MentIll230

MentIll230 - Substance abuse Alcohol Nicotine Stimulants...

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Substance abuse • Alcohol • Nicotine • Stimulants – Cocaine – Amphetamine – PCP, others • Marijuana • Narcotics – Morphine, heroin, others • Hallucinogens – LSD, MPTP, others Substance abuse • Alcohol – About 21 million people • 8 million abusers – Ninth cause of mortality • Chronic liver disease, cirrhosis – $119 billion/yr • Fetal alcohol syndrome – About 1 in 500 babies – Cost ??? Substance abuse • Addiction – Definitions – Cultural, genetic – Evolution – Place dependence – Tolerance – Withdrawal – Craving – Therapy – Detox; maintaining abstinence • counseling; vaccination – Drugs • methadone, ibogaine, RO15-4513 (GABA agonist) Substance abuse • Ethics – Making addicts sick? (disulfuram, others) – Incarceration? • release to the same environment? – Vaccination? • Involuntary in older addicts? • before the child can choose? – Legal aspects
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MentIll230 - Substance abuse Alcohol Nicotine Stimulants...

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