Download Big Book by Pam Bono PDF

By Pam Bono

Книга по пэчворку и квилтингу.

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That program, however, may have a policy of refusing to admit depressed patients whose depressive symptoms are not under control. Similarly, a psychiatric facility may treat a person with antidepressants and then refer the patient to a substance abuse program, only to find that the program refuses to accept patients using medication, even if the psychiatric symptoms are in remission. The result of these Catch-22 situations could very well be that the patient gets little or no help from either system.

Other categories of substances include opioids, psychostimulants, depressants Page 21 (sedative-hypnotics, antianxiety or tranquilizing drugs), marijuana (cannabis), hallucinogens, phencyclidine (PCP), inhalants, and volatile or organic solvents. Many individuals use a combination of substances and thus develop patterns of polydrug abuse and dependence. Polysubstance abuse clients are highly prone to psychiatric illness. As we mentioned in chapter 1, the study by Ross and colleagues found that 95 percent of polysubstance abusers also met lifetime criteria for a psychiatric disorder.

6. The patient continues substance use despite knowledge of having a persistent or recurrent social, psychological, or physical problem that is caused or exacerbated by the use of the substance. 7. The patient develops a marked tolerancethat is, a need for markedly increased amounts of the substance (at least a 50 percent increase) in order to achieve intoxication or desired effector a markedly diminished effect with continued use of the same amount. 8. The patient manifests characteristic withdrawal symptoms related to types of substances used.

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