    Respiratory problems (emphysema)

    Reduced life expectancy

    Lower quality of life

    Higher rates of acute and chronic disease

    For Women Cervical cancer

    Double chance of miscarriage

    Increased risk of melanoma

    Higher risk for infections

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    The HelplineActivity

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    What Can I Do ? Communicate your concern

    Provide information about treatment options

    Offer your support

    Talk with an experienced counselor

    Intervention

    Reduce enabling behaviors

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    If someone you know is or maybe addicted to a drug or alcohol,tell them to seek help and call a

    local drug helpline. Drugaddictions are very serious and

    should be dealt with at the firstsign before its too late.

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    References

    http://www.ncsacw.samhsa.gov/files/SAFERR_AppendixE.pdf

    http://www.mayoclinic.com/health/drug-addiction/DS00183/DSECTION=risk-factors

    http://www.drugabuse.gov/publications/drugfacts/nationwide-trends

    http://www.heart.org/HEARTORG/Conditions/Cholesterol/AboutCholesterol/Go

    od-vs-Bad-Cholesterol_UCM_305561_Article.jsp

    http://www.drugabuse.gov/drugs-abuse/commonly-abused-drugs/commonly-

    abused-drugs-chart

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