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Science and Practice
Other specialties. Treatment of drug dependence N07B. Salvia divinorum. Categories : Addiction medicine. Hidden categories: Articles needing additional medical references from March All articles needing additional references Articles requiring reliable medical sources All articles with failed verification Articles with failed verification from March Namespaces Article Talk. Views Read Edit View history. Lynk, JD Steven A. It is not the substances a person uses that make them an addict; it is not even the quantity or frequency of use.
How Big is the Problem? No data exist on the treatment gap for those who are nicotine dependent.
Addiction Science & Clinical Practice
Where is the Medical Profession? Ending Addiction Changes Everything www. Not limited to the rewards provided by nicotine, alcohol and other drugs but extends to other rewarding behaviors such as gambling, compulsive overeating, and sexual behaviors. We tend to talk about addiction as if there are multiple diseases; in fact there are different manifestations of one disease and those manifestations often co-exist or vary with circumstances. Due to data limitations, this study focuses on addiction involving nicotine, alcohol and other drugs.
Bench to Bedside: From the Science to the Practice of Addiction Medicine.
Continued use can change both the structure and function of the brain. There also can be pre-existing structural and functional differences in the brain predisposing one to the disease. The population of risky users is double that size--about 80 million people. Of critical importance is the age of first use of addictive substances.
Addiction Medicine: Closing the Gap between Science and Practice | SAMHDA
Addiction is, in most cases, a developmental disorder associated with the early use of addictive substances while the brain is still developing. It makes no sense to only screen for risky use or treat addiction involving 1 or 2 substances. We must address all--including nicotine. They can be used in a variety of settings with different populations. Training in the administration of screening and interventions is critical. We must screen for all substances and ideally for other risky behaviors.
We must better calibrate our screening instruments to appropriate definitions of risky use. In many cases, best results are achieved by a combination of these therapies. Again, these treatments must be tailored to the needs of individual patients. A diagnostic evaluation to determine the presence of the disease.
If the disease is present, a comprehensive assessment of the stage and severity of disease, co-occurring conditions, and personal circumstances that may affect the treatment.
The patient must be stabilized. This means managing cessation of use. Then there is the acute phase of treatment, involving pharmaceutical, psychosocial or combined therapies and treatment for co-occurring conditions that may be offered in a range of office based, outpatient or inpatient settings, again depending on need. Disease management is critical because as yet there is no cure for addiction.
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