A comprehensive treatment program for addictions to psychoactive substances

From WikiLectures

Addiction[edit | edit source]

  • Psychological dependence: rewarding effect (reward centers in your brain), physically located in the nucleus accumbens
  • Physical dependence: the somatic distress associated with suddenly stopping to take a drug leading to withdrawal symptoms
  • Background: 1 in 4 adults with a mental illness also hass a substance abuse disorder

Components of a treatment program for addiction[edit | edit source]

  • Examples of psychoactive substances
    • Nicotine, alcohol, cocaine, opioids, Benzos, amphetamines, hallucinogens...
    • their withdrawal symptoms look different depending on the substance taken
  • Psychotherapy
    • Motivational interviewing
    • Cognitive behavioral therapy
    • Family therapy
    • Group therapy: alcoholics anonymous (www.aa.org)
  • Pharmacotherapy
    • Fighting withdrawal symptoms
      • Alcohol: Naltrexone (first line), disulfiram (negative conditioning due to disulfiram reaction), acamprosate (blocks glutamate receptors and reduces alcohol cravings)
      • Alcohol-acute withdrawal symptoms: Benzos, antipsychotics
      • Opioids: Buprenorphine/naloxone; methadone (substitution therapy)
      • Cocaine: supportive, psychotherapy, group programs
      • Disulfiram, acamprosate: Alcohol- for acute cravings
      • Smoking: Varenicline, buproprion, nicotine patches/gums

Links[edit | edit source]


Related Articles[edit | edit source]

Bibliography[edit | edit source]

  • Psychiatry, iBooks by Anna Onderkova

References[edit | edit source]