| Term 
 | Definition 
 
        | Is the need to use increasingly greater amounts of a substance to obtain the desired effect. |  | 
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        | Term 
 | Definition 
 
        | A maladaptive pattern of substance use, leading to clinically significant impairment or distress, as am infested by three or mor of the following at the same time in the same 12 moth period. 1. Tolerance
 a. A need for markedly increased amounts of substance to achieve intoxication or desired effect
 b.markedly diminished effect with continued use of the same substance.
 2. Withdrawal, as manifested by either of the following.
 a. The characteristic withdrawal syndrome for the substance.
 b. The same substance is taken to relive or avoid withdrawal symptoms.
 3. The substance is often taken in larger amounts or over a longer period than was intended.
 4. There is persistent desire or unsuccessful efforts to cut down or control the substance use
 5. A great deal of time is spent in activities necessary to obtain the substance, use the substance, or recover from its effects.
 6. Important social, occupational, or recreational activities are given up or reduced because of substance use.
 7. The substance use is continued depute knowledge odfhaving a persistent or recurrent physical or psychological problem that is likely to have been caused or exacerbated by the substance.
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        | Term 
 
        | Observational learning effects |  | Definition 
 
        | Learning a new behavior, but not doing it and without direct consequences. You see it you learn it. |  | 
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        | Term 
 | Definition 
 
        | Treating both disorders at the same time. |  | 
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        | Term 
 | Definition 
 
        | A perception or judgement of their capability to execute a particular course of action required to deal effectively with an impending situation. |  | 
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        | Term 
 
        | Dual Diagnosis/Comorbidity |  | Definition 
 
        | Having a Substance abuse disorder and a serious mental illness that co-occur. |  | 
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        | Term 
 | Definition 
 
        | The capability of humans to regulate their own behavior via internal standards and self evaluative assessments. |  | 
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        | Term 
 | Definition 
 
        | 3 classes 1. Euphoria
 2. Social variables
 3. Elimination of withdrawal sickness
 |  | 
        |  | 
        
        | Term 
 | Definition 
 
        | Voluntary (Choose to do the behavior) |  | 
        |  | 
        
        | Term 
 | Definition 
 
        | Reflexive and involuntary behavior that occurs under the control of well-defined environmental stimuli. (blinking in response to bright light) |  | 
        |  | 
        
        | Term 
 | Definition 
 
        | Maintaining good health, good diet, sleep, and taking care of yourself. |  | 
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        | Term 
 | Definition 
 
        | The brains "seat of pleasure" links the ventral tegmental area with the nucleus accumbens. It scatters impulses to reward centers through out the mesolimbic system. |  | 
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        | Term 
 
        | Apparently irrelevant decisions |  | Definition 
 
        | small decisions over a period of time that seem irrelevant, but when combined lead to a slip. |  | 
        |  | 
        
        | Term 
 
        | Abstinence violation effect |  | Definition 
 
        | Is the experience of intense shame, guilt and embarrassment that frequently occurs following a lapse or a slip. It increases the likelihood of a full blown relapse. |  | 
        |  | 
        
        | Term 
 | Definition 
 
        | Logical groupings of attributes(i.e.: sex or gender) |  | 
        |  | 
        
        | Term 
 | Definition 
 
        | Are false perceptions of seeing, hearing, or thoughts that are not there. Voices from outside your head, or inside their head. |  | 
        |  | 
        
        | Term 
 | Definition 
 
        | Is an attentive awareness of the reality of this, especially to the present moment. An ability to be aware of thoughts, emotions, physical presence in the present. |  | 
        |  | 
        
        | Term 
 | Definition 
 
        | links the ventral segmental area with the nucleus accumbens. It scatters impulses to reward centers through out the mesolimbic system. |  | 
        |  | 
        
        | Term 
 | Definition 
 
        | Using 3 or more groups of substances, but not a single substance predominated |  | 
        |  | 
        
        | Term 
 
        | Cognitive behavioral therapy (CBT) |  | Definition 
 
        | Social learning that focuses on teaching interpersonal and self management skills. |  | 
        |  | 
        
        | Term 
 
        | Dialectical behavioral therapy |  | Definition 
 
        | Group or individual-combines CBT techniques for emotion regulation. Uses reality testing with concepts of distress tolerance, acceptance and mindful awareness. Derived from Buddist meditative practice. |  | 
        |  | 
        
        | Term 
 | Definition 
 
        | Is a medication that mimics the drug of abuse. Methadone is an example. |  | 
        |  | 
        
        | Term 
 | Definition 
 
        | When blood or body tissue concentrations of a substance decline following a period of prolonged use. |  | 
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