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DISINHIBITION SYNDROMES BIOPSYCHOSOCIAL PRESDISPOSERS TO ADDICTIVE DISEASE?

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Presentation on theme: "DISINHIBITION SYNDROMES BIOPSYCHOSOCIAL PRESDISPOSERS TO ADDICTIVE DISEASE?"— Presentation transcript:

1 DISINHIBITION SYNDROMES BIOPSYCHOSOCIAL PRESDISPOSERS TO ADDICTIVE DISEASE?

2 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

3 BIOPSYCHOSOCIAL FACTORS IN HUMAN BEHAVIOR BIOLOGICAL PSYCHOLOGICAL SOCIOLOGICAL BASIC TEMPERAMENT INHERITED NBS TOXIC EXPOSURES MALNUTRITION CNS TRAUMA BASIC TRUST DEVEL STAGE IDENTITY POVERTY VIOLENCE SUBCULTURES

4 COMMON PSYCHIATRIC DISORDERS OFTEN COMORBID WITH ADDICTIVE DISEASE ANXIETY DISORDERS DEPRESSION MANIC DEPRESSIVE ILLNESS PERSONALITY DISORDERS SCHIZOPHRENIA TOURETTE SPECTRUM DISORDER ATTENTION DEFICIT DISORDER

5 DISINHIBITION OR AN INABILITY TO REGULATE ONE OR MORE OF THREE BASIC FUNCTIONS IS PRESENT IN THESE DISORDERS THINKING (COGNITION) FEELING (MOOD) ACTING (BEHAVIOR)

6 THINK FEEL ACT ATTENTION/CONC DELUSIONS HALLUCINATIONS OBSESSIONS MOOD SWINGS PANIC DESPAIR RAGE TICS TANTRUMS OVERACTIVITY COMPULSIONS LEARNING DISAB “SYMPTOMS” OF DISINHIBITION

7 “SYMPTOMS” OF DISINHIBITION OFTEN RESPOND TO PRESCRIBED PSYCHOTROPIC MEDICATIONS THESE “SYMPTOMS” MAY RESPOND TO DRUGS AND/OR ALCOHOL AS WELL

8 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

9 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

10 SELF-MEDICATION CATACLYSM CAFFEINE NICOTINE ETHANOL THC COCAINE OPIATES PAIN PILLS, BENZOS ETC


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