Treatment Substance_abuse

1 treatment

1.1 psychological
1.2 medication
1.3 dual diagnosis

treatment
psychological

from applied behavior analysis literature, behavioral psychology, , randomized clinical trials, several evidenced based interventions have emerged: behavioral marital therapy, motivational interviewing, community reinforcement approach, exposure therapy, contingency management suppress cravings , mental anxiety, improve focus on treatment , new learning behavioral skills, ease withdrawal symptoms , reduce chances of relapse.

in children , adolescents, cognitive behavioral therapy (cbt) , family therapy has research evidence treatment of substance abuse problems. well-established studies include ecological family-based treatment , group cbt. these treatments can administered in variety of different formats, each of has varying levels of research support research has shown makes group cbt effective promotes development of social skills, developmentally appropriate emotional regulatory skills , other interpersonal skills. few integrated treatment models, combines parts various types of treatment, have been seen both well-established or effective. study on maternal alcohol , drug use has shown integrated treatment programs have produced significant results, resulting in higher negative results on toxicology screens. additionally, brief school-based interventions have been found effective in reducing adolescent alcohol , cannabis use , abuse. motivational interviewing can effective in treating substance use disorder in adolescents.

alcoholics anonymous , narcotics anonymous 1 of known self-help organizations in members support each other not use alcohol. social skills impaired in people suffering alcoholism due neurotoxic effects of alcohol on brain, prefrontal cortex area of brain. has been suggested social skills training adjunctive inpatient treatment of alcohol dependence efficacious, including managing social environment.

medication

a number of medications have been approved treatment of substance abuse. these include replacement therapies such buprenorphine , methadone antagonist medications disulfiram , naltrexone in either short acting, or newer long acting form. several other medications, ones used in other contexts, have been shown effective including bupropion , modafinil. methadone , buprenorphine used treat opiate addiction. these drugs used substitutes other opioids , still cause withdrawal symptoms.

antipsychotic medications have not been found useful. acamprostate glutamatergic nmda antagonist, helps alcohol withdrawal symptoms because alcohol withdrawal associated hyperglutamatergic system.

psychedelics, such lsd , psilocin, may have anti-addictive properties.

dual diagnosis

it common individuals drugs use disorder have other psychological problems. terms “dual diagnosis” or “co-occurring disorders,” refer having mental health , substance use disorder @ same time. according british association psychopharmacology (bap), “symptoms of psychiatric disorders such depression, anxiety , psychosis rule rather exception in patients misusing drugs and/or alcohol.”

individuals have comorbid psychological disorder have poor prognosis if either disorder untreated. historically individuals dual diagnosis either received treatment 1 of disorders or didn’t receive treatment all. however, since 1980s, there has been push towards integrating mental health , addiction treatment. in method, neither condition considered primary , both treated simultaneously same provider.