Substance Disorders – Psychiatry | Lecturio

[Music] now we’ll be reviewing substance disorders substance disorders basically the essential feature is a cluster of cognitive behavioral and physiological symptoms indicating that an individual continues using the substance despite significant disturbance to their lives caused by the substances let’s talk a little bit about the assessment of a substance abuse problem you’re looking for an individual who has shown a failure to fulfill obligations at work school or home in addition they’re using their chosen substance in dangerous situations they have a recurrent substance related legal problem and there’s continued use despite social or interpersonal problems due to the substance use now this is different from substance dependence which is defined as follows having tolerance withdrawal using the substance more than originally intended persistent desire to cut down or unsuccessful attempts to reduce their intake an individual who spends a significant amount of time seeking out the substance decreased social or occupational activities because of time spent using substances instead of engaging with others and continued use despite physiological problems such as medical illnesses or physical problems like incurring Falls or accidents related to substance use let’s define tolerance versus withdrawal tolerance is the need for markedly increased amounts of a substance in order to achieve intoxication or the desired effect and/or a diminished effect with the continued use of the same amount of a substance now this is different from withdrawal which is actually a condition whereby a characteristic syndrome for a particular substance occurs after diminished use of that substance 20 percent of people in the United States have a substance use disorder and mental or than women let me ask you what are the most commonly abused substances well here they are caffeine alcohol and nicotine these are actually the most widely abused substances and depression is very common as a comorbidity in people who abuse substances so what is the most important vitamin you can give to a person who let’s say has an alcohol dependence issue and why do you need to give them this vitamin this is very important to know for your exams you actually need to treat somebody with an alcohol use disorder by giving them thiamine and this vitamin will actually protect that individual from developing a very dangerous syndrome of Verna Ches or Korsakoff syndrome there are four syndromes associated with alcohol withdrawal and because alcohol is such a highly abused substance we’re going to talk about it first so there can be minor withdrawal withdrawal seizures alcohol hallucinosis and delirium tremens [Music] you

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