Alcohol and Drug Abuse as Encountered in Office PracticeThis book has been written to serve as a manual for physicians practicing in a private office setting to recognize and recommend appropriate treatment for patients believed to be substance abusers. While it is not written for drug abuse specialists, it provides information regarding the diagnosis and treatments a competent, concerned physician can provide without becoming immersed in addiction treatment. Topics discussed include the degree to which a physician should become involved, when it is appropriate to refer, using other professions and volunteer groups, and useful medications. Guidelines for recognizing substance abuse, testing to confirm the abuse, confronting the patient, and motivating the patient into specific treatment are also presented. Tables and illustrations are used to summarize major points, making this an extremely useful reference tool for internists and other non-specialist private practitioners. |
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Contents
Chapter | 1 |
Chapter 4 | 19 |
Similarities Between Alcohol and Drug Abuse | 21 |
Receptors Tolerance and Antagonists | 29 |
References | 36 |
Chapter | 37 |
Chapter 8 | 43 |
Useful Components of a Drug History | 46 |
Chapter 15 | 99 |
Chapter 16 | 105 |
Chapter 33 | 110 |
Chapter 17 | 113 |
Peripheral Neuropathy | 119 |
References | 126 |
Psychiatric Problems in Addicts | 127 |
References | 133 |
References | 52 |
Constellation of Findings | 58 |
Chapter 18 | 61 |
Withdrawal | 66 |
Assessment of Emergency | 68 |
References | 69 |
Chapter 11 | 71 |
Laboratory Tests Commonly Abnormal in Addiction | 72 |
Urine Testing | 73 |
Blood and Other Body Fluid Testing | 74 |
Screening Tests | 75 |
References | 76 |
Chapter 12 | 77 |
Confirmation of Diagnosis | 78 |
Major Health Problems Unrelated to the Addiction | 79 |
Use of the Laboratory for Screening | 80 |
B Men Over Age 45 | 81 |
Chapter 13 | 83 |
B Diazepam | 85 |
Phenytoin | 86 |
Haloperidol | 87 |
Nicotine Chewing Gum Nicorettes | 88 |
Clonidine Catapres | 89 |
Chapter 14 | 93 |
Recognition of Opiate Abuse | 139 |
Chapter 20 | 145 |
Chapter 21 | 151 |
Chapter 22 | 157 |
Chapter 24 | 169 |
Emergencies | 175 |
References | 182 |
Screening for Presence of Severity of and Treatment Requirements | 189 |
References | 197 |
Goals and Measures of Progress After Detoxification | 203 |
Chapter 30 | 213 |
Inpatient Treatment Programs | 216 |
Chapter 32 | 229 |
Crises in Treatment | 237 |
Return to Limited and Nonabusive Substance Use | 243 |
References | 249 |
Chapter 36 | 257 |
Problems of Addiction During Pregnancy and Problems in the Child | 263 |
Chapter 38 | 271 |
Chapter 39 | 277 |
Chapter 40 | 285 |
RecentOrigin European Cultures | 289 |
References | 296 |
Common terms and phrases
abnormal abstinence abused substance abusing patients addiction adolescents agents alcohol withdrawal Alcoholics Anonymous amphetamines anxiety assistance associated barbiturates behavior benzodiazepines blood level cessation Chapter chlordiazepoxide chronic cirrhosis client clinical clonidine cocaine common convulsions CT scan depression detoxification developed diagnosis diazepam discussed disorders disulfiram dose drinking drug abuse early effects ethanol evaluation frequent goals hallucinations hallucinogens haloperidol hepatitis heroin hospital identified illicit improvement increased indicates infection ingestion initial injury intoxication intravenous JAMA liver disease Lorazepam major malnutrition marijuana mental metabolism methadone naloxone neurological nicotine occur opiates orally outpatient overdose pancreatitis person Phencyclidine phenobarbital physician present problems produce programs psychiatric psychosis receptors recovery relapse screening sedatives seizures self-help groups severe smoking sobriety specific street drugs substance abuse substantial symptoms syndrome Table tests therapist therapy tolerance toxic reaction trauma treated treatment urine users usually weeks
Bibliographic information
| Title | Alcohol and Drug Abuse as Encountered in Office Practice |
| Author | Frank L. Iber |
| Edition | illustrated |
| Publisher | CRC Press, 1990 |
| ISBN | 0849301661, 9780849301667 |
| Length | 336 pages |
| Subjects | › › Medical / Psychiatry / General |
| Export Citation | BiBTeX EndNote RefMan |