Clinical Textbook of Addictive Disorders by Avram H. Mack MD, Kathleen T. Brady MD Ph.D., Sheldon I.

By Avram H. Mack MD, Kathleen T. Brady MD Ph.D., Sheldon I. Miller MD, Richard J. Frances MD

Now in a revised and elevated 3rd variation, this authoritative medical reference and textual content provides state-of-the-science wisdom approximately all elements of addictive issues and their remedy. top researchers and practitioners describe top practices in evaluate and analysis and supply the newest details on operating with clients of particular ingredients. matters in operating with specific populations--including culturally various sufferers, ladies, and older adults--are completely addressed, and known psychosocial and pharmacological remedy ways are reviewed. that includes accelerated insurance of comorbidity and twin analysis, the 3rd variation comprises fullyyt new chapters at the neuroscientific foundation of dependancy, dependancy to playing and to discomfort medicines, and substance abuse within the office, in addition to a bankruptcy on dialectical habit treatment.

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More sophisticated methods of pharmacotherapy have appeared recently, although these remain few in comparison with other areas of medicine. Safe detoxification is possible through increased basic and clinical appreciation of withdrawal syndromes. Disulfiram, naltrexone, buprenorphine, and methadone may be selectively prescribed as maintenance drugs in the early difficult months and years of recovery. Other medications are currently being investigated for use in special circumstances. Recognition of comorbid conditions accompanying substance abuse has led to concurrent treatment for affective disorders, anxiety disorders, eating disorders, and pathological gambling.

Et al. (2000). Opioid receptor imaging with PET and [18F]cyclofoxy in long-term, methadone-treated former heroin addicts. J Pharmacol Exp Ther, 295, 1070–1076. Koob, G. , & LeMoal, M. (2001). Drug addiction, dysregulation of reward, and allostasis. Neuropsychopharmacology, 24, 97–129. Kosten, T. R. (1990). Neurobiology of abused drugs: Opioids and stimulants. J Nerv Ment Dis, 178, 217–227. Kosten, T. R. (1998). Pharmacotherapy of cerebral ischemia in cocaine dependence. Drug Alcohol Depend, 49, 133–144.

Much of the treatment time is spent in groups of various sizes, although individual and family sessions may occur as well. Staffing is typically multidisciplinary, with counselors, nurses, occupational and recreational therapists, psychologists, psychiatrists, and social workers. , at work, by licensing agencies or unions, in the family, and with medical resources) appears to enhance outcome (Westermeyer, 1989). Preventive techniques first applied to the gin epidemic are still useful today: control over hours and location of sales, taxes or duties to increase cost, changing of public attitudes via the mass media, education, and abstinenceoriented religion (Smart, 1982).

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