Psychotherapy: 123b - Substance Use Disorders

THC = partial agonist -> psychoactive effects

CBD = antagonist -> relaxation

• Cannabis use disorder

• Motor vehicle accidents

• Which peer group characteristics increase a person’s risk of substance use disorder?

  • Heavy drinking

  • Deviant behavior

  • Which of the 3 FDA approved medications for the treatment of alcohol use disorder has the least evidence for decreasing drinking?

    Disulfram

    (Naltrexone, acamprosate are the other 2 - good evidence supporting both, nal...

  What family factors can increase a person’s risk of substance use disorder?

  • Parental drinking

  • Permissiveness

  • Log in to view all terms

  Related Flashcard Decks

  Psychology

  Psychologie du Développement

  Ce jeu de cartes couvre les concepts clés, l'histoire, et les méthodes de la psychologie du développement, y compris les contributions de figures influentes et les théories du développement.

  10 cards

  View Deck

  Psychology

  2023-2025 Year 12 A-Level Psychology: Psychopathology: The Cognitive Explanation

  These flashcards explore how the cognitive approach explains depression as being linked to internal mental processes. They clarify that negative and irrational thoughts don’t directly cause depression but instead increase vulnerability to it, as proposed by cognitive psychologists Ellis and Beck.

  50 cards

  View Deck

  Psychology

  2023-2025 Year 12 A-Level Psychology: Psychopathology: The Behavioural, Emotional

  These flashcards describe the three main categories of psychological characteristics — behavioural, cognitive, and emotional — and identify specific behavioural and cognitive symptoms of depression, such as disrupted sleep or eating patterns, poor concentration, negative thinking patterns, and black-and-white thinking.

  23 cards

  View Deck

  Psychology

  2023-2025 Year 12 A-Level Psychology: Psychopathology: The Behavioural Treatments Of Phobias

  These flashcards explain behavioural methods used to treat phobias, including systematic desensitisation and flooding. They highlight how these therapies use classical conditioning principles to help individuals unlearn maladaptive responses by breaking the association between the conditioned stimulus and the fear response.

  37 cards

  View Deck

  Psychology

  2023-2025 Year 12 A-Level Psychology: Psychopathology: The Behavioural Explanation Of Phobias

  These flashcards outline how the behaviourist approach explains phobias as learned behaviours. They describe the two-process model, which involves classical and operant conditioning, showing how fear responses are acquired through association and maintained through reinforcement.

  30 cards

  View Deck

  Psychology

  2023-2025 Year 12 A-Level Psychology - Research Methods: Sampling Techniques - KU

  A Target Population is the large group of individuals that a researcher is interested in studying. It represents everyone who fits the criteria for the research, from which a smaller sample is usually selected for the actual study.

  34 cards

  View Deck

  Study Tips

  • Press F to enter focus mode for distraction-free studying
  • Review cards regularly to improve retention
  • Try to recall the answer before flipping the card
  • Share this deck with friends to study together

  Psychotherapy: 123b - Substance Use Disorders

  Term	Definition
  According to the motivational model of use, what are the 4 types of motivations for alcohol use? Which carry the highest risk of alcohol dependence?	External source Social Positive valence: drinking is social and fun Conformity Negative valence: if I don’t drink, I won’t fit in Internal source - increased risk of alcohol use disorder Enhancement ​Positve valence: drinking is exciting (even if alone) Coping - highest risk of alcohol use disorder ​Negative valence: drink to not feel sad
  How do THC and CBD affect the CB1 receptor? What about synthetic cannabinoids?	THC = partial agonist -> psychoactive effects CBD = antagonist -> relaxation Synthetic = full agonist at CB1
  List 5 adverse effects of marijuana use that we have “high conficence” in	Cannabis use disorder Motor vehicle accidents Chronic bronchitis Diminished lifetime achievement Development of schizophrenia
  Which peer group characteristics increase a person’s risk of substance use disorder?	Heavy drinking Deviant behavior Decreased academic competence
  Which of the 3 FDA approved medications for the treatment of alcohol use disorder has the least evidence for decreasing drinking?	Disulfram (Naltrexone, acamprosate are the other 2 - good evidence supporting both, naltrexone is better toldrated but not good for anyone with liver failure or on opioids)
  What family factors can increase a person’s risk of substance use disorder?	Parental drinking Permissiveness Lower levels of bonding and support
  What adverse events migth increase a person’s risk of substance use disorder?	Emotional neglect Emotional abuse Sexual abuse
  What might make the use of synthetic cannabinoids more dangerous than marijuana?	Synthetic cannabinoids are full agonists at the CB1 receptor Risks Extreme anxiety Confusion Psychosis
  A patient explains that they drink to relax, expecially when they are bored or frustrated with work or their relationship What is their motivation for drinking? (of the 4 motives)	Coping This motivation carries the highest risk of alcohol use disorder
  What is the genetic contribution to substance use disorder?	Genetics contribute 50% of the risk for alcohol use disorder Low sensitivity to alcohol = higher risk of substance use disorder
  Which hormone is affected by most drugs of abuse?	Dopamine Increase dopamine release when using But downregulate dopamine D2 receptor long term Reverses if person stops using the drug, but the pathway is “already built”; relapse is easier than starting initially
  What social/cultural factors can increase a person’s risk of a substance use disorder?	Norms/expectations of substance use Role model use
  How likely are symptoms of depression to resolve with abstinence alone in a patient with alcohol use disorder, who is actively engaging in heavy episodic drinking?	50%
  What medications can be used to treat alcohol dependence?	Naltrexone Mu opioid receptors antagonist Well tolerated Do not use in people with liver disease Acamprosate Inhibits NMDA receptors -> decreased alcohol craving Need to dose 3x daily, harder to adhere to GI upset is a side effect Disulfram Irreversivly inhibits acetaldehyde dehydrogenase Least evidence to support use in treating alcohol dependence
  Which psychosocial treatments are most effective for substance use disorders?	Motivational interviewing 12 step lans CBT Contingency management Lose license if you fail a urine tox Keep job if you complete the 12 step program Couples and family therapy
  In a person with alchohol use disorder and depression, how will abstinence from alcohol affect depression?	Abstinence from alcohol is likely to improve depression 50% of depression resovles in 1 month with abstinence alone