Alcohol and Drug Abuse as Encountered in Office PracticeThis book has been written to serve as a manual for physicians practicing in a private office setting to recognize and recommend appropriate treatment for patients believed to be substance abusers. While it is not written for drug abuse specialists, it provides information regarding the diagnosis and treatments a competent, concerned physician can provide without becoming immersed in addiction treatment. Topics discussed include the degree to which a physician should become involved, when it is appropriate to refer, using other professions and volunteer groups, and useful medications. Guidelines for recognizing substance abuse, testing to confirm the abuse, confronting the patient, and motivating the patient into specific treatment are also presented. Tables and illustrations are used to summarize major points, making this an extremely useful reference tool for internists and other non-specialist private practitioners. |
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Indhold
1 | |
7 | |
13 | |
Etiology of Substance Abuse and Similarities in Alcoholism and Drug Abuse ... | 19 |
Essential Pharmacology of Abused Drugs | 25 |
Issues of Law and Custom | 31 |
Attitudes Among Medical Staff That Influence Substance Abuse Care ... | 37 |
Obtaining an Accurate Drug and Alcohol History ... | 43 |
Hallucinogens and Phencyclidine | 161 |
Miscellaneous Abused Drugs | 169 |
Mixed Drug Abuse | 173 |
Management of Substance Abuse What is Treatment and What Does it Accomplish? ... | 177 |
Drug Withdrawal Recognition and Treatment ... | 185 |
Entering Treatment | 199 |
Professionals and Others Providing Skilled Services to Substance Abuses ... | 207 |
The Range of Treatment and Rehabilitation Programs Factors in the Selection of an Appropriate Program ... | 213 |
Recognizing the Alcoholic or SubstanceAbusing Patient in Your Practice ... | 53 |
Emergencies in Drug and Alcohol Use and Their Management ... | 61 |
Laboratory Screening and Verification of Drug Use ... | 71 |
CostEffective Screening of Addicted Persons for Significant Illness ... | 77 |
Classes of Drugs Needed for the Successful Management of Addictions ... | 83 |
Informing the Patient of the Diagnosis of Abuse and Motivating Him or Her to Treatment ... | 93 |
What Can be Learned from Smoking and Nicotine Addiction ... | 99 |
Alcohol and Sedatives | 105 |
Medical Problems in Alcoholics | 113 |
Psychiatric Problems in Addicts | 127 |
Opium Derivatives | 135 |
Medical Problems Related to Illicit Drugs ... | 145 |
Cocaine and Amphetamines | 151 |
Marijuana | 157 |
Setting and Meeting Realistic Goals for Rehabilitation ... | 223 |
Volunteer Groups in the Treatment of Addictions The Model of Alcoholics Anonymous ... | 229 |
Crises in Treatment | 237 |
Prevention and Pertinent Public Health Issues ... | 245 |
Special Problems of Substance Abuse in Adolescence ... | 251 |
Special Problems in Women Abusers | 257 |
Problems of Addiction During Pregnancy and Problems in the Child ... | 263 |
Children of Alcoholics and Drug Abusers | 271 |
Problems of Alcohol and Drug Use in the Elderly ... | 277 |
Ethnic and Special Social Groups | 285 |
Substance Abuse Among Health Professionals ... | 293 |
Glossary | 297 |
Index | 301 |
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Almindelige termer og sætninger
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