By R. Maldonado (auth.), Prof. Dr. W. W. Fleischhacker, Prof. Dr. D. J. Brooks (eds.)
Substance-related problems pose an expanding problem not just to the sphere of psychiatry but additionally to public future health. The fast improvement of our society has additionally replaced the face of substance use and abuse, either quantitatively and qualitatively. during this quantity foreign specialists current studies of the newest examine protecting many components starting from neurobiology to mental administration, in addition to varied medicinal drugs, from alcohol to ecstasy.
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Extra resources for Addiction Mechanisms, Phenomenology and Treatment
Intensive Care Med 25: 492--495 Spies CD, Nordmann A, Brummer G, Marks C, Conrad C, Berger G, Runkel N, Neumann T, Muller C, Rommelspacher H, Specht M, Hannemann L, Striebel HW, Schaffartzik W (1996) Intensive care unit stay is prolonged in chronic alcoholic men 32 A. Helander: Biological markers in alcoholism following tumor resection of the upper digestive tract. Acta Anaesthesiol Scand 40: 649-656 Spies CD, Kissner M, Neumann T, Blum S, Voigt C, Funk T, Runkel N, Pragst F (1998) Elevated carbohydrate-deficient transferrin predicts prolonged intensive care unit stay in traumatized men.
Those may need encouragement to engage in a stepwise termination. And again, there are other patients who are unable to "mature-out" or "ageout" of a dependence-prone state of mind and who may need substitution treatment for many years. The basis for such a condition has not been clarified yet. The termination of treatment must be well prepared with clearly defined steps, together with the patient. This includes timing and extent of dose 42 A. Uchtenhagen reductions, modality of final detoxification, continued after-care, management of later crisis situations, and options for restarting substitution treatment if needed.
Pregnancy is no contraindication for a substitution treatment. Implementation The care programme Ancillary care is of utmost importance for the outcome of substitution treatment. It must be tailored to the individual needs of the patient. , 1993). A care program respecting the needs for medical treatment and for social and rehabilitative measures is equally important as the prescription of a substitution medication. Clearly formulated agreements between doctor and patient help to prevent and to manage problematic situations.
Addiction Mechanisms, Phenomenology and Treatment by R. Maldonado (auth.), Prof. Dr. W. W. Fleischhacker, Prof. Dr. D. J. Brooks (eds.)