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ADHD is a highly comorbid disorder in patients with substance use disorders (SUD). This comorbid patient population is, however, often undertreated. Diagnosing ADHD in patients with SUD is not easy due to the large overlap of the ADHD characteristics with symptoms of intoxication and withdrawal. These patients often disappear prematurely from the treatment services, on the one hand because their untreated ADHD symptoms make it more diffi cult to follow the therapy, on the other hand because the treatment programs do not take their limitations into account. Caregivers expressed a great need for concrete tools to work with these patients. Therefore, “Managing ADHD in the presence of substance use disorders” consists of a theoretical and a practical part. The different aspects of the treatment are described from various therapeutic perspectives, and elaborated in ten modules with downloadable worksheets. “This is a practical and insightful book that I highly recommend to both novice and experienced clinicians alike.” Frances R. Levin, MD PhD, Columbia University Medical Center/New York State Psychiatric Institute “For the fi rst time clinical and scientifi c knowledge is summarized and integrated in a handsome format. In addition, this book can be used by clinicians and patients in the context of psychoeducation and as a shared decision making aid.” Wim van den Brink, MD PhD, Professor of Psychiatry and Addiction, Academic Medical Centre, University of Amsterdam
This title sets out clear recommendations for healthcare staff, based on the best available evidence, on how to diagnose and manage both children and adults who have ADHD to significantly improve their treatment and care.
This book reviews the myriad of elements that layer substance abuse disorder, a significant public health issue. It addresses the strong stigma associated with the disease, particularly in regard to the doctor patient relationships. The book begins by explaining the importance of integrating psychiatric and substance use disorder treatment by demonstrating the efficacy of this treatment model. Subsequent to this are chapters dedicated to specific addiction disorders, including cocaine, opioids, gambling, food, and sex addictions. Chapters also examine how addiction can differ among various neurobiological, genetic, socioeconomic, and age demographics. The book closes with histories, policies, and modalities of drug use which serve as a key component to building a foundation for effective and ethical health policy. Written by international experts in addiction psychiatry, Substance and Non-Substance Related Addictions: A Global Approach is a valuable resource for all practitioners seeking to expand their knowledge of addiction medicine.
Nearly thirty-five million individuals in the United States are addicted to a substance. A large percentage of them also have ADHD. In No Way To Be Treated: Managing Addiction By Treating ADHD, Kevin Patrick explains that properly treating ADHD can manage the addiction. He makes his argument by outlining the physiological similarities of both addiction and ADHD and proposes changing current drug treatment methods in a way that greatly improves the percentage of addicts who maintain their sobriety. Patrick believes that recovery programs must begin to screen for and treat co-morbid ADHD in order to effectively help addicts manage their addiction. While Patrick is a proponent of the Twelve-Step Recovery method, he believes that it can be improved. Patrick offers new ways for doctors, drug treatment counselors, and other treatment professionals to incorporate behavioral medicine in substance abuse recovery programs. Current methods of treatment are not effective enough in helping addicts achieve and maintain their sobriety. These current methods prove that this is No Way To Be Treated. Kevin Patrick, a recovering addict with ADHD, lives in Atlanta, Georgia. He has been married to his wife, Molly, for thirty-five years. They have two grown children and one grandson.
Attention Deficit Hyperactivity Disorder (ADHD) is the most prevalent neurodevelopmental disorder. Previously, it was considered a disorder that affected children only. Recently, however, there is no doubt that ADHD can affect adults as well, but with different clinical presentation. Thus, it is critical to understand how the clinical picture of the disorder changes with development. Traditional ADHD diagnostic procedures are broadening and incorporating new entities like endophenotypes. Comorbidity is a rule, especially if ADHD is not recognized and treated early. New genetic studies bring deeper and more concise knowledge about the disorder’s etiology. This book addresses these aspects of ADHD to bring about more clarity and understanding of the disorder.
Estimates indicate that as many as 1 in 4 Americans will experience a mental health problem or will misuse alcohol or drugs in their lifetimes. These disorders are among the most highly stigmatized health conditions in the United States, and they remain barriers to full participation in society in areas as basic as education, housing, and employment. Improving the lives of people with mental health and substance abuse disorders has been a priority in the United States for more than 50 years. The Community Mental Health Act of 1963 is considered a major turning point in America's efforts to improve behavioral healthcare. It ushered in an era of optimism and hope and laid the groundwork for the consumer movement and new models of recovery. The consumer movement gave voice to people with mental and substance use disorders and brought their perspectives and experience into national discussions about mental health. However over the same 50-year period, positive change in American public attitudes and beliefs about mental and substance use disorders has lagged behind these advances. Stigma is a complex social phenomenon based on a relationship between an attribute and a stereotype that assigns undesirable labels, qualities, and behaviors to a person with that attribute. Labeled individuals are then socially devalued, which leads to inequality and discrimination. This report contributes to national efforts to understand and change attitudes, beliefs and behaviors that can lead to stigma and discrimination. Changing stigma in a lasting way will require coordinated efforts, which are based on the best possible evidence, supported at the national level with multiyear funding, and planned and implemented by an effective coalition of representative stakeholders. Ending Discrimination Against People with Mental and Substance Use Disorders: The Evidence for Stigma Change explores stigma and discrimination faced by individuals with mental or substance use disorders and recommends effective strategies for reducing stigma and encouraging people to seek treatment and other supportive services. It offers a set of conclusions and recommendations about successful stigma change strategies and the research needed to inform and evaluate these efforts in the United States.
The diagnosis and management of ADHD co-occurring with other disorders such as anxiety, depression and personality disorders remain major challenges for clinicians treating all age groups. This book guides clinicians through each step in the diagnosis and management of the comorbidities of adult ADHD on the basis of essential case studies describing psychiatric disorders that frequently occur with ADHD. Each case includes a diagnosis section and management section and is accompanied by questions and answers concerning the most important aspects in diagnosing and managing both ADHD and the comorbid disorders. Drawn from actual clinical encounters, the case studies also feature ample current and valid references.
This book employs a direct and clear approach to understanding the medications used in the treatment of psychiatric disorders. A range of areas, such as prescription errors, dosage modification in renal and hepatic dysfunction, augmentation strategies in treatment resistant patients, and recent findings from various clinical trials are addressed. Given its clear, straightforward approach, the book will be a valuable guide for all clinicians working with patients with psychiatric illness.
It seems as though each day more children are diagnosed with attention-deficit/hyperactivity disorder (ADHD). ADHD causes challenges not only for the patient but also for their parents, siblings, teachers, and other significant people in their lives. They have an increased vulnerability to addiction and crime. Controversially, stimulants are the primary choice for treatment of ADHD in medical management, and the side effects of this long-term pharmacological management has raised many questions. Psychosocial management including parent training, behavior therapy, and educational inputs are also major components of treatment and should not be ignored. Thus, it is vital to explore the latest best practices for the diagnosis, assessment, and management of ADHD. New Developments in Diagnosing, Assessing, and Treating ADHD is a collection of research on innovations in the management of ADHD. While highlighting topics including adolescent care, neurological disorders, and mental health, this book is ideally designed for academicians, clinicians (especially psychiatrists, clinical psychologists, and pediatricians), social workers, psychiatric nurses, rehabilitation centers, researchers, and students interested in the handling of this disorder and the long-term effects and social risk factors associated with treatment.
This concise paperback summarizes basic and clinical sciences relevant to our understanding of attention-deficit/hyperactivity disorder (ADHD) with a particular emphasis on history, etiology, phenomenology, neurobiology, assessment, and treatment. Written by an internationally recognized clinician, researcher, and educator, the book ideally targets the learning needs of students, residents, and early-career practitioners, but also provides an updated overview with likely appeal for more experienced clinicians. The text is organized into succinct and well-referenced chapters. Critical information is easily discerned in accompanying key points, boxes, tables, and figures. References and suggestions for further reading are handy aids for readers who wish to obtain additional information on material described. Topics of special interest include assessment, approaches to initiating ADHD medications, controversies surrounding medication use, complementary and alternative treatments, and management of ADHD with co-occurring substance abuse. Of particular note, the author utilizes a developmental perspective that recognizes how the disorders manifestations and treatment needs change over the lifespan from childhood to adulthood. The book is not intended to be an encyclopedia covering everything known about ADHD, but is an easily read user-friendly introduction that provides a solid foundation for clinical management of the disorder.