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SUBSTANCE-INDUCED “CO-OCCURING” PSYCHIATRIC ..., Exams of History

History

IN SUBSTANCE RELATED DISORDERS ... •Substance induced-co-occurring disorders. (Alcohol, ... depression medications for a limited period of time.

Typology: Exams

2022/2023

Uploaded on 02/28/2023

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Carl M. Dawson, M.S., MAC, LPC, Q-SAP
Independent Practice
-
National Judicial College (NJC)
Reno, Nevada
-
National Drug Court Institute Faculty (NDCI)
Alexandria, Virginia
Missouri State University (MSU)
Department of Psychology
Department of Counseling, Leadership and Special Education
Springfield, Missouri
CO-OCCURRING DISORDERS
IN SUBSTANCE RELATED DISORDERS
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Download SUBSTANCE-INDUCED “CO-OCCURING” PSYCHIATRIC ... and more Exams History in PDF only on Docsity!

Carl M. Dawson, M.S., MAC, LPC, Q-SAP Independent Practice

National Judicial College (NJC) Reno, Nevada

National Drug Court Institute Faculty (NDCI) Alexandria, Virginia

Missouri State University (MSU) Department of Psychology Department of Counseling, Leadership and Special Education Springfield, Missouri

CO-OCCURRING DISORDERS

IN SUBSTANCE RELATED DISORDERS

Overview

  • At the conclusion of this presentation, participants will receive and understand the following:
  • A general overview of co-occurring disorders.
  • Psychiatric Induced-Co-occurring disorders.
  • Quick discussion on anger and aggression.
  • Substance induced-co-occurring disorders. (Alcohol, Marijuana, “K - 2”, Hallucinogens, Stimulants)

“Psychiatric” Induced “Substance” Use

Disorders

“ Psychiatric “ Induced - “ Substance “ Use

Disorders refers to:

Mental “ Psychiatric ” Disorders

that were present BEFORE the onset

of a “ Substance “ Use Disorder.

(g)

Normal Baseline Dopamine (DA)

Below Normal Dopamine (DA)

Higher than Normal Dopamine (DA)

“Depression”

Returns to Below Normal Dopamine (DA) (^) “Depression”

PSYCHIATRIC INDUCED

“ALCOHOL” MOOD DISORDERS

A GENERAL REVIEW

OF PSYCHIATRIC DISORDERS

AND RECOMMENDATIONS FOR TREATMENT

All Centrally Active

(aka: Psycho-Active) drugs possess the

potential to either imitate or create each of the standard symptoms found in the DSM-5 manual.

The Frustration-Aggression Hypothesis

A theory predicting aggressive behavior develop by Dollard, Dobb, Mower, Miller and Sears (1939)

STATES THAT AS AN INDIVIDUALS LEVEL

OF SUBJECTIVE FRUSTRATION,

WILL LIKELY INCREASE THEIR POTEINTIAL FOR ACTING OUT

AGGRESSIVELY.

Five(5) predictive signs of possible extreme violent behavior

  1. Acquired or non-acquired brain injury or neurological trauma.
  2. A history of mental illness.
  3. A history of childhood abuse. **_4. A history of social isolation.
  4. A history of social rejection._**

“Moods“ and the two sides of the human brain

 Mood “ Affective ” Disorders:

  • Are disturbances associated with

mood, feelings and emotions.

  • The most common include:
  • Reactive and Major Depression (98%),
  • Bi-polar Disorders (20-60%).

Treatment Recommendations:

Cognitive Behavioural Therapy (CBT) with

Mood Stabilizing Medications and Exercise.

Mood Disorders

PERSONALITY

DISORDERS

The frontal regions of the brain are believed

to house our personality

Personality Disorders (PD): Are deeply ingrained, destructive, and rigid patterns of behaviour. Common features seen in all Personality Disorders:

  1. Difficulty maintaining long-term relationships.
  2. Intense fear of rejection and abandonment.
  3. Troubled interpersonal life.
  4. Frequent and unpredictable mood swings.
  5. Difficulty accepting responsibility for their actions, usually blaming others.
  6. Controls others by manipulation and confusion.
  7. Frequent problems recalling details of events.
  8. Risk taking behaviour when frustrated and angry.

-Ted Bundy- Serial Killer convicted of killing several people including Florida State Chi Omega Sorority girls in 1978.

Antisocial Personality Disorder

AKA: Psychopath or Sociopath

  • Typically a male, features began before age 15 yrs.
  • Bed wetter's, animal crudity, fascination with fire,
  • Lies, steal, fights and is sexually uninhibited.
  • Does not care about the rights of others.

Biologic Origins of and Antisocial Personality Disorder:

  • Monoamine oxidase A (Warrior gene).
  • Lack of stimulation in the Autonomic Nervous Syst.
  • Reduced activity in the frontal lobes of the brain.
  • Orbital damages indicate psychopathology.

Environmental causes of Antisocial Personality Disorder:

  • Unstable family, poverty,
  • Physical-mental-sexual abuse
  • Substance use, abuse and dependency