|
The Clinical Practice of Behavioral Medicine
OCCT/HUBS 3207
Jeff Baker, Ph.D. - Primary Instructor & Course Coordinator
4th class Lecture - Behavioral Medicine & Substance Related Disorders
Substance Related Disorders
Chapter 12
Substance Dependence
Characterized by both physical and psychological dependence.
DSM-IV Criteria for Substance Dependence
Substance Abuse
Is characterized by at least 1 specific symptom indicating that substance use has
interfered with daily functioning.
Can’t diagnosis abuse if have ever had dependence diagnosis for that substance.
Epidemiology
Lifetime Prevalence
Characteristics Associated With Higher Substance Abuse
Comorbidity
Most have another diagnosis
Usually alcohol and another drug.
APD
Anxiety disorders
Major depressive disorders
Dysthymic disorder
Are 20 times more likely to commit suicide (15% do)
Etiology
Will be covered in another lecture.
Substance abuse and dependence is adaptive and defensive. There are good parts to the
disorder.
Treatment
Inpatient is best bet.
Prolonged treatment.
Use antabuse, methadone (for withdrawal) and antidepressants
Schizophrenia
Chapter 13
Epidemiology
Gender Differences in Schizophrenics
Risk Factors for Suicide in Schizophrenics
Etiology
Symptoms of Schizophrenia
Prodromal Signs and Symptoms
DSM-IV Diagnostic Criteria for Schizophrenia
A. Characteristic symptoms two (or more) of the following, each present for a
significant portion of time during a 1-month period (or less if successfully treated):
1) Delusions
2) Hallucinations
3) Disorganized speech
a) Thought content
b) Form of thought
c) Thought process
4) Grossly disorganized or catatonic behavior
Catatonia
Echopraxia
5) Negative symptoms
B. Social/occupational dysfunction
C. Duration: Continuous signs of the disturbance persist for at least 6 months
D. Schizoaffective and Mood Disorder exclusion
Features Weighting Toward Good to Poor Prognosis in Schizophrenia
Table 13-4
Other Psychotic Disorders
Chapter 14
Schizophreniform
Brief psychotic disorder
Schizoaffective
Delusional disorder
Psychotic Disorder Due To A General Medical Condition
Substance Induced Psychotic Disorder
Atypical Psychotic Disorders
Shared Psychotic Disorder
Culture-Bound Psychotic Syndromes (Table 14.1-6)
Psychotic Disorder NOS
Postpartum Psychosis
Delusional Disorders
Erotomanic type
Grandiose type
Jealous type
Somatic type
Persecutory type
Mixed type
| 