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Substance
any natural or synthesized product that has psychoactive effects—it changes perceptions, thoughts, emotions, and behaviors.
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Depressants
- Behavioral sedation (e.g., alcohol, sedative, anxiolytic drugs)
- Barbiturates & Benzodiazepines
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Stimulants
Increase alertness and elevate mood (e.g., cocaine, nicotine, caffeine)
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Opiates
Produce analgesia and euphoria (e.g., heroin, morphine, codeine)
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Hallucinogens
Alter sensory perception (e.g., marijuana, LSD)
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Other drugs of abuse
Include inhalants, anabolic steroids, medications
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DSM Criteria for Substance Abuse
- 1)Failure to fulfill important obligations at work, home, or school as a result of repeated substance use.
- 2)Repeated use of the substance in situations in which it is physically hazardous to do so (e.g. drinking and driving).
- 3)Repeated legal problems as a result of substance use.
- 4)Continued use of the substance despite repeated social or legal problems as a result of use (includes arguing with loved ones over use of substance).
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DSM Criteria for Substance Dependence
- 1.Tolerance
- 2.Withdrawal
- 3.Large Doses
- 4. Persistent desire or repeated unsuccessful attempt to quit
- 5. Much time/activity to obtain, use, recover
- 6. Important social, occupational, or recreational activities given up or reduced
- 7. Use continues despite knowledge of adverse consequences (e.g., failure to fulfill role obligation, use when physically hazardous
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Binge Drinking
drinking five or more drinks on one occasion at least once per month
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Heavy alcohol use
binge drinking for five or more days in a month
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Effects of Cocaine
- 1.Short lived sensations of elation, vigor, reduce fatigue
- 2. Effects result from blocking the reuptake of dopamine
- 3. Highly addictive, but addiction develops slowly
- Usually people cycle through withdrawal and dependence
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Effects of nicotine
- 1. Stimulates nicotinic acetylcholine receptors in CNS
- 2. Results in sensations of relaxation, wellness, pleasure
- 3. Highly addictive
- 4. Relapse rates equal those seen with alcohol and heroin
- 5. Nicotine users dose themselves to maintain a steady state of nicotine
- 6. Smoking has complex relationship to negative affect
- Appears to help improve mood in short-term
- Depression occurs more in those with nicotine dependence
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Effects of Caffeine Use
- 1. Small doses elevate mood and reduce fatigue
- 2. Regular use can result in tolerance and dependence
- 3. Caffeine blocks the reuptake of the neurotransmitter adenosine
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Effects of Opioids
- 1.Activate body’s enkephalins and endorphins
- 2.Low doses induce euphoria, drowsiness, and slowed breathing
- 3.High doses can result in death
- 4.Withdrawal symptoms can be lasting and severe
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