Substance-Related

Disorders
Substance Dependence
Symptoms of substance DEPENDENCE
Tolerance
Withdrawal
Person uses more of substance or uses it for a
longer time than intended
Person recognizes excessive use of substance
Much of the persons time is spent trying to
obtain substance or recover from its effects
Substance use continues despite problems
Person gives up or cuts back participating in
many activities because of substance
Substance Abuse
Symptoms of substance ABUSE
Failure to fulfill major obligations
Exposure to physical dangers
Legal problems
Persistent social or interpersonal problems
Alcohol Abuse and
Dependence
Alcoholism
Delirium tremens (DTs)
Polydrug abuse
Prevalence of alcohol abuse
Comorbidity
Course of the disorder
Short-term effects of alcohol
Long-term effects of prolonged alcohol abuse
Alcohol Abuse
Video Clip
Alcohol abuse
Sedatives
Opiates
Morphine, heroin, codeine
http://www.youtube.com/watch?v=kOPOK24
g9Cc&feature=channel
Synthetic sedatives
Barbiturates, benzodiazepines (Valium)
Psychological and physiological effects

Stimulants
Amphetamines
Benzedrine, Dexedrine, Methedrine
Caffeine
Cocaine
Increases sexual desire and produces feelings of self-
confidence, well-being, and indefatigability
Cocaine
Wines with cocaine were once
popular it was suggested that a full
glass should be consumed after every
meal Children, a half glass
Cocaine
Cocaine tablets for teachers and
preachers to smooth the voice, and
for those with tooth aches
Cocaine
How to spot a user?
http://www.youtube.com/watch?v=ob3C
NCnuHHM&feature=fvst
Example of a user
http://www.youtube.com/watch?v=hwwe
Ef_OkxE&feature=related



LSD and Other
Hallucinogens
LSD
d-lysergic acid diethylamide
Produces hallucinations
Girl on LSD
http://www.youtube.com/watch?v=mDRbnmjzY7U
&feature=related

MDMA The Agony and
Ecstasy
MDMA The Agony and
Ecstasy
Appetite suppressant during WW I
Legal substance used in couples therapy in
50s-70s
Became a popular choice for recreational use
in late 70s and early 80s in England in the
underground dance scene
Became illegal in early 80s with increased use
Currently, the second most used recreational
substance after marijuana for its feelings of
ecstasy
http://www.youtube.com/watch?v=zHXi8h8H2
VA


MDMA The Agony and
Ecstasy
MDMA The Agony and Ecstasy
Short term effects
http://www.youtube.com/watch?v=CFZ8E1-HA-E&feature=related

MDMA The Agony and Ecstasy
Short term effects
http://www.youtube.com/watch?v=KyG20qUkyT0

MDMA The Agony and Ecstasy
Short term effects
MDMA The Agony and Ecstasy
Long term effects
MDMA The Agony and Ecstasy
Long term effects
MDMA The Agony and Ecstasy
Long term effects
Memory
Long term
Attention
Executive Functioning
Language
Depression
Treatment