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Substance Related Disorders. Organization of the section. See for yourself. What is the difference between the “use” and “induced” disorders? How are abuse and dependence different? What does the chart on page 193 tell you? Find a substance that does NOT cause anxiety disorders.
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See for yourself • What is the difference between the “use” and “induced” disorders? • How are abuse and dependence different? • What does the chart on page 193 tell you? Find a substance that does NOT cause anxiety disorders. • Where will you find the symptoms of cannabis intoxication? • What are five symptoms of cocaine intoxication? ***turn in your own individual notes
Intoxication vs. Induced vs. COD • Typical symptoms of the substance = intoxication/withdrawal • More severe symptoms = induced • Stand alone symptoms = psychiatric diagnosis
Post Acute Withdrawal Symptoms • Can last 6-18 months (sometimes longer) • Results from neural damage + stress of sober lifestyle • Symptoms occur in several domains: • Sleep • Memory • Thought process: concentration, abstract, clarity, confusion • Anxiety & hyper sensitive to stress • Emotional instability/mood swings • Poor physical coordination
Assessing William As you watch the fish bowl role play, • Make observations for an MSE. • Note information that will help you assess S-R disorders. • Jot down questions you would like to ask to assess further.
Stages of Change and Motivational Interviewing • Motivation as a state, not a trait. • What does this mean in re: to William? • Different stages for different problems. • What changes could he make? • General approaches: • Express empathy • Develop discrepancies • Roll with resistance • Support self-efficacy
Stages of change • Precontemplation • Contemplation • Preparation • Action • Maintenance • Relapse