Psych 380 1nd Edition Lecture 17 Outline of Current Lecture I Substance Abuse Current Lecture I II Substance use disorders a Pattern of use leading to impairment or distress 2 i Impaired control over substance use 1 Larger amount use over longer periods of time than intended 2 Desire efforts to cut down 3 Excessive amount of time spent obtaining using or recovering 4 Craving ii Social impairment 1 Fails to attend to obligations work school home 2 Continued use despite social interpersonal problems 3 Important activities given up iii Risky behavior 1 Use of substance in physically hazardous situation 2 Continued use despite physical or psychological problems due to substance iv Pharmacology criteria 1 Tolerance increased dose needed 2 Withdrawal symptoms Jarrett a Started coming to Dr Halgin because of ADHD and difficulty concentrating organizing remembering obligations etc i He was a speed talker ii Had a big neck possible steroid use iii Weight lifter iv Used supplements v Organizational tasks planner goals etc vi Flatness in therapy vii Sometimes he would do the tasks and other times he wouldn t viii Therapy was bland something else going on b Nov their session took a strange turn i At the end of the session Jarrett asked Dr Halgin if he could borrow his printer for a paper he had due in his next class had a floppy disk with him ii Hesitant out of frame wants to be punctual with other clients virus on disk could lead to him asking for favors in the future iii Dr Halgin says no These notes represent a detailed interpretation of the professor s lecture GradeBuddy is best used as a supplement to your own notes not as a substitute III IV V iv Jarrett flips his shit and says Fuck you I never want to see you again and storms away c After this Jarrett doesn t return to sessions i Dr Halgin tries to get in contact with him to no success ii Dec 8th or 9th Dr Halgin gets a call from him saying that he needs to see him today d Jarrett comes in at the end of the day i He no longer has the steroid neck ii His eyes are blackened looks awful iii His close friend had been murdered that weekend iv One of his friends got a call from another friend asks him to go to a party with him v The guy refuses because he says he has homework he has to get done vi The friend who calls shows up at the other friend s house with a gun and shoots him because he wouldn t go to the party with him vii The murderer is found in a steroid psychosis in the middle of field is out of his mind Plead insanity but was nonetheless sentenced to life in prison viii This was extremely traumatic for Jarrett Dr Halgin asks what s going on with him a Jarrett asks if this is confidential b Dr Halgin says it is c He says that he is on OC s oxycontins d Early 2000 s powerful painkiller extremely addictive Purdue Farma a One of the only producers of oxycontin in the area b Early 2000 s c There were many robberies at pharmacies d If you had a prescription for it you would have to wait a day before you could get it because pharmacies didn t e The company was selling it to the streets it was easier to get the pills in southwest for 80 each than to buy them at the pharmacy f They were also lying to physicians about how addictive they were misrepresenting information to FDA g They were charged 600 mil for misrepresenting Intervention Video a Ryan b Used to be a good student in high school c Part of the marching band got a scholarship to state school in CA d His family life was dysfunctional his biological father addicted to cocaine his parents were divorced mother got remarried to an alcoholic they had another kid who got all the attention e When Ryan went to college he realized he couldn t read music keep up and quit the band f He got really stressed and starting taking drugs g He started taking oxycontin h He was engaged with other addicted people i Soon got out of control j Would sell possessions that belonged to his family just to buy more pills k l m n VI VII VIII Was hit by a car and forced to go home Was cruel to his family because he was in withdrawal Got high at his family s house while they were out at church His mother enabled him by agreeing to give him money for his next fix so that he would calm down Back to Jarrett a He was repeatedly being robbed by drug dealers and couldn t do anything about it b His relationship with the drug is like that of a lover c Everyone tells him how bad this lover is for him but he can t seem to give it up d Jarrett stopped exercising having withdrawal symptoms was taking 5 6 pills per day e He was in bad shape f If he didn t have another pill he could start having seizures g Dr Halgin needed to take action h He said he needed to call his parents i Jarrett immediately got angry and said that he didn t want that j He was out of control and needed someone to control his emotionality k They go back and forth until Jarrett finally agrees to call his mother l He tells her that he is addicted to oxycontin and needs help then allows Dr Halgin to talk to them m They come to Amherst and pick him up they were 2 hours away in Boston n They bring Jarrett back home and send him to a week long treatment center o He remained sober for a short period of time but then Jarrett began using again p His parents sent him to a 30 day treatment center very expensive q They used group therapy and confronted all of his defenses r He comes out of therapy clean and calls Dr Halgin to sent up weekly visits on Sundays he drives from Boston to Amherst early in the morning s This happens from May until the winter t Then in March he has a relapse and is out on the streets of Boston selling them u His parents sent him to another 30 day treatment center v When he gets out he continues to see Halgin which makes him nervous because it is so far away it might be better if he see someone closer to him w Then one day Jarrett says that he needs to get out of here and move somewhere where oxy isn t available to him x He moved to a different part of the country and joined narcotics anonymous y He still contacts Dr Halgin periodically to report that he is still clean and doing well Jarrett came back to MA one year to visit family and friends …