By H. Thomas Milhorn Jr. M.D., Ph.D. (auth.)
The writer has equipped easy, center info at the prognosis, therapy and prevention of chemical dependence right into a effectively comprehensible structure. His procedure teaches the health care provider what steps to take from a pragmatic perspective: tips to hinder dependancy within the first position, find out how to diagnose the , find out how to reduction the relations get the addict into therapy, and the way to extend the probabilities of long term restoration. The ebook is split into 3 sections. the 1st part covers easy definitions and ideas. the second one part describes the pharmacology of many of the psychoactive ingredients: depressants, opioids, stimulants, cannabinoids, hallucinogens, phencyclidines, and inhalants. The 3rd part discusses chemical dependence in specific teams: ladies, kids, the aged, ethnic minorities, twin prognosis sufferers, HIV- confident sufferers, and impaired physicians.
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Additional resources for Chemical Dependence: Diagnosis, Treatment, and Prevention
B. ). Clinical complications of drug abuse. In Drug Abuse: A Guide for the Primary Care Physician. AMA, Chicago, 1981, pp. 177-202. 20. Gitlow, S. , and H. S. Peyser. Alcoholism: A Practical Treatment Guide. Grune and Stratton, Orlando, Florida, 1980. 21. Wilford, B. ). Review Course Syllabus, American Medical Society on Alcoholism and Other Drug Dependencies, New York, 1987. 22. Milhorn, H. , Jr. Diagnosis and management of phencyclidine intoxication. American Family Physician, in press. 23. Gallant, D.
It should be emphasized that answers to these kinds of questions are only of secondary importance. 8 • 16 A variety of findings may reveal psychological problems, such as insomnia, anxiety, depression, and suicide attempts or gestures. 4. Chemical dependence is notorious for causing sexual problems, especially impotence in men and menstrual irregularities and infertility in women. Decreased interest in sex may occur in either sex. Questions about sexual functioning should be part of every medical historyP Family history may also give physicians useful information.
Those feigning toothache often claim to have an out-of-town dentist and to have left prescribed pain medication at home. Hustlers also may feign psychological problems, such as anxiety, insomnia, or fatigue. Most such drug seekers want tranquilizers, sleeping pills, or stimulants. Often they are deceptive, complaining that their medication was lost, stolen, or accidentally dropped in the toilet. They may steal, alter, or forge prescriptions, request refills in a shorter period of time than was originally prescribed, or phone physicians on call and claim to be patients of their partners.