The Science and Disease of Addiction-Week 1

SUD Criteria

100

The DSM V lists this many symptoms that can be used to determine if someone has a substance use disorder...

What is 11 criteria

200

Binge drinking is officially defined as drinking __ or more standard drinks at one sitting for males and __ for females...

What is 5 for males and 4 for females

300

Substance Use Disorder Severe is ___ or more symptoms present 

What is 6

400

Name at least 3 of the 11 symptoms listed in the DSM V that an individual has to meet criteria for to be diagnosed with a substance use disorder 

1. Alcohol is often taken in larger amounts or over a longer period than was intended.
2. There is a persistent desire or unsuccessful efforts to cut down or control alcohol use.
3. A great deal of time is spent in activities necessary to obtain alcohol, use alcohol, or recover from its effects.
4. Craving, or a strong desire or urge to use alcohol.
5. Recurrent alcohol use resulting in a failure to fulfill major role obligations at work, school, or home.
6. Continued alcohol use despite having persistent or recurrent social or interpersonal problems caused or exacerbated by the effects of alcohol.
7. Important social, occupational, or recreational activities are given up or reduced because of alcohol use.
8. Recurrent alcohol use in situations in which it is physically hazardous.
9. Alcohol use is continued despite knowledge of having a persistent or recurrent physical or psychological problem that is likely to have been caused or exacerbated by alcohol.
10. Tolerance, as defined by either of the following: a) A need for markedly increased amounts of alcohol to achieve intoxication or desired effect, or b) A markedly diminished effect with continued use of the same amount of alcohol.
11. Withdrawal, as manifested by either of the following: a) The characteristic withdrawal syndrome for alcohol b) Alcohol (or a closely related substance, such as a benzodiazepine) is taken to relieve or avoid withdrawal symptoms.

500

The three main types of alcohol problems are probably more commonly described as...

Binge Drinking

Alcohol Abuse 

Alcohol Dependence 

Your Brain

100

This is the pleasure feel good reward chemical

What is dopamine

200

Blackouts tend to begin at blood alcohol concentrations (BACs) of about ____ percent (nearly twice the legal driving limit) and higher.  

What is 0.16%

300

2 areas of your brain that are important to addiction.

What is the ventral tegmental area and the nucleus accumbens in the mid brain.

400

When we become too tolerant to dopamine, we essentially become tolerant to the feeling of pleasure, joy, and to some extent, happiness. The brain enters a state known as....

What is Anhedonia

500

Your memory is controlled by this part of your brain. Drinking a lot of alcohol at one time can cause you to blackout or forget a period of time. Long term alcohol abuse can permanently damage this part of your brain making it difficult for a person to learn. 

What is the Hippocampus

Marijuana Myths &Facts

100

The main active chemical in marijuana

What is tetrahydrocannabinol or THC 

200

True or False

Marijuana isn't addictive 

What is False

While only a minority of people will develop an addiction, people can absolutely get addicted to marijuana, especially if they started using marijuana as an adolescent or if they use it frequently.

300

True or False 

You can't overdose on marijuana

What is False 

While casual marijuana users are really unlikely to overdose on marijuana alone, certain groups can be quite vulnerable

400

List at least 2 possible withdrawal symptoms of marijuana use

What could be...

Irritability, Sleeplessness, Lack of appetite, Anxiety, Cravings

500

How many FDA approved uses for cannabis or cannabis derived products are there currently?

There are currently three FDA-approved uses for cannabis or cannabis-derived products: nausea and vomiting related to chemotherapy, anorexia related to advance HIV/AIDS, and a couple of rare types of childhood epilepsy.

Science of Addiction

100

Genetics is the study of

What is genes

200

This is the disease model of addiction 

What is Organ, Defect, Symptoms

300

Does environment effect your genetics?

Yes

400

This is the study of functional, and sometimes inherited, changes in the regulation of gene activity and expression that are not dependent on gene sequence.

What is epigenetics

Epi-" itself means "above" or "in addition to." Environmental exposures or choices people make can actually "mark"—or remodel—the structure of DNA at the cell level or even at the level of the whole organism.

500

According to the ASAM definition of addiction, addiction is characterized by...

List at least 2

Inability to consistently abstain

Impairment in behavioral control

Craving or increased "desire" for drugs or rewarding experiences

Diminished recognition of significant problems with one's behaviors and relationships

A dysfunctional emotional response.

Misc.

100

True or False

Addition is a disease?

True 

Addition is a disease of choice. 

200

Name the 3 assignments you share in group while at Aurora.

What is Why I am here, Spiritual Timeline, & ACT Matrix

300

List at least 3 symptoms of Post-Acute Withdrawal 

Foggy thinking/trouble remembering

Urges and cravings

Irritability or hostility

Sleep disturbances—insomnia or vivid dreams

Fatigue

Issues with fine motor coordination

Stress sensitivity

Anxiety or panic

Depression

Lack of initiative

Impaired ability to focus

Mood swings

400

These are the 2 types of blackouts that an individual can experience 

What are Fragmentary & En Block blackouts 

The most common type is called a “fragmentary blackout” and is characterized by spotty memories for events, with “islands” of memories separated by missing periods of time in between. This type is sometimes referred to as a grayout or a brownout. Complete amnesia, often spanning hours, is known as an “en bloc” blackout. With this severe form of blackout, memories of events do not form and typically cannot be recovered. It is as if the events simply never occurred.

500

Adverse Childhood Experiences also known as ACEs are...

Adverse childhood experiences (ACEs) are stressful or traumatic events, including abuse and neglect. They may also include household dysfunction, such as witnessing domestic violence or growing up with family members who have substance use disorders. ACEs are strongly related to the development and prevalence of a wide range of health problems throughout a person’s lifespan, including those associated with substance misuse.