Management of the Addicted Patient in Primary Care [Paperback]

This book enables the physician to exhibit greater knowledge of all aspects of substance addiction and equips the reader to better manage these types of patients in the office setting. The introductory section gives background and rationale for acquiring the requisite knowledge and skills. The majority of the book focuses on providing insight and developing practical skills that can be readily implemented in an office-based setting. It contains case presentations, and provides a crucial understanding of why and when to refer. The final portion of the book offers clinical pearls that further aid the reader in treating this difficult patient population.

This book enables the physician to exhibit greater knowledge of all aspects of substance addiction. It equips the reader to better manage these types of patients in the office setting. This is one of the only books available on the subject.

Tobacco, alcohol, illicit drugs, and secondhand exposure are the nations leading health problems. These acquired problems cause more than half of all deaths per year. First use, as well as some subsequent use, may be voluntary, but after loss of control, continued use is to be expected in an addict. So, prevention is the treatment of choice and also the treatment with the greatest ef? cacy. When prevention fails, early intervention and prompt treatment are critical; oth- wise, abuse becomes dependence and with it comes a chronic life-long disease without a speci? c cure. This places a great deal of responsibility on the already overburdened primary care physicians, who must identify a disease fraught with denial and whose patients are generally the last ones to know and accept the fact that they are hopelessly addicted and need help. Physician education and competency make early diagnosis more likely, but most practicing phy- cians do not have addiction education or treatment training as part of their undergraduate medical education. Among physlS.