Transcript Document
+
High-Risk Alcohol use and
the College Student
Tom Szigethy, MA
Associate Dean/Director of the Duke Student
Wellness Center
+
OUTLINE
Defining the Terms
Talking with Students
Drugs of Abuse
+
Defining the Terms
+
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
+
DSM IV- Substance Dependence
maladaptive pattern of SA within the same 12
month period, with 3 or more of:
Tolerance-(increases)
Withdrawal (withdrawal syndrome or take similar drug)
Substance taken in larger amounts or longer duration than
intended
Persistent or unsuccessful effort to decrease or control use
+
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
+
Talking with the student
+
Screening
Stages of Change
Pre-contemplation
Contemplation
Relapse
Maintenance
Determination
Action
+
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
+
Motivational Interviewing
Empathy
Develop Discrepancy
Avoid Argumentation
Roll with Resistance
Build Self-Efficacy
+
Implications to the Medical World
How do I do this in 2 minutes or less?
The teachable
moment
+
Why screen in the Medical Office?
+
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:
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
+
Why Students Use
Anxiety
Depression
Social Acceptance
Quell FEAR
Cope with problems
Aide a Sexual encounter
+
What students do not understand about
alcohol
Measurement
Blood Alcohol Content
Tolerance
Gender differences
Pacing themselves
Proof
BiPhasic Curve
+
What do students use?
+
What are you aware of?
Mephadrone (“Coke on speed”)
Ritalin et al
Cocaine
GHB – soap, liquid E, G, GBH,
Pot, weed, grass, buddha, scwag, 420, L, MaryJane,
Chronic,Tree, reefer
Bath Salts
ALCOHOL