1how has the DSM been updated in regards to substance related and addictive disorders
substance abuse and substance dependence - no longer
substance-induced and substance use disorders - now used
2refers to irreversible brain circuit changes in severe disorders and repeated behavioral relapses and strong cravings in the presence of substance-related stimuli
substance use disorder
3what are the two phases of substance use disorder
o Intoxication
o Withdrawal
4includes intoxicaiton, withdrawal, and other substance/medication-induced mental disorders
substance induced disorders
5what is the etiology of substance related and addictive disorders
- Contributing factors:
o Genetic
o Biological
o Psychological
o Sociocultural
o Environmental
- Protective factors:
o Supportive extended family members
o Child’s temperament
o Positive family rituals
6what are the intervention options for substance related and addictive disorders
- Medications
- Psychosocial support
- Self-help groups
o Online or virtual support
- Specialty inpatient and outpatient centers
o Peer recovery specialist
- Talk therapy: CBT, DBT, motivational interviewing, mindfulness, etc.
- Supportive housing
- Criminal justice community re-entry programs
7what is the OTs role in treatment of substance related and addictive disorders
- OT can provide some types of CBT, DBT, mindfulness, motivational interviewing, self-management, coping, creating positive leisure activities, stress management, rest, and health routines
8what is the course and prognosis of substance related and addictive disorders
- Variable
- Recovery/sobriety is possible
- Risk of relapse/cycles of recovery can be common
- Social support
- Access to care
- Co-occurring conditions