Download Clinical Manual for Treatment of Alcoholism and Addictions by Avram H. Mack PDF

By Avram H. Mack

The medical handbook for remedy of Alcoholism and Addictions presents a concise evaluate of dependancy therapy matters proper to clinicians who're occupied with the care of sufferers with substance use problems. This scientific guide consolidates a wealth of data into one easy-to-read consultant. as well as protecting particular addictive components intimately together with epidemiology, presentation, and prognosis, in addition to polysubstance abuse and psychiatric comorbidity, the handbook additionally addresses underlying matters relating to particular sufferer populations, corresponding to little ones and young people, seniors, and the mentally and bodily handicapped. With their great impression on our tradition and society, substance use problems might turn into one of many major demanding situations for psychiatry within the twenty-first century. The scientific handbook for remedy of Alcoholism and Addictions is a useful software for informing clinicians in regards to the big choice of cures to be had to assist their sufferers who fight with substance abuse difficulties.

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Extra info for Clinical Manual for Treatment of Alcoholism and Addictions

Sample text

Disapproval of ever trying crack cocaine is slightly higher but has also leveled off over the past several years (Johnston et al. 2008). Amphetamines This section reviews the epidemiology of amphetamine (including methamphetamine) use specifically. • • • • • Annual prevalence rates for use of methamphetamine among eighth, tenth, and twelfth graders in 2008 were 12%, 15%, and 12%, respectively. While any such use is alarming, these figures are down from rates of 32%, 46%, and 47%, respectively, in 1999 (Johnston et al.

As described later in this chapter, the evidence that there is a biological component to addiction is growing. The existence of biological markers provides a basis for genetic vulnerability to abuse particular substances. Furthermore, research is focusing on the long-term changes in synaptic architecture and alterations in neurotransmitter physiology that may form the basis of the position that the brain of the addicted patient is different as a result of excessive use—a difference that creates and maintains the compulsion to use (Leshner 1997).

In addition to having a long-standing disrespect for authority figures that may have stemmed from being a child of an alcoholic, the patient may have had bad experiences with physicians who were not well informed about substance use problems. The patient needs reassurance that there is reason to be hopeful about the outcome of treatment, and an effort needs to be made to reduce blame and guilt. What the patient does not tell the doctor may be as important as what the patient does say; an alert clinician must watch for observable signs and symptoms as well as a mental status characterized by high denial, projection, and rationalization.

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