Patients with Substance Abuse Problems: Effective Identification, Diagnosis, and Treatment / Edition 1

by Edgar P. Nace M.D., Joyce A. Tinsley M.D.

Overview

Whether or not you are trained as an addictions specialist, you will encounter addictions issues during the course of your career. Learning how to approach these patients should lessen the anxiety that comes from not knowing how to manage their problems.

The book is a brief and practical introduction to diagnosis and intervention with substance-abusing clients. Each chapter uses brief vignettes to illustrate concepts, and tables or figures to clarify material. Two special populations are featured in this book: those at opposite ends of the age spectrum-adolescence and late life. This book provides reasons for clinicians to be optimistic about their work with patients who abuse substances. In part, this optimism is based on improved scientific understanding of drug and alcohol dependence. Compared to the slow pace of research in the past, knowledge about the brain's role in addictive diseases has accumulated at a rapid pace over the past twenty years. The numbers of psychotherapeutic and pharmacologic interventions have grown as well. This book will be a handy guide for all those in clinical practice.

Product Details

ISBN-13:	9780393705119
Publisher:	Norton, W. W. & Company, Inc.
Publication date:	03/17/2007
Edition description:	New Edition
Pages:	224
Product dimensions:	6.50(w) x 9.50(h) x 0.90(d)

About the Author

Edgar P. Nace, M.D. is a Board certified psychiatrist with added qualifications in addiction psychiatry and forensic psychiatry. He is Clinical Professor of Psychiatry at The University of Texas Southwestern Medical Center in Dallas, Medical Director at Turtle Creek Manor in Dallas, and in the private practice of adult psychiatry.

Joyce A. Tinsley, M.D. is a clinician in the Psychiatry Residency Program at Hartford Hospital's Institute of Living.

Table of Contents

Acknowledgments     ix
Introduction     1
Medical Overview
Facing the Challenge: Patients with Substance Abuse Problems     9
Addiction: A Disease of the Reward Pathway     19
Denial: Does the Patient Know Something Is Wrong?     29
Diagnostic and Treatment Issues
Steps to Identification     41
Diagnosis     65
Treatment Options     81
Special Topics
Substance Abuse in Adolescents     101
Substance Abuse in Older Adults     117
Smoking     133
Pharmacological Treatment     151
Glossary: Substance Abuse Word List     171
Office-Based Treatment of Withdrawal     183
References     199
Index     217

Editorial Reviews

"[C]oncise, clearly written, and practical….should have wide appeal for any professional involved in the care of addiction patients."

Journal of Clinical Psychiatry