Addiction Medicine: Science and Practice by H. Westley Clark, Linda Hutchings (auth.), Bankole A.

By H. Westley Clark, Linda Hutchings (auth.), Bankole A. Johnson (eds.)

The spectrum of dependancy problems offers practitioners with a number of challenges—among them the widening hole among a transforming into proof base and the interpretation of this data into remedy results. Addiction Medicine addresses this disconnect, basically explaining the function of mind functionality in drug taking and different habit-forming behaviors, and making use of this biobehavioral framework to the supply of evidence-based remedy. Its state of the art assurance presents clinically correct information on not just conventional assets of habit similar to cocaine, opiates, and alcohol, but additionally extra lately well-known ingredients of abuse (e.g., steroids, inhalants) in addition to behavioral addictions (e.g., binge consuming, compulsive playing, hoarding). present behavioral and scientific treatments are mentioned intensive, and the book’s shut cognizance to social context provides readers an extra lens for personalizing therapy.

An foreign panel of professional participants bargains the main updated info on:

  • Diagnosis and type.
  • Neurobiological and molecular theories of addiction
  • Behavioral ideas of addiction
  • Clinical facets of dependancy to a variety of ingredients, together with opiates, stimulants, sedatives, hallucinogens, alcohol, nicotine, and caffeine
  • Science-based healing procedures: pharmacotherapy, pharmacogenetics, strength vaccines, short and compliance-enhancing interventions, cognitive behavioral remedy, behavioral administration, and different psychosocial interventions
  • Behavioral addictions—including compulsive consuming, web messaging, and hypersexuality—and their treatment
  • Addiction in particular populations, together with youth, the aged, pregnant girls, and healthiness care professionals
  • Legal, incapacity, and rehabilitation issues

At as soon as entire and integrative, AddictionMedicine is a necessary textual content and a practice-expanding instrument for psychiatrists, future health psychologists, pharmacologists, social employees, drug counselors, trainees, and common physicians/family practitioners.

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Extra resources for Addiction Medicine: Science and Practice

Sample text

2008) Projections of national expenditures for mental health services and substance abuse treatment 2004–2014. Substance Abuse and Mental Health Services Administration Publication No. SMA 08-4326, Rockville, MD 21. Mattera M (2007) New CPT codes for substance abuse screening. MedPage today, http://www. com/PublicHealthPolicy/Practice Management /tb/6972. Accessed 20 Oct 2008 22. McLellan AT, Turner B (2008) Prescription opioids, overdose deaths, and physician responsibility. JAMA 300:2672–2673 23.

Several risk factors have been identified for methadone mortality: the concomitant use of benzodiazepines and other opioids, and/or alcohol; an elevated risk of some individuals for torsade de pointes; inadequate or erroneous induction dosing and monitoring by physicians, primarily when prescribing methadone for pain; and drug poisoning that occurs as a result of diversion of the drug and its non-medical use. It is important for the clinician to recognize that there are differences between prescribed methadone for pain and dispensed methadone for medication assisted therapy.

Methadone has been used for more than 40 years in treatment of drug addiction. Its use for treatment of pain has increased in the last 5–10 years. Methadone can cause fatalities among individuals who have not developed any tolerance to opiates: children and adults who accidentally take methadone, and fatal intoxications during first weeks of treatment and adjustment of the methadone dose. Several risk factors have been identified for methadone mortality: the concomitant use of benzodiazepines and other opioids, and/or alcohol; an elevated risk of some individuals for torsade de pointes; inadequate or erroneous induction dosing and monitoring by physicians, primarily when prescribing methadone for pain; and drug poisoning that occurs as a result of diversion of the drug and its non-medical use.

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