Chemical Dependency, Neurobiology, and Addiction ARCO 502 …5… · D. Klonazepam (Klonopin) E....
Transcript of Chemical Dependency, Neurobiology, and Addiction ARCO 502 …5… · D. Klonazepam (Klonopin) E....
Chemical Dependency, Neurobiology, and Addiction 1
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Chemical Dependency, Neurobiology, and Addiction
ARCO 502
Module 3
Chemical Dependency, Neurobiology, and Addiction 2
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Module Three
Table of Contents
Prescription Drug Abuse Michael Lyles, M.D. ....................................................................................................................................................... 3
The Angry Brain Barry Lord, Psy.D. ..................................................................................................................................................... 13
DANGERS LURKING IN EVERY FAMILY
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Description Dr. Michael Lyles provides students with a survey of prescription drug abuse in the United States. He cites these highly addictive substances as one of the top threats in terms of addiction due to the accessibility in communities. Dr. Lyles also presents the various types of prescription drugs utilized in abuse including narcotic pain medications, amphetamines and psychostimulants, and tranquilizers.
Learning Objectives: A. Identify and describe the various aspects of narcotic pain medication
abuse including the drugs’ impact on users in addition to various treatment recommendations.
B. Identify and describe the various aspects of amphetamine and
psychostimulant abuse including the drugs’ impact on users in addition to various treatment recommendations.
C. Identify and describe the various aspects of tranquilizer abuse including the drugs’ impact on users in addition to various treatment recommendations.
PRESCRIPTION DRUG ABUSE
VIDEO
Michael Lyle, M.D.
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I. Drivers of Prescription Drug Abuse
A. Less Stigma B. Often Initiated for Legitimate Reasons
C. Availability – Friends, Family, Parents
D. Available via Internet without Prescription E. Less Cost (Insurance may cover)
F. Available via Doctor Shopping
G. 19% teenagers say it is easier to get purchase prescription drugs than cigarettes, beer, or marijuana.
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II. Types of Drugs Abused
A. Narcotic Pain Medications
B. Amphetamines & Pscyhostimulants
C. Tranquilizers
III. Narcotic Pain Medications
A. Codeine
Empirin, fiorinal, tylenol (all with codeine)
Captain cody, schoolboy, doors and fours, loads, and pancakes and syrup
Injected, swallowed
Less sedation, analgesia and respiratory depression than stronger opiates
Mild-moderately severe pain
Dizziness, sedation, constipation, suppressed breathing
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B. Fentanyl
Actiq lozenges, duragesic patches, fentora (tablet)
Apache, china girl, china white, dance fever, friend, goodfella, jackpot, murder 8, TNT, tango, and cash
Injected, smoked, snorted, swallowed
Dental decay, suppresses breathing/blood pressure
Used for severe chronic pain maintenance
C. Morphine
Avinza, kadian, ms contin (extended release)
M, miss emma, monkey, white stuff
Injected, swallowed, smoked
Used for severed pain
D. Other Prescription Opioid Medications
Tylox, percodan, Percocet (oxycodone)
Demerol (meperidine, hydromorphone)
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Dilaudid (hydromorphone)
Darvon, Darvocet (propoxyphene)
Dolophine, methadose (methadone)
A. Signs of Opiate Use Needle marks (tracks), scars (abscesses)
Constipation
Small (pinpoint) pupils (eyes)
Nodding, drowsiness
Withdrawal syndrome
Respiratory depression
Treatment same as for non-prescription opiates IV. Amphetamines and Stimulants
A. Dextroamphetamine (Dexedrine)
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B. Methylphenidate (Ritalin, Focalin, Methylin, Metadate, Concerta, Daytrana)
Jif, mph, r-ball, skippy, the smart drug, vitamin m Injected, swallowed, smoked, snorted
Indicated for ADHD
Abuse low in ADHD; diversion is the issue
Abuse is high in non-ADHD
C. Mixed Amphetamine Salts (Adderall, Vynase)
D. Used in ADHD, Narcolepsy, Depression
E. In ADHD, Abuse and Addiction are Less the Problem; Diversion is the Problem
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V. Tranquilizers
A. Diazepam (Valium) B. Alprazolam (Xanax) C. Lorazepam (Ativan) D. Klonazepam (Klonopin) E. Pentobarbital (Nembutal)
F. Sleeping Pills Ambien, lunesta, dalmane, restoril, sonata
Abused with stimulants to decrease agitation from the stimulant
Abused to sleep all day long
Can become dependent on these for sleep
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G. Barbiturates
Amytal, Nembutal, seconal, Phenobarbital
Barbs, reds, red birds, phennies, tooles, yellows, yellow jackets
Injected, swallowed VI. Over-the-Counter Medications
A. Dextromethophran (Cough Medicine): Dissociative Effects
B. Ephedrine (Decongestants): Used in Making Crystal Methamphetamine
C. Non-Addictive Medications
Antidepressants
Lithium
Mood Stabilizers
Strattera (ADHD)
Buspar
Inderal (Beta Blockers)
Clonidine (Catapres)
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VII. Treatment Pearls
A. Must be Comprehensive
B. Medication has a Limited Role
C. Dual Diagnosis D. Detoxification is the Beginning E. Denial – The Lie that You Tell Yourself F. Recovery is about Learning how to Live Sober G. To the Jews who had believed him, Jesus said, “If you hold to my teaching, you
are really my disciples.” -John 8:31
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Study Questions
1. What are the narcotic pain killer medications often used as substances of abuse?
2. What are the amphetamine and psychostimulant medications often used as substances of abuse?
3. What are the tranquilizers often used as substances of abuse?
4. Describe and expound upon three of the “treatment pearls” provide by Dr. Lyles.
5. What are the non-addictive medications that Dr. Lyles provided?
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Description In this lecture, Dr. Barry Lord explains in a user friendly way the physical workings of the human brain. It is designed to help the student understand anxiety (worry), stress (the buildup of stress), anger and the explosive nature of a person. The presentation also offers ways to help clients manage anxiety and stress and improve health and relationships by better understanding and controlling their own explosive behaviors.
Learning Objectives:
1. Understand the natural workings of the human brain, enabling students to have a working knowledge of how their brains physically process anxiety into stress which may result in violent behaviors.
2. Gain tools for understanding the inner workings of anxiety, stress and anger, which will aid in developing a better understanding of relapse prevention techniques.
3. Identify specific ways to help clients improve the safety in their family relationships.
THE ANGRY BRAIN
AUDIO
Barry Lord Psy.D.
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