2024-09-26
1 小时 10 分钟1. Introduction Topic: Addiction Prevalence, Symptoms, and Course Presenter: Dr. Dawn-Elise Snipes Focus: Understanding addiction as a chronic disease affecting brain function and behavior. 2. Prevalence of Addiction 2012 Statistics: 6.5% of the population over age 12 reported heavy drinking. 9.2% reported illicit drug use. 2021 Statistics: 14.3% reported illicit drug use, possibly influenced by marijuana legalization. 5.8% reported heavy drinking, showing a slight decrease. Interpretation: The statistics provide insight but may be influenced by changing legal statuses of substances like marijuana. 3. Addiction as a Disease Definition: Addiction is a chronic disease that impacts brain reward, motivation, and memory circuits. Diagnosis: The DSM-5 categorizes substance-related disorders into intoxication, withdrawal, and substance use disorders. Impact on the Brain: Addiction causes physiological changes, particularly in dopamine and opioid systems, leading to altered brain function and behavior. 4. Understanding Substance Use Disorder (SUD) Categories: Intoxication, withdrawal, and substance use disorder. Symptoms of SUD: Tolerance Withdrawal symptoms Cravings Repeated unsuccessful attempts to quit Excessive time spent on substance-related activities Reduction in other activities Continued use despite harm Use in risky situations Social or relationship problems Severity Levels: Mild: 2-3 symptoms Moderate: 4-5 symptoms Severe: 6 or more symptoms 5. Addiction Progression Chronic Nature: Addiction is progressive and can lead to severe disability or premature death if untreated. Physiological Course: Repeated substance use causes surges in brain chemicals, leading to tolerance and dependence. Relapse Potential: Even after treatment, cravings can persist, particularly during early and sustained remission. 6. Types of Addictions Chemical Addictions: Alcohol, drugs, etc. Behavioral Addictions: Gambling, internet use, sex, shopping, etc. Process Addictions: Non-substance-related activities that trigger similar brain responses as drugs. 7. Treatment and Recovery Treatment Planning: Depends on the severity, types of addiction, symptoms, and individual resources. Considerations: Age, cognitive functioning, physical and mental health conditions, and availability of resources. Chronic Management: Recovery involves continuous management of addiction, addressing underlying issues, and rebuilding brain function. 8. Psychological and Physical Dependence Physical Dependence: Involves neurological changes that require the substance for normal functioning. Psychological Dependence: Results from mood effects due to neurochemical imbalances and stress responses. 9. Concurrent Disorders Co-occurring Issues: Depression, anxiety, trauma, and other mental health conditions often accompany addiction. Importance of Comprehensive Care: Addressing all co-occurring disorders is crucial for effective recovery. 10. Future Directions Next Session: Focus on models and theories of addiction. Understanding Addiction: Continued exploration of addiction as a complex, multifaceted disease requiring a comprehensive approach to treatment. Chapters: 00:00:00 - Addiction Prevalence, Symptoms, and Course 00:07:41 - The Consequences of Process Addictions 00:15:17 - Diagnosis of Substance Use Disorder 00:22:35 - Signs of Substance Use Disorder 00:29:59 - Symptoms of Substance Use Disorder 00:37:40 - The Brain's Response and Adaptation to Reward Stimulation 00:44:47 - Cross Tolerance and Signs of Dependence 00:52:37 - The Pain of Unfulfilled Desires 01:00:19 - Compulsive Behaviors and Addiction 01:08:11 - Deep Brain Stimulation for Mental Health Learn more about your ad choices. Visit megaphone.fm/adchoices