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 step groups: Alcoholics Anonymous step facilitation 3. Family therapy 4. Medical intervention: detoxification, anabuse 5. Aversion therapy 6. Synanon 7. Biopsychosocial Model 8. 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: AlcoholDrinkDepressant, euphoria, blackouts, Slowed reaction time. MarijuanaSmokeEuphoria, slowed reaction time, munchies, amotivation syndrome. CocaineSnortUpper, high, speeded up thoughts, stimulant, increased activity, heart racing, paranoia, agitation Crack Smoke Crystal MethSnort HeroinSnort, InjectDepressant, euphoria, nodding out, highly addictive. EcstacyTake PillEuphoria, opening of the mind, increased focus on feelings. LSDSwallowHallucinations, increased sensory stimulation.