Addiction as a Disease

Addiction as a Disease - Addiction as a Disease Arlin...

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Addiction as a Disease Arlin J.Silberman D.O.,FAOAAM Certified in Addiction Medicine Certified in Addiction Psychiatry Fellow of the American Osteopathic Academy of Addiction Medicine
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Abuse vs Dependence There is a difference between intentional drug abuse and pathological drug dependence. The latter is what is referred to as addiction.
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Chemical Abuse Maladaptive pattern of drug use leading to impairment or distress,presenting as one or more of the following over a 12 month period-failure to fulfill obligations,use that is physically hazardous,drug related legal problems,and continued use despite social/interpersonal problems.
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Chemical Dependence 3 or more of the following:tolerance,withdrawal,drug used more than intended,inability to control use,effort to obtain drug,important activities replaced by drug use,use despite negative consequences.
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Present Understandings Drug abuse causes short-term and long- term changes in brain function. Medial forebrain bundle(mesolimbic dopamine system)
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History References made in the civilizations of ancient Egypt and Greece,called ‘drink madness’. In colonial America, Anthony Benezet noted drunkenness to self accelerate. In 1784 Dr.Benjamin Rush wrote a pamphlet describing an ‘odious disease’and a ‘disease induced by a vice.’
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History cont.
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