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Special Needs Of Methamphetamine Addicts
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Special Needs Of Methamphetamine Addicts

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This is a presentation that I have done numerous times for the Southwestern Illinois Correctional Center (SWICC) in East Saint Louis, IL. SWICC is a drug treatment prison with 100 beds devoted to the …

This is a presentation that I have done numerous times for the Southwestern Illinois Correctional Center (SWICC) in East Saint Louis, IL. SWICC is a drug treatment prison with 100 beds devoted to the treatment of methamphetamine dependence.

Published in: Health & Medicine, Education
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    • 1. SPECIAL NEEDS OF METHAMPHETAMINE ADDICTS Presented by: J. Randall Webber, M.P.H. Southwestern Illinois Correctional Center June 19, 2007
    • 2.  
    • 3.  
    • 4.  
    • 5. Normal Functioning in the Reward Pathways
      • Natural reinforcers related to survival (food, water, sex) cause a release of dopamine into the synapse
    • 6. Dopamine Levels in the Shell of the Nucleus Accumbens (% of baseline)
    • 7. Dopamine Levels in the Shell of the Nucleus Accumbens (% of baseline)
    • 8.  
    • 9. Dopamine Levels in the Shell of the Nucleus Accumbens (% of baseline)
    • 10. Dopamine Levels in the Shell of the Nucleus Accumbens (% of baseline)
    • 11. Dopamine Levels in the Shell of the Nucleus Accumbens (% of baseline)
    • 12. PSYCHIATRIC RISKS ASSOCIATED WITH THE USE OF METHAMPETAMINE
      • Acute depression (“the crash”)
      • Chronic depression/anhedonia
      • Acute stimulant psychosis
      • Persistent stimulant psychosis
      • Psychotic “flashbacks”
    • 13. Differences Between Methamphetamine and Alcohol-Marijuana Abusers
    • 14. ANHEDONIA= The inability to derive pleasure from previously pleasurable activities
    • 15. AMPHETAMINE PSYCHOSIS:
      • Onset of methamphetamine psychosis can be from 2-48 hours after the initial dose.
      • Onset appears as a result of acute intoxication.
      • While psychosis may appear during the withdrawal period, it is not a true withdrawal sign.
      • Generally associated with chronic, high dosage use.
      • More likely to occur in IV users and smokers.
    • 16. AMPHETAMINE PSYCHOSIS: SYMPTOMS
      • Suspiciousness
      • Irritability
      • Delusions of persecution and/or grandeur
      • Ideas of reference
      • Visual, auditory and/or tactile hallucinations (latter = formication)
      • Hyperactivity
    • 17. AMPHETAMINE PSYCHOSIS: SYMPTOMS
      • Agitation
      • Aggressiveness.
      • Depression, sometimes severe, may also be present.
      • Closely resembles paranoid schizophrenia.
    • 18. AMPHETAMINE PSYCHOSIS
      • Once an individual has suffered a CNS stimulant psychosis, s/he is more likely to experience the same outcome in the future.
      • Psychotic symptoms generally disappear as abstinence continues, and rarely persist beyond 24 hours after the cessation of drug use.
      • If psychotic signs persist beyond 24-48 hours, additional psychiatric consultation is advised .
    • 19. COGNITIVE IMPAIRMENT: SUMMARY
      • Actively using MA addicts demonstrate impairments in
        • The ability to manipulate information
        • The ability to makes inferences
        • The ability to ignore irrelevant information
        • The ability to recall information
    • 20. Memory Difference between Stimulant and Comparison Groups
    • 21. Differences between Stimulant and Comparison Groups on tests requiring perceptual speed
    • 22. DRUG HUNGER
      • Craving
      • Jonsing
      • Tweaking
    • 23. DRUG HUNGER
      • Acute-Immediately after “high” wears off
      • Baseline-Will begin after client has rested
      • Evoked-Produced by triggers/cues
    • 24. Craving Needs to be Addressed Immediately Trigger Thought Craving Use
    • 25. Can Unaddressed Craving Produces a “High”?
      • Dopamine levels in the reward circuit are increased by thoughts of using.
      • If craving is not addressed soon enough, the client will “crash” if s/he does not use.
    • 26. “Crashing from Craving” Positive Mood Negative Mood
    • 27. Methamphetamine
      • Methamphetamine and Sex
    • 28. Sexuality/HIV risk
      • Compared to non-methamphetamine users, methamphetamine users:
        • Have more sexual partners
        • (Among heterosexuals) have increased incidence of anal intercourse
        • Less likely to use condoms
        • More likely to engage in prostitution or sexual bartering
        • Have sex with a known i.v. drug user
        • Have a sexually-transmitted disease
    • 29. My Sexual Drive is Increased by the Use of:
    • 30. My Sexual Pleasure is Enhanced by the Use of:
    • 31. My Sexual Performance is Improved by the Use of:

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