Transcript Chapter 10
Chapter 10 Crises Related to Substance Abuse Types of Crisis 1. Medical 2. Legal 3. Psychological 4. Spiritual The Alcoholic • In the DSM IV, the APA refers to either: • Alcohol Abuse:drinking leads to impairment in functioning • Or • Alcohol Dependence: physiological addiction, medical condition as a result, usually suffers from withdrawal without Defense Mechanisms • • • • • • • Denial Displacement Fantasy Projection Rationalization Minimizing repression Interventions • • • • • • • • 1. 2. 3. 4. 5. 6. 7. 8. 12 step groups: Alcoholics Anonymous 12 step facilitation Family therapy Medical intervention: detoxification, anabuse Aversion therapy Synanon Biopsychosocial Model Brief Intervention The Co-Dependent • • • • • • Strong need to be in control Enable the drinking to continue: Denial Joining the alcoholic by drinking Justifying the use Keeping feelings inside • • • • • • • • • • keeping the peace Minimizing Protecting the image of the user Numbing feelings Blaming Take over responsibilities Feeling superior Controlling Enduring waiting Interventions • • • • 12 step groups: Al-anon Co-Dependents Anonymous ACA: Adult Children of Alcoholics If depression is severe, may need hospitalization Cocaine, Crack, Crystal Meth • Stimulants • Snort, smoke, inject • Crystal Methamphetamine has increased in popularity due to it’s low cost. When smoked, it’s called “ice” • Extreme addictions lead to severe consequences • Often need intense treatment, daily, inpatient • 12 step groups Marijuana • Often consider a “soft” drug • It does affect physical health and psychological health • 12 step groups may help • Need to develop a social network of nonusing people to have fun with and interact socially • Denial is very strong LSD and Ectasy • • • • • • • Hallucinagens Taken orally May have extreme effects on the body. May destroy brain cells “the bad trip” may be a concern Panic Regrettable behaviors Heroin • • • • • • Highly addicting Usually injected May snort Very difficult to maintain sobriety Withdrawal is very uncomfortable Methodone may be useful for permanently quitting Drugs & Their Effects Drug: How it’s Taken: Effects: Alcohol Drink Depressant, euphoria, blackouts, Slowed reaction time. Marijuana Smoke Euphoria, slowed reaction time, munchies, amotivation syndrome. Cocaine Snort Crack Smoke Crystal Meth Snort Upper, high, speeded up thoughts, stimulant, increased activity, heart racing, paranoia, agitation Heroin Snort, Inject Depressant, euphoria, nodding out, highly addictive. Ecstacy Take Pill Euphoria, opening of the mind, increased focus on feelings. LSD Swallow Hallucinations, increased sensory stimulation.