By Avram H. Mack
The medical guide for therapy of Alcoholism and Addictions offers a concise assessment of dependancy remedy concerns suitable to clinicians who're curious about the care of sufferers with substance use problems. This scientific guide consolidates a wealth of knowledge into one easy-to-read consultant. as well as masking particular addictive components intimately together with epidemiology, presentation, and prognosis, in addition to polysubstance abuse and psychiatric comorbidity, the handbook additionally addresses underlying concerns with regards to particular sufferer populations, reminiscent of young children and teens, seniors, and the mentally and bodily handicapped. With their enormous influence on our tradition and society, substance use issues may perhaps develop into one of many major demanding situations for psychiatry within the twenty-first century. The scientific guide for therapy of Alcoholism and Addictions is a useful device for informing clinicians concerning the wide variety of remedies on hand to assist their sufferers who fight with substance abuse difficulties.
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Extra resources for Clinical Manual for Treatment of Alcoholism and Addictions
Polysubstance Problems This section reviews the epidemiology of polysubstance use specifically. • • • In the ECA Study, 30% of alcoholics also met criteria for abuse of or dependence on other substances (Regier et al. 1990). In the ECA Study, the most common comorbidity with an SUD was another SUD, nicotine dependence—which may have effects on treatment of a patient’s psychiatric conditions and/or extrapyramidal side effects (Regier et al. 1990). In the ECA Study data, calculated odds ratios for SUDs among populations with specific disorders were as follows: major depressive disorder: 2, panic disorder: 3, schizophrenia: 5, and bipolar disorder: 7 (Regier et al.
Arch Gen Psychiatry 54:313–321, 1997 Kessler RC, Chiu WT, Demler O, et al: Prevalence, severity, and comorbidity of 12month DSM-IV disorders in the National Comorbidity Survey Replication. Arch Gen Psychiatry 62:617–627, 2005 National Highway Traffic Safety Administration: Traffic Safety Facts, 2006 Data: Alcohol-Impaired Driving (DOT HS 810 801). Washington, DC, National Highway Traffic Safety Administration, 2008 Regier DA, Farmer ME, Rae DS, et al: Co-morbidity of mental disorders with alcohol and other drug abuse: results from the Epidemiologic Catchment Area (ECA) Study.
Department of Health and Human Services, 2004a Substance Abuse and Mental Health Services Administration: DAWN Report: Amphetamine and Methamphetamine Emergency Department Visits, 1995–2002. Rockville, MD, Office of Applied Studies, 2004b Substance Abuse and Mental Health Services Administration: DAWN Report: Narcotic Analgesics, 2002 Update. Rockville, MD, Office of Applied Studies, 2004c Substance Abuse and Mental Health Services Administration: Mortality Data From the Drug Abuse Warning Network, 2002 (DAWN Series D-25; DHHS Publ No SMA 04-3875).