By H. Westley Clark, Linda Hutchings (auth.), Bankole A. Johnson (eds.)
The spectrum of habit problems provides practitioners with various challenges—among them the widening hole among a turning out to be facts base and the interpretation of this information into therapy results. Addiction Medicine addresses this disconnect, essentially explaining the position of mind functionality in drug taking and different habit-forming behaviors, and utilizing this biobehavioral framework to the supply of evidence-based remedy. Its cutting-edge assurance offers clinically proper information on not just conventional resources of habit akin to cocaine, opiates, and alcohol, but additionally extra lately well-known elements of abuse (e.g., steroids, inhalants) in addition to behavioral addictions (e.g., binge consuming, compulsive playing, hoarding). present behavioral and scientific cures are mentioned extensive, and the book’s shut recognition to social context offers readers an further lens for personalizing therapy.
An foreign panel of specialist participants bargains the main up to date details on:
- Diagnosis and category.
- Neurobiological and molecular theories of addiction
- Behavioral innovations of addiction
- Clinical facets of dependancy to a variety of components, together with opiates, stimulants, sedatives, hallucinogens, alcohol, nicotine, and caffeine
- Science-based treatment plans: pharmacotherapy, pharmacogenetics, capability vaccines, short and compliance-enhancing interventions, cognitive behavioral therapy, behavioral administration, and different psychosocial interventions
- Behavioral addictions—including compulsive consuming, net messaging, and hypersexuality—and their treatment
- Addiction in particular populations, together with youngsters, the aged, pregnant girls, and future health care professionals
- Legal, incapacity, and rehabilitation issues
At as soon as finished and integrative, AddictionMedicine is a vital textual content and a practice-expanding instrument for psychiatrists, well-being psychologists, pharmacologists, social employees, drug counselors, trainees, and basic physicians/family practitioners.
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Extra resources for Addiction Medicine: Science and Practice
In 2006, of 346,946 reported emergency department visits, 47,538 involved opioid analgesics—and only 356 of these involved buprenorphine or a combination of buprenorphine and other medications. Of those involving buprenorphine: 52 were due to adverse reactions, 63 were seeking detoxification, 225 were due to non-medical use, and 11 were due to accidental ingestion . Most common pattern of abuse involves crushing the sublingual tablets and injecting the resulting extract. When injected intravenously, addicts claim buprenorphine effects are similar to equipotent doses of morphine or heroin.
National Survey on Drug Use and Health data for those 12 and older reveal a consistent elevation of non-medical use of prescription pain relievers from 2002 to 2007 (see Fig. 3). It has been recognized that prescription opioids are associated with higher rates of abuse and dependence than with other substances, as well as increased mortality . The misuse of benzodiazepines in combination with therapeutic opioids can create problems with respiration and cardiac functioning, predisposing to respiratory depression or cardiac dysrhythmia leading to death.
In fact, the United States Preventive Services Task Force recommends screening and behavioral counseling interventions to reduce alcohol misuse by adults, including pregnant women, in primary care settings . Because it is recognized that a unique opportunity exists also to address illicit drugs in the primary health care setting, the question of whether it is practicable to screen for these substances has been raised. W. Clark and L. Hutchings the evidence is insufficient to determine the benefits and harms of screening for illicit drug use” .