This practical and timely book provides comprehensive, state-of-the-art guidance on how primary care clinicians can best care for patients with substance use disorders. The book covers the major drugs of abuse, as well as the more recent ones, detailing the biology of various addictions and all dimensions of clinical diagnosis and management. It is organized in four parts: (1) The Basics, (2) Psychoactive Substance Dependencies, (3) Diagnosis, Treatment, Recovery, Relapse, and the Family, and (4) Special Groups. Part I, The Basics, consists of an overview, the various definitions of substance dependence, and the pharmacology of addictive substances. Chapter 1, Overview, is an introductory chapter that covers material common to the entire field of substance dependence. Chapter 2 covers the various definitions of substance dependence, and Chapter 3 reviews the pharmacology of addictive substances. Part II, Psychoactive Substance Dependencies, explains the various drug dependencies-alcohol dependence, sedative-hypnotic dependence, opioid dependence, stimulant dependence, nicotine dependence, cannabis dependence, dissociative dependence, inhalant dependence, hallucinogen dependence, and anabolic steroid dependence. Part III addresses diagnosis, treatment, recovery, relapse, and the family. Part IV, Special Groups, discusses substance dependence in women, adolescents, the elderly, ethnic minority groups, co-occurring disorders, LGBT patients, HIV positive patients, and the impaired physician. In addition to primary care physicians, Substance Use Disorders: A Guide for the Primary Care Provider will serve as an invaluable resource to primary care nurse practitioners and physician assistants, as well as medical students, primary care residents, emergency medicine physicians, ASAM and APA certified addictionists and those studying for certification in those specialties, psychiatrists, psychologists, and alcohol/drug counselors. H. Thomas Milhorn, MD, PhD Director, Didactics Section East Central HealthNet Family Medicine Residency Program Meridian, Mississippi Formerly Professor of Family Medicine, Professor of Physiology and Biophysics, and Associate Professor of Psychiatry and Human Behavior University of Mississippi School of Medicine Jackson, Mississippi
This innovative monograph introduces a measurement-based framework for effective treatment of patients with mood disorders, personality disorders, and schizophrenia. Rooted firmly in principles of pharmacotherapy and clinical psychometrics, the books signature diagram balances rating scale results and patient self-reported progress along three angles: therapeutic effects, adverse effects, and quality of life. The authors choices of measures are brief, valid, widely used, and easy for clinicians to administer and patients to understand. But rather than being a mechanistic or an impersonal formula, this system is shown as a science-based means of fostering constructive collaboration between patient and therapist, leading to greater patient well-being. Included in the coverage: · Negative mental health: the ordinary symptom-orientated mental disorders. · The basic diagram of personality dimensions. · Self-reported symptom scales within the basic diagram. · Clinician-administered symptom scales within the basic diagram. · The pharmacopsychometric triangle in measurement-based care. · Diagnostic rating scales. · A practical outcome evaluation plan. Offering a medical level of precision to mental health, Measurement-Based Care in Mental Disorders should interest health care providers at all levels, particularly physicians and staff in primary care settings, and in psychiatric in- and outpatient clinics, including psychiatrists, psychologists, nurses, and social workers. Per Bech received a medical degree from Copenhagen University in 1969. In 1972 he received a gold medal award from Århus University for his thesis on the dose-response relationship between cannabis (tetrahydrocannabinol) and various psychological measurements, including time experience and reaction time in simulated car driving. He completed a doctorate thesis (Dr.Med.Sci) at Copenhagen University on the clinical and psychometric validity of rating scales in depression and mania in 1981. He was appointed Professor of Psychiatry at Odense University in 1992 and in 2008 he was appointed Professor of Applied or Clinical Psychometrics at Copenhagen University. Since 1981 he has headed the Psychiatric Research Unit at The Mental Health Centre North Zealand in Hillerød (Capital Region of Denmark). He is an honorary member of the Royal College of Psychiatrists and of the European Psychiatric Association (EPA).