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Treatment Improvement Protocol (TIP)


Treatment for Stimulant Use Disorders:
Methamphetamine & Cocaine - 1999
Treatment Improvement Protocol (TIP) Series 33
Center for Substance Abuse Treatment

Appendix D -- Glossary

Addiction:
A chronic, relapsing disease, characterized by compulsive drug-seeking and drug use, and by neurological adaptations in the brain.

Amygdala:
A discrete brain area that is part of the limbic system, has a large number of dopamine-containing neurons, and plays a role in the learning and performing of certain behaviors in response to incentive stimuli (i.e., motivation, reinforcement).

Analog:
A chemical compound that is similar to another drug in its effects, but differs slightly in its chemical structure.

Anergia:
Lack of energy.

Anhedonia:
Loss of interest in pleasurable activities; the inability to feel pleasure.

Anorexia:
Loss of appetite, accompanied by weight loss and thin, gaunt appearance.

Arrhythmia:
Irregular heartbeat.

Axon:
A long, thin fiber that conducts electrical impulses away from the neuron's cell body and on to other neurons.

Benzodiazepines:
Drugs that relieve anxiety or are prescribed as sedatives; they are among the most widely prescribed medications and include valium and librium.

Bradycardia:
Slowed heartbeat.

Bruxism:
The habitual, involuntary grinding of teeth, usually during sleep.

Cachexia:
Weight loss, wasting of muscle, and debility.

Central nervous system (CNS):
The brain and spinal cord.

Cerebellum:
A brain structure that controls coordination and regulation of complex voluntary muscular movements, posture, and balance.

Choreoathetoid:
Involuntary movement.

Convulsion:
An abnormal, uncontrollably violent involuntary contraction or series of contractions of the muscles; spasm or series of jerkings of the face, trunk, or limbs.

Craving:
A powerful, often uncontrollable desire for drugs.

Dendrites:
Thin, branched extensions of a neuron that extend from the cell in branched tendrils to receive information from adjacent neurons; they conduct electrical impulses inward toward the cell body.

Dermatitis:
Inflammation of the skin.

Designer drug
:
A synthetic analog of a restricted drug that has psychoactive properties.

Detoxification:
A process of allowing the body to rid itself of a drug while managing the symptoms of withdrawal; often the first step in a drug treatment program.

Diaphoresis:
Profuse sweating, often with chills.

Diastolic blood pressure:
The pressure exerted by the blood on the cavities of the heart at the moment when they fill with blood.

Dopamine:
A neurotransmitter present in several brain regions involved in movement, emotion, motivation, reinforcement, and feelings of pleasure.

Dopaminergic:
Dopamine-mediated.

Dysphoria
:
A mood of general dissatisfaction, restlessness, and anxiety.

Glucose utilization
:
A general indicator of physiological activity; in the brain, an indicator of neurological activity presumed to be information processing.

Hypertension:
Elevated blood pressure.

Hyperthermia:
Elevated body temperature.

Limbic system:
A group of subcortical brain structures that are especially concerned with emotion and motivation.

Narcolepsy:
A disorder characterized by uncontrollable attacks of deep sleep.

Neuron
:
The morphological and functional unit of the nervous system, consisting of the cell body, dendrites, and axon.

Neurotransmitters:
Chemical substances that transmit signals between neurons and that modulate neuronal activity.

Nucleus accumbens:
A discrete brain area that is part of the limbic system, has a large number of dopamine-containing neurons, and plays a role in the learning and performing of certain behaviors in response to incentive stimuli (i.e., motivation and reinforcement).

Paranoia:
A mental disorder characterized by the presence of systematized delusions, often of a persecutory character, involving being followed, poisoned, or harmed by other means, in an otherwise intact personality.

Physical dependence:
An adaptive physiological state that occurs with regular drug use and results in a withdrawal syndrome when drug use stops.

Psychosis:
A mental and behavioral disorder characterized by symptoms such as delusions or hallucinations that indicate an impaired conception of reality.

Psychosocial intervention:
An individual or group interaction that examines both psychological and social aspects of a person's life (e.g., age, education, marital, and related aspects of a person's life history).

Rhabdomyolysis:
An acute, potentially fatal disease of skeletal muscle characterized by muscle pain, weakness, and the production of red-brown urine.

Rush:
A surge of euphoric pleasure that rapidly follows administration of a drug.

Seizure:
Manifestation of a sudden onset of an abnormal mental or physical state, often characterized by complex behaviors, impaired consciousness, and convulsions.

Serotonin:
A neurotransmitter that has been implicated in states of consciousness, mood, depression, and anxiety.

Serotonergic:
Serotonin-mediated.

Stereotyped behaviors:
Frequent, almost mechanical repetition of the same posture, meaningless gestures or movement, or form of speech (as in schizophrenia).

Substantia nigra:
A discrete brain area that is part of the nigrostriatal system, interacts with the limbic system, has a large number of dopamine-containing cells, and is involved in learning to automatically execute complex movements triggered by a voluntary command; degenerative impairments in this area cause motor disturbances that occur in Parkinson's disease.

Synapse:
A microscopic gap, cleft, or junction between neurons across which chemical signals (neurotransmitters) are transmitted.

Systolic blood pressure:
The pressure exerted by the blood on the cavities of the heart at the moment when they contract.

Tachycardia:
Rapid heartbeat, with or without arrhythmia and chest pain.

Tolerance:
A condition in which higher doses of a drug are required to produce the same effect as experienced initially; often leads to physical dependence.

Toxic:
Temporary or permanent drug effects that are detrimental to the function or structure of a cell, organ, or organ system.

Urticaria:
An eruption of itching wheals, usually of systemic origin, which may be due to a state of hypersensitivity to food, drugs, or physical agents, such as heat or cold.

Ventral tegmental area
:
A discrete brain area that is part of the mesocortical system, interacts with the limbic system, has a large number of dopamine-containing neurons, and is involved in attention span and short-term memory.

Withdrawal:
A psychological and/or physical syndrome caused by the abrupt cessation of the use of a drug in an habituated individual.


TIP: Chapter Listing