Cannabis All of the answers are from DSM-IV-TR or Substance Use Disorders, AJP Supplement, August...
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Transcript of Cannabis All of the answers are from DSM-IV-TR or Substance Use Disorders, AJP Supplement, August...
![Page 1: Cannabis All of the answers are from DSM-IV-TR or Substance Use Disorders, AJP Supplement, August 2006 As of 5Sep08.](https://reader035.fdocuments.us/reader035/viewer/2022062519/5697c02b1a28abf838cd88ab/html5/thumbnails/1.jpg)
Cannabis
All of the answers are from DSM-IV-TR or Substance Use Disorders, AJP Supplement,
August 2006As of 5Sep08.
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THC
Q. What is THC?
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THC
Ans. Delta-9-tetrahyfrocannabinol, the substance identified as responsible for the psychological effects of cannabis.
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Sensimilla
Q. What is sensimilla?
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Sensimilla
Ans. A high potency form of cannabis.
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Cannabinoid receptors
Q. Is there such a thing in the human brain as canabinoid receptors, and, if so, where are they located?
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Cannabinoid receptors
Ans. They are located throughout CNS.
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Cannabis intoxication
Q. Criteria for cannabis intoxication are?
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Cannabis intoxication
Ans. A. Recent useB. Significant behavioral/psychological
maladaptive changes.C. Two or more of:
-- conjunctival injection-- increased appetite-- dry mouth-- tachycardia
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“bad trips”
Q. What constitute “bad trips”? How recorded as to specifier?
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“bad trips”
Ans. Especially with high amounts of cannabis, hallucinations and related delusions may occur. DSM specifier is “With Perceptual Disturbance.”
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Positive urines
Q. For moderate use, how long are the urines positive? For heavy use, how long?
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Positive urines
Ans. Moderate use: 7-10 days.
Heavy use: 2-4 weeks.
Reason of long presence is that cannabis derivatives are fat soluble.
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Lab findings
Q. Hormone changes produced, temporarily, by cannabis ingestion?
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Lab findings
Ans.
-- suppresses testosterone
-- suppresses luteinizing hormone
-- suppresses immunological function
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Sleep studies
Q. Cannabis produces what sleep changes?
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Sleep studies
Ans.
-- diffuse slowing on EEG
-- REM suppression
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Physical examination
Q. When you do a physical exam on a chronic marihuana user, what is commonly found?
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Physical examination
Ans. Respiratory changes of chronic cough, sinusitis, pharyngitis, bronchitis.
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Prevalence - gender
Q. Which gender predominates?
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Prevalence - gender
Ans. Males [remember, that the answers is “males” for all substance dependences except nicotine.]
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Prevalence - age
Q. Highest prevalence as to age?
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Prevalence - age
Ans. 18 – 30 year old.
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Prevalence – ever used
Q. What proportion of the US population has ever used marihuana?
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Prevalence – ever used
Ans. 1/3.
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Childhood disorders
Q. Which childhood disorder, if any, is related to use of marihuana as an adult?
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Childhood disorders
Ans. Conduct disorder.
[Again, this answer will usually be correct with almost any substance.]
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Cannabis withdrawal
Q. Status of cannabis withdrawal in DSM-IV.
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Cannabis withdrawal
Ans. Not in DSM-IV, as it is uncertain if there is such an entity.
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Psychosocial approaches
Q. What psychosocial approaches have been proven to be useful?
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Psychosocial approaches
Ans. No controlled studies.
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Medications
Q. Which meds have been shown to be beneficial?
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Medications.
Ans. None have been shown in controlled studies to treat intoxication or to treat the dependence.