Transcript Document

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High-Risk Alcohol use and
the College Student
Tom Szigethy, MA
Associate Dean/Director of the Duke Student
Wellness Center
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OUTLINE

Defining the Terms
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Talking with Students
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Drugs of Abuse
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Defining the Terms
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DSM IV – Substance Abuse
A. Maladaptive pattern of substance use (1 or
more) within a 12 month period
Failure
to fulfill
major role
obligations
Use
when
physically
hazardous
Substance
related
legal problems
Continued
use
despite persistent
or recurrent
social or
interpersonal
problems
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DSM IV- Substance Dependence
maladaptive pattern of SA within the same 12
month period, with 3 or more of:
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Tolerance-(increases)
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Withdrawal (withdrawal syndrome or take similar drug)
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Substance taken in larger amounts or longer duration than
intended
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Persistent or unsuccessful effort to decrease or control use
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Substance dependence continued…
Much
time spent to obtain, use, or
recover from effects of substance
Important
activities given up or
reduced because of use
Use
continues despite physical or
psychological problems
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Talking with the student
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Screening
Stages of Change
Pre-contemplation
Contemplation
Relapse
Maintenance
Determination
Action
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Screening
Stages of Change
Admissions,
Orientation,
FAC, parents
AOD
Rehab,
offcampus
Pre-contemplation
Contemplation
Relapse
Ed.
Classes,
CAPS,
CDBH
Student Conduct,
Determination Policy, BASICS,
Academic Affairs,
ER
Maintenance
Internships,
AA, Alanon,
Brief
Counseling,
CDBH
Alcohol.edu,
Presidential
Statement re
position on
alcohol
Action
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Motivational Interviewing
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Empathy

Develop Discrepancy
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Avoid Argumentation
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Roll with Resistance
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Build Self-Efficacy
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Implications to the Medical World
How do I do this in 2 minutes or less?
The teachable
moment
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Why screen in the Medical Office?
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Prescriptions
Are the symptoms described through a medical malady…or
maybe withdrawal from experimenting?
+ Post Acute Withdrawal Symptoms
These symptoms are a natural part of the recovery
process.
They are usually present from 6 to 18 months after addict
stops drinking or drugging.
Symptoms include:
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difficultly in thinking
problems numbering things
difficulty in focusing attention
problems following logical sequences
memory problems
over or under-emotional, such
as over-reacting or being numb
over-reacts to stress
sleep disturbances
accident prone
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Why Students Use
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Anxiety
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Depression
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Social Acceptance
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Quell FEAR
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Cope with problems
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Aide a Sexual encounter
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What students do not understand about
alcohol
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Measurement
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Blood Alcohol Content
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Tolerance
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Gender differences
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Pacing themselves
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Proof
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BiPhasic Curve
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What do students use?
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What are you aware of?
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Mephadrone (“Coke on speed”)
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Ritalin et al
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Cocaine
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GHB – soap, liquid E, G, GBH,
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Pot, weed, grass, buddha, scwag, 420, L, MaryJane,
Chronic,Tree, reefer
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Bath Salts
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ALCOHOL