Gray matter irritability paranoia vasoconstrictor

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Unformatted text preview: , confident, uninhibited Amphetamines & Methamphetamine • Larger doses à༎ Sx like Paranoid Schizophrenia • Tolerance develops quickly (6 days of use) • Damages dopamine & serotonin receptors • Less dopamine activity à༎ Sx similar to early stages of Parkinson’s Cocaine • Chronic Use: decr. gray matter, irritability, paranoia • Vasoconstrictor: risk heart attack, stroke • Crack: mid-1980s, intense & low cost Hallucinogens, Ecstasy • No withdrawal, but rapid tolerance Ecstasy (MDA & MDMA) • Chemically similar to Hallucinogens & Amphetamines BUT different effects • Stimulates release/blocks reuptake of Serotonin à༎ Serotonin depletion, damage to receptors • “Suicide Tuesdays” TREATMENT Detoxificaton à༎ withdrawal (inpatient or outpatient) Multiple detox predicts poorer prognosis Alcoholics Anonymous (also groups for other drugs) Dependence is a disease w/out a cure Abstinence = Recovery Contingency Management, CBT Avoiding high-risk situations Teaching social skills, coping strategies Family Therapy, Al-anon, Couples: Cause & Effect Medication Antabuse: causes violent vomiting Methadone: Opiate substitute, cross dependent Naltrexone: Opiate antagonist, blocks effects 3...
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