Substance Use Disorders: A Guide for the Primary Care Provider

Description

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. Front Matter ....Pages i-xxiii Front Matter ....Pages 1-1 Overview (H. Thomas Milhorn)....Pages 3-16 Definitions of Substance Dependence (H. Thomas Milhorn)....Pages 17-24 Pharmacology of Psychoactive Substances (H. Thomas Milhorn)....Pages 25-38 Front Matter ....Pages 39-39 Alcohol Dependence (H. Thomas Milhorn)....Pages 41-57 Sedative-Hypnotic Dependence (H. Thomas Milhorn)....Pages 59-76 Opioid Dependence (H. Thomas Milhorn)....Pages 77-96 Stimulant Dependence (H. Thomas Milhorn)....Pages 97-113 Nicotine Dependence (H. Thomas Milhorn)....Pages 115-130 Cannabis Dependence (H. Thomas Milhorn)....Pages 131-141 Dissociative Drug Dependence (H. Thomas Milhorn)....Pages 143-153 Inhalant Dependence (H. Thomas Milhorn)....Pages 155-165 Hallucinogen Dependence (H. Thomas Milhorn)....Pages 167-177 Anabolic Steroid Dependence (H. Thomas Milhorn)....Pages 179-185 Front Matter ....Pages 187-187 Diagnosis (H. Thomas Milhorn)....Pages 189-207 Treatment (H. Thomas Milhorn)....Pages 209-224 Recovery (H. Thomas Milhorn)....Pages 225-241 Relapse (H. Thomas Milhorn)....Pages 243-252 The Family (H. Thomas Milhorn)....Pages 253-271 Front Matter ....Pages 273-273 Women (H. Thomas Milhorn)....Pages 275-290 Adolescents (H. Thomas Milhorn)....Pages 291-305 The Elderly (H. Thomas Milhorn)....Pages 307-316 Other Groups (H. Thomas Milhorn)....Pages 317-330 The Impaired Physician (H. Thomas Milhorn)....Pages 331-340 Back Matter ....Pages 341-354