By Avram H. Mack
The medical handbook for remedy of Alcoholism and Addictions offers a concise review of habit remedy matters proper to clinicians who're inquisitive about the care of sufferers with substance use problems. This scientific handbook consolidates a wealth of data into one easy-to-read advisor. as well as overlaying particular addictive components intimately together with epidemiology, presentation, and prognosis, in addition to polysubstance abuse and psychiatric comorbidity, the handbook additionally addresses underlying matters regarding particular sufferer populations, akin to childrens and youth, seniors, and the mentally and bodily handicapped. With their titanic influence on our tradition and society, substance use problems could turn into one of many major demanding situations for psychiatry within the twenty-first century. The scientific guide for remedy of Alcoholism and Addictions is a useful instrument for informing clinicians concerning the big choice of treatment plans on hand to assist their sufferers who fight with substance abuse difficulties.
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Additional resources for Clinical Manual for Treatment of Alcoholism and Addictions
Delayed recovery of D2 receptor sensitivity following detoxification from alcohol is associated with a greater risk of relapse. Functional imaging studies have demonstrated that this delayed recovery of receptors leads to decreased D2 receptor availability in the ventral striatum and nucleus accumbens (Heinz et al. 2004). When exposed to a trigger to drink, such as a photograph of someone ingesting alcohol, a patient with a history of alcoholism will have decreased stimulation in these areas of the brain associated with reward, and will therefore have craving for alcohol.
Washington, DC, American Psychiatric Association, 1994 American Psychiatric Association: Diagnostic and Statistical Manual of Mental Disorders, 4th Edition, Text Revision. Washington, DC, American Psychiatric Association, 2000 Chen X, Williamson VS, An SS, et al: Cannabinoid receptor 1 gene association with nicotine dependence. Arch Gen Psychiatry 65:816–824, 2008 Coccini T, Castoldi AF, Gandini C, et al: Platelet monoamine oxidase B activity as a state marker for alcoholism: trend over time during withdrawal and influence of smoking and gender.
This medium, which connects so many people, may do so for nefarious reasons! Nonetheless, information and connections gained over the Internet can be of great help to patients, families, and therapists (Table 2–1). Key Points • The societal effects of substances of abuse are vast. • Rates of use of particular substances can vary greatly among specific demographic groups. • Clinicians can refer to several up-to-date sources of information about substance use. 28 Clinical Manual for Treatment of Alcoholism and Addictions Table 2–1.