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ISBN 978-3-319-63039-7
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Primary care physicians are in excellent positions to diagnose
substance use disorders and to help the families of these patients get them
into treatment. In addition, primary care physicians can detoxify patients
as needed. On return from treatment, they can participate in the patients’
recovery programs to help prevent relapse. |
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Chapter 1. Overview The Problem How Psychoactive Drugs differ from Other Drugs Classification of Psychoactive Substances Based on their Effects on the Central Nervous System Club Drugs and Date Rape Drugs The Primitive Survival Brain Concept of Substance Dependence Denial Addicted versus Addict Abstinence Syndromes The Beginning of all 12 Step Programs The Prescription Drug-dependent Patient Addiction Medicine Specialists DSM-5 Criteria for Substance Dependence DEA Drug Schedules and Prescribing Regulations
Chapter 2. Substance Dependence Definitions Biopsychosocial definition of Substance Dependence Biological Factors Psychological Factors Sociological Factors Disease Concept Definition of Substance Dependence Genetic Studies Natural Course of Alcoholism The Disease Concept and the Primary Care Physician AMA’s Definition of Substance Dependence ASAM’s Definition of Substance Dependence
Chapter 3. Pharmacology of Psychoactive Substances Pharmacodynamics Receptors Synapse Reward Center of the Brain Neurotransmitters Affected by Psychoactive Substances Upregulation and Downregulation Dose-response Relationships Kindling Pharmacokinetics Route of Administration Enzymatic Reactions Steady State Relationships Tolerance Physical Dependence and Abstinence Syndrom Set and Setting
Part II. Psychoactive Substance Dependencies
Chapter 4. Alcohol Dependence Forms of Alcoholic Beverages Prevalence of Alcohol Use and Dependence Street Names for Alcohol Pharmacology Interaction of Alcohol with other Drugs What Is Excessive Drinking? Subtypes of Alcoholism Health risks Health Benefits of Drinking Alcohol Evaluation of the Alcoholic Tolerance Dependence Abstinence Syndrome Ethanol Toxicity Recovery Other Alcohols
Chapter 5. Sedative-hypnotic Dependence Barbiturates Benzodiazepines Z Drugs Gamma hydroxybutyric Acid Sedative-Hypnotics of Historical Interest Meprobamate Chloral Hydrate
Chapter 6. Opioid Dependence Prevalence of Use The Opioids Drugs Pharmacology Opioid Agonists Opioid Agonist-antagonists Opioid Partial Agonists Opioid Antagonists Designer Drugs Street Names Health Risks Tolerance Dependence Abstinence Syndrome Opioid Overdose
Prevalence of Use The Amphetamines Cocaine
Methylphenidate Modafinil Bath Salts Flakka Caffeine
Chapter 8. Nicotine Dependence Tobacco Cigarettes Factors That Influence Who Will Smoke Cigarettes Health Risks Benefits of Quitting Smoking Electronic Cigarettes Cigars and Pipes Smokeless Tobacco Tolerance Dependence Abstinence Syndrome Quitting Smoking Nicotine Dependence Medications Weight
Gain Overdose
Chapter 9. Cannabis Dependence Prevalence of Use Marijuana Cannabis Indica Synthetic Cannabinoids Hashish Hash Oil Tolerance Dependence Abstinence Syndrome Toxicity The Five Rules of Recovery Partial Recovery Controlled Drinking Drugs That May Be Hazardous to Recovery Rational Use of Medications in Recovery Support Groups Web-Based Recovery Support |
Phencyclidine (PCP) Ketamine Dextromethorphan
Chapter 11. Inhalant Dependence Prevalence of Use The Inhalant Drugs Solvents and Aerosols Gases Alkyl Nitrites (Amyl Nitrite, Butyl Nitrite)
Chapter 12. Hallucinogen Dependence Prevalence of Use The Hallucinogens Lysergamides Phenylethylamines Amphetamine-related hallucinogens Other Hallucinogens Street Names Hallucinogen Persisting Perception Disorder Tolerance, Dependence, and Abstinence Syndrome Overdose
Chapter 13. Anabolic Steroid Dependence Prevalence of Use The Anabolic Steroids Street Names Pharmacology Tolerance Dependence Abstinence Syndrome Drugs used to Mask Anabolic Steroid Use Alternatives to Anabolic Steroids
Part III: Diagnosis, Treatment, Recovery, Relapse, and the Family
Chapter 14. Diagnosis Problems in Diagnosis Making the Diagnosis Screening Questionnaires Personal and Family History Patient Presentation Physical Examination Laboratory Tests Drug Screening Mixed Drug Dependencies Presenting the Diagnosis Summary
History of Substance Dependence Treatment Getting the Addict into Treatment Treatment Treatment Program Options ASAM Patient Placement Criteria for the Treatment of Substance-Related Disorders Support Groups Inpatient Treatment Outpatient Treatment Therapeutic Communities and Halfway Houses Support Groups as Primary Treatment Aftercare Confidentiality The Primary Care Physician
Chapter 16. Recovery Recovery Dimensions Tasks of Recovery The Recovery Process Pharmacological Approaches Alocohol Dependence Opioid Dependence
Chapter 17. Relapse The Relapse Syndrome Major Kinds and Stages of Relapse Factors Contributing to Relapse Preventing Relapse What to Do when Relapse Occurs Primary care Physician’s Role in Preventing Relapse
Chapter 18. The Family The Healthy Family The Addicted Family Getting the Addict Sober Getting the Family Well The Family in Recovery Adult Children of Alcoholics
Part IV. Special Groups
Chapter 19. Women Gender Differences Prevalence of Use The Drugs Diagnosis Treatment The Pregnant Addict The Fetus Breast Feeding Aftercare
Chapter 20. Adolescents The Normal Adolescent The Substance Dependent Adolescent Denial Diagnosis Getting the Adolescent into Treatment Treatment Aftercare
Chapter 21. The Elderly Prevalence of Use Pathophysiology of Aging The Elderly Addict Diagnosis Treatment Evaluation Detoxification Rehabilitation Aftercare
Chapter 22. Other Groups The Ethnic Minority Groups American Indians/Alaska Natives Asian/Pacific Islander African Americans Hispanic Americans Co-occurring Disorder Patients LGBT Patients HIV Positive Patients
Chapter 23. The Impaired Physician Prevalence of Use Characteristics of the Impaired Physician The Impaired Woman Physician Physician Health Programs Intervention by Confrontation Treatment Aftercare Recovery
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