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Inhalants: Intoxication affects

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Withdrawal effects Euphoria Dizziness Blurred vision loss of inhibition muscle weakness depressed reflexes slurred speech loss of coordination

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Assess motivation and stage of/readiness for change Prochaska DiClemente and Norcross

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Stages 1 Precontemplation personal realization and decreased defensiveness and rationalization through social pressure dramatic experience media consequences and social norms 2 Contemplation Shifting decisional balance making a commitment to a change attempt and resolving ambivalence 3 Preparation commitment plan and concrete strategies 4 Action daily implementation of plan coping with withdrawal and desire to use behavioral coping activities 5 Maintenance lifestyle changes shifts in social network behavioral coping activities

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GGT

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gammaglutamyltransferase

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deontology

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The right act

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4 ethical principles of deontology

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justice beneficence autonomy nonmalificence

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beneficence

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Promoting the good of others and preventing them from harm

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nonmalificence

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Responsibility to do no harm

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group process Long and McMahon

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activities in a group how interactions occur amoung members timing of interactions roles of members seating arrangements tone of voice of members non verbal behaviors

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catharsis

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the act or process of releasing a strong emotion

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recapituation

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summarizing and restating

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existential

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Existence

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triangling

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another family member is brought in inorder to stabilize the emotional process

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scapegoating

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another family member is blamed

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paradoxical prescription

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instructions are given to perform the opposite of what is intended in order to produce change

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category a

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controlled studies in humans have demonstrated no risk

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category b

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animal trials show no risk no evidence of risk in2nd or 3rd trimester

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category c

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human risk unknown and can not be ruled out

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category d

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positive risk to fetus must weigh benefit to pregnant women vs risk

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category x

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the drug is contraindicated in women who are or may become pregnant

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nonverbal messages are observed by the receiver in 4 ways

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appearance paralabguage proxemics kinesics

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appearane

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personal image clothing makeup hair beard

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paralanguage

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tone of voice inflection emphasis pauses sighs laughter

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proximics

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use of personal space territory backing away or moving closer selection of a particular seating arrangement

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kinesics

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body motion facial expression posture position of arms and legs eye contact touch

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sexual masochism

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receiving physical mental pain from sexual partner

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frotteurism

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body contact with strangers in public places usually involves the rubbing of the clothed body of a stranger with male genetalia

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mild anxiety

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slight physical arousal sharp perception ability to learn well

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Moderate anxiety

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Physical symptoms apparent narrowing of perceptual field selective attention

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severe anxiety

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Physical symptoms problematic difficulty concentrating very apprehensive may develop ritualistic behavior

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panic

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terror little ability to concentrate difficulty breathing palpitations fear of dying may be suicidal

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depersonalization disorder

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dissociative disorder in which client experiences recurrent alterations in perception of self

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dissociative identity disorder did or multiple personality disorder mpd

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dissociative disorder in which person has two or more separate distinct personalities alters each with relatively enduring pattern of perceiving relating to and thinking about self and environment

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medications for did

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antidepressants ssris tcas maols clonidine anticonvulsants benzodiazrpines

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medications to treat fictitious didorders

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ssris of limited use

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managed care

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Healthcare strategy designed to achieve the positive outcomes that can result from adopting price competition while controlling for unfavorable effects

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leadership

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the process of influencing others toward goal setting

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cyproheptadine

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for allergies and hives

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medication to treat anorexia nervosa

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cyproheptadine amitriptyline

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neurotransmitter hypothesis for depression

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depression occurs due to an imbalance of norepinephrine at the postsynaptic receptor site

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tricyclics antidepressants do what

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block the transporter site for norepinephrine and serotonin

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elevated in nms

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wbc cpk

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inductive theory

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procedes from the specific to the general

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jung's functional types

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feeling intuting thinking sensing

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archetypes of jung

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way self animus and anima rebirth persona shadow stock characters (hero trickster sage) power number

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tuckman

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group development

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forming (orientation)

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orientation group leader is more directive snd active, members look to leader for structure and approval. leader describes group contract (goals confidentiality and communication rules) encourages interaction amoung group and maintains working level of anxiety. members develop initial roles

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storming

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conflict develops regarding control power and authority. anxiety increases and resistence may occur as evidenced by client absence, shared silence, excessive dependency on leader, formation of subgroups and acting out. leader encourages healthy expression of anger

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norming (cohesiveness stage)

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members express positive feelings toward one anither and feelnstrongly attracted to group. self disclosure occurs and new roles are adopted

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performing(working phase)

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leader's activity decreases and usually consists of keeping group on course or dealing with resistence of group and individuals within. responsibility of the group is more equally shared. anxiety of group is decreased, and energy is channeled to completing tasks

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mourning (termination)

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begins during the first phase but is most accurately felt in closed group when it approaches end and in open group when members ir leaders leave. Leaders encourage discussion of ending and expression of pain snd loss experienced in grieving process. members may try to avoid, experience anxiety, anger, or regression; they should also be encouraged to reminisce, evaluate, and experience sense of accomplishment and give feedback to one another

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isocarboxazid

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marplan

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phenelzine

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nardil

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selegiline

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eldepryl, emsam(transdermal)

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tranylcypromine

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parnate

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