Lecture 22.docx - TREATING SUBSTANCE USE OVERVIEW[see first...

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TREATING SUBSTANCE USE: OVERVIEW [see first image] - As a society, we have issues when it comes to courses of treatment, we support: o Personal experience – assuming everyone is like you. Examine source of your beliefs and consider whether your opinions are stemming from a reliable source Meditating helped me kick my smoking habit, that’s where we should fund o Relying on other people’s anecdotal testimony My friend used acupuncture to treat her disorder, it worked o Ignoring evidence The DARE program has not led to any decrease in substance us over time, and yet it continues to be funded and continues to be taught in schools o Appealing to authority and taking peoples word This politician I like says that it works so it does, regardless of what studies say - Some of the most popular treatments/procedures that have been widely adopted and have been appealed to the public have been demonstrated to have questionable or nonexistent efficacy in a controlled research environment o Some haven’t been researched at all - If we’re going to do better as a society to treat disorders, we need to ask these questions in a study: o Does the treatment work better than no treatment? o Does the treatment work better than a placebo treatment? Rules out that effects were just a result of person feeling positive, hopeful, empowered, motivated, etc. that help person overcome weakness. This won’t last long o Does the treatment work better than the gold standard treatment to date? Is not completely useless if it’s not as good as gold standard – some people won’t respond to gold standard o Does the treatment work for the reasons that it claims it does? This will a) give us insight into neuroscience in general and b) evaluate risks of treatment TREATING SUBSTANCE USE: PATH - Problem recognition: can be individual themselves, or someone else like their friend or family member that recognizes it - Change (one of three ways): o Quit on own o Self-help group – AA, to support each other o Professional Treatment Assessing the problem itself and extent Setting goals Treatment specification – writing dates, how to change behavior by this time (these plans are based on the models of the causes of substance use disorder) - Outcome o Possible and highly likely of relapse return to previous steps
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PROBLEM RECOGNITION - Internal: by individual - External: by others. It’s thought that this recognition has to become internal otherwise individual won’t become successful at adhering to treatment without recognizing they themselves have a problem - Motivation or commitment for change at the onset of treatment is not necessary for successful treatment TREATING SUBSTANCE USE: OVERVIEW - DSM-V criteria for abuse and dependence: o Abuse: person taking more of a substance than they intended, with deleterious consequences o Dependence: withdrawal effects (physical and psychological) o That’s just dealing with pharmacological endpoints of chronic (ab)use o
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  • Fall '19
  • relapse, Self-help groups for mental health

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