Clinical Textbook of Addictive Disorders PDF

The Clinical Textbook of Addictive Disorders PDF is a cutting-edge resource that has helped thousands of practitioners and students understand and treat addictive disorders. Leading experts discuss addiction neurobiology and best practices in assessment and diagnosis.

Specific abuse substances are thoroughly examined, emphasizing real-world clinical considerations and working with particular populations, such as polysubstance abusers, culturally diverse patients, older adults, chronic pain sufferers, and others. The chapters summarize the theoretical and empirical foundations of commonly used psychosocial and pharmacological treatments and describe clinical techniques in detail.

Preface of Clinical Textbook of Addictive Disorders PDF

The Clinical Textbook of Addictive Disorders, Fourth Edition, is meant to keep addiction psychiatry up to date with new scientific findings so that evidence-based treatment options can be expanded. In the Clinical Textbook of Addictive Disorders pdf, the goal is to help the people who read it improve their skills, attitudes, and knowledge to give the best care to patients. It added new research to this edition’s original contents and author list.

Psychiatry residents and medical students, addiction psychiatry fellows; addiction psychiatrists; and other primary care physicians are all in the target group. Addiction medicine professionals, such as nurses, social workers, psychologists, addiction counselors, and rehabilitation therapists, are also targeted. It may also be helpful to people from a wide range of other fields, such as teachers, people in the criminal justice system (e.g., lawyers, judges, police officers, and correctional officers), family members, and anyone who wants to learn more about addictions and addiction-related disorders.

When it comes to neuroscience and psychiatry, one of the big questions is how to better prevent, diagnose, and treat addictive disorders. This is one of the biggest challenges. The roots of addictions can be found in different brain parts and are controlled by genetics. They can also result from more complex behavioral and social conditioning effects on the brain. What are the most critical psychological, social, and cultural factors that play a role in substance-related disorders and their treatment, and how do these factors affect different parts of the brain?

It is important to understand addiction on many different levels and develop various ways to help patients recover and deal with addiction-related problems. Much progress has been made in understanding the genes and neurobiology of addictions and the comorbidities that accompany them. However, translating new findings into better prevention and treatment strategies has been very slow.

All drugs of abuse and addictive behaviors raise dopamine levels and affect D2 receptor reward sensitivity in the limbic system, ventral tegmentum, and prefrontal cortex, which makes it harder to stop yourself from doing something. In this way, this helps to explain why cravings are so crucial in addiction-related behavior. Imaging studies of people who use a lot of cocaine have found a link between low D2 receptors in the brain and poor treatment response. The search for new and better ways to treat substance-related disorders may get a boost from this.

People who have addiction problems have many problems for their doctors to deal with. There are many things to think about when it comes to diagnosing people who are intoxicated, have withdrawals, use drugs for a long time, and have a lot of other medical and psychiatric problems. The authors look at research that has helped them better understand and deal with addiction at many different levels: molecular, cellular, synaptic, genetic, pharmacological, behavioral, psychological, group, family, network, anthropological, social, political, and spiritual, to name a few. After seven years of hard work, DSM-5 has been released. It includes new scientific findings and large amounts of data.

In the past, substance use disorders (SUDs) were diagnosed differently. This work has changed that. A new term called “substance-related and addictive disorders” is added to the DSM-5, and for the first time, it includes a non-substance-related disorder, gambling. “Substance-related and addictive disorders” in the DSM-5 chapter title leaves the door open for other, non-substance-related addictive disorders to be added in the future, such as Internet gaming, sex and food addictions, and shopping addictions.

“Conditions for Further Study” has been added to the Appendices of DSM-5, which means there isn’t enough evidence to include this as an addictive disorder at this time. It could be added to future editions. Internet gaming disorder is a global problem that China recognizes as a disease. People who have a problem with caffeine use or trouble getting rid of it have been added to the DSM-5 Appendices. Among DSM-5’s significant changes, the main ones are that legal problems were dropped, and craving was added as an additional criterion.

Legal issues did not play a significant role in the diagnosis, and there are a lot of different laws about substance use that make it more challenging to be sure that the study is credible. In clinical practice and research, the craving was a good way to tell if someone has a problem with tobacco. The terms “abuse” and “dependence” have been removed from the DSM-5 because data show that there is a continuum from abuse to dependence that is covered by the term “substance use disorder.” There are 11 criteria for this disorder, with mild symptoms (2–3), moderate signs (4–6), and severe symptoms (7–11).

According to the guidelines, people should only get methadone or buprenorphine if their addiction level is moderate to severe. Field studies have not been done to see if the DSM-IV term “alcohol dependence” (often referred to as “alcoholism”) or the everyday use of the term “addiction” is the same as the term “alcoholism.” As a result of epidemiological studies, the DSM-5 version of alcoholism or drug dependence will probably be called “severe” in the long run. It will need seven to 11 positive criteria to be called “severe.”

The Clinical Textbook of Addictive Disorders PDF says that those who need analgesics or antianxiety drugs should also know that tolerance is a normal physiological response. Many people who need controlled substances to manage their pain develop tolerance and may experience withdrawal. Still, they don’t show other signs of addiction, like increasing the number of drugs they take. These people are not “addicted,” but called “pseudo dependent.” In the title of this book, “addictive disorders” is used a lot. Scientists and the general public both use this term.

DSM-5 nomenclature doesn’t use this term because it might make people look bad and there aren’t enough operational criteria. There was a lot of debate about whether or not to use the word “addiction” in the new DSM-5. Because people can have a physical dependence on drugs but do not meet all of the DSM criteria for support, the term “dependence” has caused a lot of confusion. Using the term “substance-related disorders” instead of “addictive” was decided on for DSM-5. The term “addictive” was only used for disorders that don’t use a substance to get a reward, like gambling.

Many people in science are now using the word “addiction” in the names of journals and organizations, like the American Journal of Addictions and the American Society of Addiction Medicine. All of the information in this textbook should be taken with a healthy dose of skepticism, just like everything else in science and life. Advances in neuroscience have an increasingly significant impact on many parts of treatment. As a result, even though there has been a lot of progress in understanding genetics and how addictions work over the last decade, we are still in the early stages of truly understanding how substances affect the massive range of brain functions. Though the speed of complex research is going up, it takes a long time to make these findings useful in medicine.

Even if you move from the lab to the patient, things like naltrexone to reduce cravings aren’t always practical. We hope that soon, we will be able to use our new knowledge of genetics to develop unique and more personalized treatments. Motivational interviewing, cognitive behavioral therapy, dialectical behavior therapy, 12-step facilitation, relapse prevention, family therapy, psychodynamic treatment, and psychopharmacology are some of the psychotherapeutic approaches that have been improved and made better. We need to find out more about how to combine self-help facilitation, cognitive-behavioral, motivational, psychodynamic, network, family, and group treatments in the future. We also need to know which treatment is best for which patients at what point in their recovery.

The role of non-specific elements of treatment, faith, and support systems in making it more effective isn’t well-known. It takes a lot of skill, knowledge, and wisdom to develop a treatment plan that meets the unique needs of each patient. Many treatment methods are based on theories and have been studied and tested, but the science of differential therapeutics in treating people who have addictions is still in its infancy. Studies have found that a wide range of approaches can help, but they don’t seem to clearly separate treatment results based on different treatment approaches or figure out which system is best for each patient.

Clinicians who have worked with many patients will often mix and match the techniques in this book and make them work for them. People’s preferences and traits play a role in when and how they get treatment. Creating a therapeutic alliance and improving motivation for change are two of the most essential things in addiction treatment. Also important: using collateral data and supports when necessary, taking medication when necessary, facilitating group and family programs when it’s possible to do so, and using medicine where it’s necessary. Psychiatric and medical problems should be looked at and treated together and the level and stage of care, prevention, and cost-effectiveness. In this pdf of the Clinical Textbook of Addictive Disorders, we talk a lot about evidence-based treatments, but combining and using the treatments is still a mix of art and science.

It may take a village of people working together well to stop and treat addictions. This includes patients, their families, clinicians, police, courts, teachers, public policymakers, and other people in the community. We will likely have to deal with the problems that SUDs and other addictive behaviors have on our bodies and minds and problems caused by new technologies for many years to come. Addiction psychiatrists and primary care doctors should be taught to deal with addictions effectively in the future. This should be a major national goal.

It takes a lot of reading, supervised clinical experience, sharing with other people, going to educational meetings, and getting the knowledge and skills needed to properly diagnose and plan for treatment for people with substance-related disorders. People who treat people with addictions should treat them with respect, empathy, compassion, a sense of humor, and knowledge and skills. The critical reader will take the best ideas from our authors and mix them with their personalities and approaches for the best results.

Those who worked hard on these chapters deserve a big thank you. Our spouses and the staff at The Guilford Press also deserve a big thank you for their help. They should provide better care for people who have addictions and their families when they read this new edition of our textbook.

Authors of Clinical Textbook of Addictive Disorders

Avram H. Mack, MD, is the Associate Chair for Quality and Safety at the Children’s Hospital of Philadelphia, where he practices forensic, child, adult, and consultation-liaison psychiatry. Dr. Mack is in charge of quality and patient safety initiatives. She has considerable expertise in teaching and administering undergraduate and graduate medical education for trainees and faculty at the University of Pennsylvania, Children’s Hospital of Philadelphia, and formerly at Georgetown University. He is board qualified in general psychiatry, child and adolescent psychiatry, forensic psychiatry, and addiction medicine, and he frequently talks, writes, and testifies on issues related to substance misuse. He served on the board of directors of the Washington Psychiatric Society. He served on the American Psychiatric Association’s board of directors and the Medical Society of the District of Columbia’s Impaired Physicians Committee. Dr. Mack, a distinguished Fellow of the American Psychiatric Association and a Fellow of the American College of Psychiatrists, received the Association for Academic Psychiatry’s Education Award to recognize his efforts in advancing the patient safety movement within psychiatry.

Kathleen T. Brady, MD, Ph.D., is a Distinguished University Professor and Associate Provost for Clinical and Translational Science at the Medical University of South Carolina. Her research focuses on drug and alcohol abuse/addiction, as well as comorbid conditions. Dr. Brady is a board-certified psychiatrist who has served as president of the American Academy of Addiction Psychiatry, a member of the National Institute on Drug Abuse’s Scientific Advisory Council, and a board member of the College on Problems of Drug Dependence. She has over 300 publications to her name, has presented at conferences, grand rounds, and symposia, and has won numerous awards.

Sheldon I. Miller, MD, was Emeritus Professor of Psychiatry and former Chairman of the Department of Psychiatry and Behavioral Sciences at Northwestern University Feinberg School of Medicine until he died in 2011. He was a co-founder of the American Academy of Addiction Psychiatry and was recognized as a national leader in addiction psychiatry. Dr. Miller was the Editor-in-Chief of the American Journal on Addictions and the author of over 100 publications. He was a Distinguished Fellow of the American Psychiatric Association and a member of the Group for the Advancement of Psychiatry, and a member of the Board of Directors of the Accreditation Council for Graduate Medical Education and the American Board of Emergency Medicine.

Richard J. Frances, MD, is an Adjunct Professor of Psychiatry at New York University School of Medicine and a Clinical Professor of Psychiatry at Rutgers New Jersey Medical School. He has a private practice in New York and established addiction psychiatry as a medical subspecialty. Dr. Frances was a co-founder and first president of the American Academy of Addiction Psychiatry, the Director of Education at the University of Medicine and Dentistry of New Jersey (now part of Rutgers Biomedical and Health Sciences), the Chair of the Department of Psychiatry at Hackensack University Medical Center, and the President and Medical Director of Silver Hill Hospital. He has also held leadership positions at New York Hospital–Cornell Medical Center. He has a special interest in addiction, focusing on impaired professionals.

Book details

  • Publisher ‏: ‎ The Guilford Press; Fourth edition (May 13, 2016)
  • Language ‏: ‎ English
  • Paperback ‏: ‎ 730 pages
  • ISBN-10 ‏: ‎ 1462521681
  • ISBN-13 ‏: ‎ 978-1462521685
  • Item Weight ‏: ‎ 2.85 pounds
  • Dimensions ‏: ‎ 7 x 1.24 x 10 inches
  • Best Sellers Rank: #77,422 in Books 

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