Transcript Edward Maxwell

DISINHIBITION
SYNDROMES
BIOPSYCHOSOCIAL
PRESDISPOSERS TO
ADDICTIVE DISEASE?
30+ YEARS AS AN OBSERVER
AND PARTICIPANT
• EVALUATING CHILDREN AND ADULTS
WHO PRESENTED WITH OR
DEVELOPED ADDICTIVE DISEASE
• FINDING COMMON THEMES IN THE
HISTORY AND/OR THE SUBSEQUENT
COURSE OF ILLNESS
• NOTING COMMON COMORBIDITIES IN
A POPULATION SEEKING HELP
BIOPSYCHOSOCIAL FACTORS IN
HUMAN BEHAVIOR
BIOLOGICAL
BASIC TRUST
DEVEL STAGE
IDENTITY
PSYCHOLOGICAL
BASIC TEMPERAMENT
INHERITED NBS
TOXIC EXPOSURES
MALNUTRITION
CNS TRAUMA
SOCIOLOGICAL
POVERTY
VIOLENCE
SUBCULTURES
COMMON PSYCHIATRIC
DISORDERS OFTEN COMORBID
WITH ADDICTIVE DISEASE
•
•
•
•
•
•
•
ANXIETY DISORDERS
DEPRESSION
MANIC DEPRESSIVE ILLNESS
PERSONALITY DISORDERS
SCHIZOPHRENIA
TOURETTE SPECTRUM DISORDER
ATTENTION DEFICIT DISORDER
DISINHIBITION OR AN INABILITY
TO REGULATE ONE OR MORE
OF THREE BASIC FUNCTIONS IS
PRESENT IN THESE DISORDERS
• THINKING (COGNITION)
• FEELING (MOOD)
• ACTING
(BEHAVIOR)
DELUSIONS
ATTENTION/CONC
HALLUCINATIONS
OBSESSIONS
LEARNING DISAB
THINK
COMPULSIONS
MOOD SWINGS
TICS
PANIC
FEEL
DESPAIR
RAGE
ACT
TANTRUMS
OVERACTIVITY
“SYMPTOMS” OF DISINHIBITION
“SYMPTOMS” OF DISINHIBITION
OFTEN RESPOND TO
PRESCRIBED PSYCHOTROPIC
MEDICATIONS
THESE “SYMPTOMS” MAY RESPOND TO
DRUGS AND/OR ALCOHOL AS WELL
PRESCRIPTION MEDS
• CHOSEN AFTER ASSESSMENT TO
TARGET A SPECIFIC SYMPTOM OR
CLUSTER OF SYMPTOMS
• PROGRESS,OR LACK OF IT, IS
MONITORED
• SIDE EFFECTS – BEHAVIORAL,
NEUROLOGIC, METABOLIC, OTHER,
ARE MONITORED
DRUGS AND/OR ETOH
• SELF PRESCRIBED FOR RELIEF OF
NON-SPECIFIC SYMPTOMS
• DESIRED EFFECT IS SOUGHT IN THE
FACE OF RAPID TOLERANCE
• POTENTIALLY DEVASTATING SIDE
EFFECTS ARE IGNORED
• SOCIAL/LEGAL CONSEQUENCES
ACCRUE
SELF-MEDICATION CATACLYSM
CAFFEINE
NICOTINE
ETHANOL
THC
COCAINE
OPIATES
PAIN PILLS, BENZOS ETC