Essay Substance Abused Disorder

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8/23/07

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CHAPTER

4

Substance-Related Disorders
● BACKGROUND ASSESSMENT DATA
The substance-related disorders are composed of two groups: the substance-use disorders (dependence and abuse) and the substanceinduced disorders (intoxication and withdrawal). Other substanceinduced disorders (delirium, dementia, amnesia, psychosis, mood disorder, anxiety disorder, sexual dysfunction, and sleep disorders) are included in the chapters with which they share symptomatology (e.g., substance-induced mood disorders are included in Chapter 6; substance-induced sexual dysfunction is included in Chapter 10, etc.).

● SUBSTANCE-USE DISORDERS Substance Abuse
Defined The DSM-IV-TR (APA, 2000) defines
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Examples: Opium, morphine, codeine, heroin, hydromorphone, meperidine, methadone. Common Street Names: Horse, junk, H (heroin); black stuff, poppy, big O (opium); M, morph (morphine); dollies (methadone); terp (terpin hydrate or cough syrup with codeine).

CNS Depressants
CNS depressants have a medical use as antianxiety agents, sedatives, hypnotics, anticonvulsants, and anesthetics. They depress the action of the CNS, resulting in an overall calming, relaxing effect on the individual. At higher dosages they can induce sleep. Examples: Benzodiazepines, barbiturates, chloral hydrate, meprobamate. Common Street Names: Peter, Mickey (chloral hydrate); green and whites, roaches (Librium); blues (Valium, 10 mg); yellows (Valium, 5 mg); red birds, red devils (secobarbital); blue birds (Amytal capsules); yellow birds (Nembutal); downers (barbiturates; tranquilizers).

CNS Stimulants
CNS stimulants have a medical use in the management of hyperkinesia, narcolepsy, and weight control. They stimulate the action of the CNS, resulting in increased alertness, excitation, euphoria, increased pulse rate and blood pressure, insomnia, and loss of appetite. Examples: Amphetamines, methylphenidate (Ritalin), phendimetrazine (Prelu-2), cocaine, hydrochloride cocaine, caffeine, nicotine. Common Street Names: Bennies, wake-ups, uppers, speed (amphetamines);

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