Substance Use Disorders: A Practical Guide

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Lippincott Williams & Wilkins, 2001 M01 1 - 261 pages
This handbook in the new Practical Guides in Psychiatry series is designed for residents and clinicians treating patients with substance use problems. In lean and engaging prose, peppered with many clinical vignettes, Dr. Gitlow describes effective strategies and offers advice on topics such as the doctor-patient relationship, liability concerns, managed care demands, and medical ethics.The first section explains general clinical principles and describes various diagnostic approaches. The second section addresses problems particular to specific substances, while the third discusses global issues surrounding patient care and treatment. Appendices contain information that clinicians need to access quickly.

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Contents

Substance Disorders An Initial Approach
2
Diagnostic Approaches
8
Diagnostic Scenarios
22
The CAGE and Other Screening Techniques
28
The First Interview
35
Outpatient Logistics
49
Laboratory Studies
57
SUBSTANCE REVIEW
67
SUBSTANCE USE TREATMENT
163
Treatment Settings
164
TwelveStep Programs
170
Relapse Prevention
178
Who Treats Substance Use?
185
Treatment Dilemmas
189
Patient Placement Criteria
196
Legal Issues
207

Alcohol
68
Other Sedatives
82
Sedative Detoxification
91
Medications During Sedative Recovery
102
Nicotine
112
Stimulants
119
OpiatesOpioids
128
Opioid Detoxification
136
Opioid Maintenance Programs
141
Marijuana
145
LSD
151
The Club Drugs and Inhalants
156
Spirituality
217
APPENDICES
225
Pocket Cards
226
MAST
228
CIWAAr
231
CINA
234
Published Resources
236
Alcoholism and Drug Abuse Counselor Certification Boards
238
Useful Websites
247
SUGGESTED READING
249
Index
253
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