Substance Abuse/Misuse

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Features

-  DSM IV &/or ICD 10 Classification

-  Drugs Hx

-  EtOH Hx

-  Smoking Hx

-  Classifications

-  Hazardous, harmful, abuse, dependance

-  Overdose

 

Hazardous Use

-  At risk of harmful & psychological consequences & of progressing to harmful use, abuse or dependance

-  NHMRC guidelines for safe drinking

 

Harmful Use

-  Pattern which causes physical &/or psychological harm

 

Substance Abuse

-  Use of drugs that disrupts social norms & interpersonal relationships

 

Dependance

-  Pyschobiological syndrome of behavioural, cognitive & physiological disturbances

-  3+ of below occurring together repeatedly over 12 months+

-  Impaired control over use

-  Strong desire to take it (craving)

-  Priority given to substance over other activities (salience)

-  Evidence of neuroadaptation

-  Tolerance

-  Withdrawal symptoms (substance dependant)

-  Continued use despite harm

-  Substance Dependance

-  EtOH Dependance

-  Opiate Dependance

-  Nicotine: Smoking Cessation