Questions on Substance Use Disorder Lecture

As I mentioned in my last post, we won’t have test questions on this lecture because the material doesn’t really lend itself to multiple choice questions. Instead, here are a few short-answer questions for you to work through.  I’ll read through them and add 10 points to your total course score for thoughtfully going through this exercise (if you miss something big I’ll let you know). I’ll leave these questions open until Sunday, December 13 (I’ll nag you if you haven’t finished the questions by then).

Your answers don’t need to be long or perfect – I’m just interested to hear what you think, and I want to give you the chance to ask any questions you may not have felt comfortable bringing up in lecture. I hope you came away from the lecture with a little deeper understanding about what substance use disorder is (and isn’t). I’d love to hear your thoughts and suggestions for this area of the course.

Tomorrow’s lecture is important

I usually don’t make statements like this. I think all our lectures better be important – or we shouldn’t have them. But I feel pretty strongly about tomorrow’s lecture, which is about addiction and substance use disorder.

We’ve had some great lunch and learn talks about the opioid crisis over the past couple years. It’s so important to develop a sense of how to safely prescribe opioids – and I think the sessions I’ve sat in on have done a great job of describing the crisis and laying out appropriate guidelines for healthcare professionals.

I also think that we should talk about addiction itself – and that’s where this lecture comes in. To my knowledge, there aren’t many places in our curriculum where we address what substance use disorder is.

For example, what happens in the brain as an addiction develops? A common misperception about addiction is that the addict simply lacks willpower – but that isn’t true. The part of the brain that mediates logical thought (the prefrontal cortex) actually “goes offline” (becomes disconnected) over time as an addiction becomes entrenched – and willpower/logical thought/all the consequences in the world eventually are no match for the power of the reward circuit in the brain.

You may have experienced a mild version of this if you’ve overindulged in something sugary, then felt like crap and said “never again” (and meant it!) – only to find yourself staring at an empty pint of Ben and Jerry’s the following night as you’re studying for a stressful exam. What happened?!

Anyway…I want to be sure that we talk about addiction from the patient’s point of view so you understand a bit about what the disease is like. The person giving the lecture (Dustin Chapman) is a great speaker with years of experience as a drug and alcohol counselor – and in the video he talks about a bunch of important stuff including:

  • how the brain changes during (and after) addiction
  • the most important risk factor for developing substance use disorder
  • myths (and truths) about addiction
  • signs and symptoms of mild to severe substance use disorder
  • treatment options
  • things to consider when you’re out in practice

We won’t have test questions on this lecture because the material doesn’t really lend itself to multiple choice questions. But I’ll post a few short-answer questions for you to work through after the lecture, and you’ll get 10 points if you complete them.

We’ve had a lot of great feedback on this lecture, and a few students have even found it profoundly useful in their own lives – so I encourage you to watch this lecture video. If you have any questions about substance use disorder after watching the video, feel free to email me. Substance abuse is a topic that is of special interest and importance to me, so I’ll either be able to answer your questions or point you in the right direction!