2. UBMD Family MedicineUBMD Family MedicineUBMDAddiction MedicineUBMD Addiction Medicine

3. UBMD Family MedicineUBMD Family MedicineUBMDAddiction MedicineUBMD Addiction Medicine

10. Marijuana Nicotine 19962012

18. Synaptic cleft Nerve Cell Dendrite Dopamine Neurotransmitter

28. Hypertension Diabetes Anemia Liver disease Hepatitis Hepatitis C Hepatitis B Cirrhosis Vitamin Deficiencies Trauma Malnutrition Strokes Severe Weight Loss Cancer Sexual Abuse Obesity Dementia Accelerated Aging Werincke – Korsakoff Gout Electrolyte Abnormalities Lipid Abnormalities Interference with Healing Gastric Ulcers Injuries Birth Defects Heart disease Lung Disease Digestive disorders Impotence Depression Sexual Dysfunction Urinary Tract Disorders Relationship problems Early Menopause Seizures Gynecomastia Psychosis Tremors Headaches Nausea Pancreatitis Infertility Migraines Bleeding Disorders Arthritis Poverty Insomnia Family Dysfunction Crime Accidents

29. Provides 5-item initial risk assessment Stratifies risk groups into low (6%), moderate (28%) and high (91%) Family History Personal History Age Preadolescent sexual abuse Past or current psychological disease

38. Think Patient Has a Problem Do Nothing Get Angry Brief Intervention Reschedule for reassessment Brief Assessment