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Chapter 23
Substance use disorders
| Term | Definition |
|---|---|
| Abstinence syndrome | A constellation of physiologic changes undergone by people who have become physically dependent on a drug or chemical who are abruptly deprived of that substance |
| Addiction | Addiction is a chronic, relapsing brain disease that is characterized by compulsive drug-seeking use despite complications or negative consequences |
| Substance use disorders | occur when the recurrent use of alcohol and/or drugs causes clinically and functionally significant impairment |
| Enabling | The behavior of family or friends who associate with the addict that results in continued substance use disorder. |
| Habituation | Physiologic tolerance to or psychological dependence on a drug |
| Misuse | Use of a drug for a disease state in a way considered inappropriate |
| Physical/physiologic dependence | The state in which the drug is necessary for the continued functioning of certain body process |
| Psychologic dependence | The state in which, following withdrawal of the drug, there are manifestations of emotional abnormalities and drug-seeking behavior |
| Relapse | Relapse is the return to drug use after an attempt to stop. |
| Tolerance | With repeated dosing, the dose of a drug must be increased to obtain the same effect |
| Withdrawal | The constellation of symptoms, as specified in the DSM-5, that occurs when a physically dependent person stops taking the drug |
| Mixed Opioid: CNS Depressants | Ethyl Alcohol |
| Opioid Analgesic: Agonists | Heroin |
| Opioid Analgesic: Agonists | meperidine (Demerol) |
| Benzodiazepine: Sedative-Hypnotics | diazepam (Valium) |
| CNS Stimulants | Cocaine Methamphetamine (Desoxyn) Caffeine (Stay Awake) Nicotine (Nicorette, Nicoderm) |
| Withdrawal Drugs | Norepinephrine-dopamine reuptake Inhibitor (NDRI) bupropion (Wellbutrin SR) Nicotine receptor partial agonists varenicline (Chantix) |
| Psychedelics (Hallucinogens) | Lysergic acid diethylamide (LSD) Phencyclidine (PCP) Ecstasy Cannabis (Marijuana) |