Substance exposure infants alcohol 2 hours


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SAMHSA Powerpoints for NBCC approved continuing education courses on addiction and co-occurring disorders.

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Substance exposure infants alcohol 2 hours

  1. 1. Session 2: Alcohol and Recovery 2-
  2. 2. Alcohol in the Brain <ul><li>Alcohol upsets a delicate balance between chemical systems that stimulate and chemical systems that inhibit functions of the brain and body. </li></ul>Matrix IOP 2-
  3. 3. Adaptation <ul><li>Adaptation Dependence </li></ul><ul><li>Absence Withdrawal Symptoms </li></ul>Matrix IOP 2-
  4. 4. Withdrawal Symptoms <ul><li>Seizures </li></ul><ul><li>Tremors </li></ul><ul><li>Nausea </li></ul><ul><li>Auditory or visual hallucinations </li></ul><ul><li>Insomnia </li></ul><ul><li>Agitation </li></ul><ul><li>Confusion </li></ul>Matrix IOP 2-
  5. 5. Delirium Tremens <ul><li>Rapid heart rate </li></ul><ul><li>Increased body temperature </li></ul><ul><li>Tremors </li></ul><ul><li>Loss of ability to control muscle movement </li></ul><ul><li>Increased blood pressure </li></ul><ul><li>Abnormally fast breathing </li></ul><ul><li>Sweating </li></ul><ul><li>Altered mental status </li></ul><ul><li>Hallucinations </li></ul><ul><li>Cardiovascular collapse and death </li></ul>Matrix IOP 2-
  6. 6. Incidence <ul><li>About half of Americans ages 12 and older report drinking alcohol. </li></ul><ul><li>About 3 in 10 (30 percent) American adults drink at levels that increase their risk for physical, emotional, and social problems. </li></ul><ul><li>Of these heavy drinkers, about 1 in 4 currently has an alcohol abuse or dependence disorder. </li></ul>Matrix IOP 2-
  7. 7. Incidence by Gender and Age <ul><li>More men report being current drinkers than do women. </li></ul><ul><li>The rate of alcohol dependence is also lower for women than for men. </li></ul><ul><li>The incidence of heavy alcohol use is highest among young adults between ages 21 and 29. </li></ul><ul><li>The incidence of alcohol problems is lowest among adults ages 65 and older. </li></ul>Matrix IOP 2-
  8. 8. Initial Effects of Alcohol <ul><li>Feelings of euphoria </li></ul><ul><li>Talkativeness, sociability </li></ul><ul><li>Lowered inhibitions </li></ul>Matrix IOP 2-
  9. 9. Later Effects <ul><li>Sedation and drowsiness </li></ul><ul><li>Trouble with balance </li></ul><ul><li>Impaired peripheral vision </li></ul><ul><li>Delayed reaction time </li></ul><ul><li>Slurring of words </li></ul><ul><li>Vomiting </li></ul><ul><li>Sleeping </li></ul><ul><li>Possible blackout </li></ul>Matrix IOP 2-
  10. 10. Long-Term Effects <ul><li>Heavy drinking over time damages the </li></ul><ul><li>Liver </li></ul><ul><li>Digestive system </li></ul><ul><li>Cardiovascular system </li></ul><ul><li>Immune system </li></ul><ul><li>Endocrine system </li></ul><ul><li>Nervous system </li></ul>Matrix IOP 2-
  11. 11. Liver <ul><li>Alcoholic hepatitis </li></ul><ul><li>Cirrhosis </li></ul><ul><li>Alcohol dependence is the leading cause of liver-related deaths in the United States. </li></ul>Matrix IOP 2-
  12. 12. Digestive System <ul><li>Inflammation of the esophagus </li></ul><ul><li>Esophageal cancer </li></ul><ul><li>Enlarged blood vessels in the esophagus (often fatal) </li></ul><ul><li>Pancreatitis </li></ul><ul><li>Cancers of the throat, colon, rectum </li></ul>Matrix IOP 2-
  13. 13. Cardiovascular System <ul><li>Serious heart disease </li></ul><ul><li>Irregular and/or weak heartbeats </li></ul><ul><li>High blood pressure </li></ul><ul><li>Increased risk of stroke </li></ul><ul><li>Damaged platelets/increased risk of bleeding </li></ul>Matrix IOP 2-
  14. 14. Immune System <ul><li>Damaged white and red blood cells </li></ul><ul><li>Increased risk of infectious disease </li></ul><ul><li>Immune system attack on the body </li></ul>Matrix IOP 2-
  15. 15. Endocrine System <ul><li>Diabetes </li></ul><ul><li>Altered release of reproductive hormones, growth hormone, and testosterone </li></ul><ul><li>Decreased testicle and ovary size </li></ul><ul><li>Disrupted sperm and egg production </li></ul><ul><li>Sexual dysfunction in both men and women </li></ul>Matrix IOP 2-
  16. 16. Nervous System <ul><li>Peripheral neuropathy </li></ul><ul><li>Wernicke’s syndrome </li></ul><ul><li>Korsakoff’s syndrome </li></ul><ul><li>Loss of mental function </li></ul><ul><li>Reduced brain size </li></ul><ul><li>Changes in the function of brain cells </li></ul>Matrix IOP 2-
  17. 17. Behavioral Effects <ul><li>Domestic violence and child abuse </li></ul><ul><li>Accidents </li></ul><ul><li>Family problems </li></ul><ul><li>Strained relationships with colleagues </li></ul><ul><li>Absence from or lateness to work </li></ul><ul><li>Loss of employment because of decreased productivity </li></ul><ul><li>Committing or being the victim of violence </li></ul><ul><li>Driving under the influence arrests </li></ul>Matrix IOP 2-
  18. 18. Alcohol and Women <ul><li>Compared with men, women develop alcohol-related disease more quickly and with less alcohol. </li></ul>Matrix IOP 2-
  19. 19. Alcohol and Pregnancy <ul><li>Babies born to mothers who drank during pregnancy may have mental retardation or other learning and behavioral problems. </li></ul>Matrix IOP 2-
  20. 20. Fetal Alcohol Spectrum Disorders <ul><li>The most serious risk during pregnancy is fetal alcohol spectrum disorders (FASD). </li></ul><ul><li>FASD is the leading known cause of mental retardation in the United States. </li></ul>Matrix IOP 2-
  21. 21. Fetal Alcohol Spectrum Disorders Cognitive and Behavioral Impairments <ul><li>Behavioral and neurological problems associated with FASD may lead to poor academic performance and legal and employment difficulties in adolescence and adulthood. </li></ul>Matrix IOP 2-
  22. 22. Fetal Alcohol Spectrum Disorders Craniofacial Features Matrix IOP 2-
  23. 23. Total Abstinence <ul><li>Clients in Matrix treatment are asked to stop using all illicit drugs and alcohol. </li></ul>Matrix IOP 2-
  24. 24. Alcohol Triggers Are Everywhere <ul><li>Advertisements </li></ul><ul><li>Movies </li></ul><ul><li>TV shows </li></ul><ul><li>Friends and family who drink </li></ul><ul><li>Celebrations and holidays </li></ul>Matrix IOP 2-
  25. 25. Internal Triggers <ul><li>Depression </li></ul><ul><li>Anxiety </li></ul><ul><li>Loneliness </li></ul><ul><li>Stress </li></ul><ul><li>Anger </li></ul><ul><li>Guilt </li></ul>Matrix IOP 2-
  26. 26. Relapse Warning <ul><li>People in recovery who drink alcohol are 8 times more likely to relapse to stimulant use than those who don’t drink. </li></ul>Matrix IOP 2-
  27. 27. Relapse <ul><li>Alcohol Lowered inhibitions </li></ul><ul><li>Add a trigger, and the result may be </li></ul><ul><li>impulsive use of stimulants . </li></ul>Matrix IOP 2-
  28. 28. Other Reasons for Abstaining <ul><li>Drinking prevents people in recovery from directly confronting their stimulant use disorder. </li></ul><ul><li>Drinking puts people in recovery at risk of becoming dependent on alcohol. </li></ul>Matrix IOP 2-
  29. 29. Plan Not To Drink <ul><li>Think about other ways of celebrating. </li></ul><ul><li>Avoid being around others who are drinking. </li></ul><ul><li>Think about other ways of spending time with friends. </li></ul><ul><li>Make friends with others in recovery. </li></ul><ul><li>Practice saying “no thank you.” </li></ul><ul><li>Avoid going to bars and parties. </li></ul><ul><li>Talk to your family. </li></ul>Matrix IOP 2-
  30. 30. Plan To Cope <ul><li>Attend 12-Step or mutual-help group meetings. </li></ul><ul><li>Discuss your feelings in group. </li></ul><ul><li>Obtain a 12-Step sponsor. </li></ul><ul><li>Practice relaxation techniques. </li></ul><ul><li>Practice HALT. </li></ul><ul><li>Remind yourself that uncomfortable feelings are normal and will pass. </li></ul><ul><li>Obtain help from a therapist. </li></ul>Matrix IOP 2-