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<br /> 06/01/2007 10:24 7753542370 LESYMAE F'eGE 94
<br /> rsyc.tuamc > imes Pawl: 2 df 6
<br /> j Children and Atlofescents Furthermore, there are many potential barriers tee siar,~;;,; ss1': I
<br /> Dementia identifiC.atiOn and referral. AIthOUgh p5yCI11atrISLS are Iae 7 gar. ?r,pnn, c~
<br /> ' than other physicians at identifying addictive discr;Leri;, o,;! `-<:regn.,n3
<br /> Dependency still mess too many cases or fail to address them, f!u:u!•P, Children,
<br /> t7epresslve._Disortlers bell0yfng tnat treating the other psychiatric disord~R: I TtaUtnarF
<br /> lead to cessation of substance use. Even after su~.t:! I1 I ee!layigr,
<br /> E.ating_Disorders identification, many patients refuse referral for a~ ali~~t Sexually
<br /> ElecCrotonv_ul5~iy,S Therapy treatment, but still need psychiatric treatment. E~rl!n P t n .A^:'St1tUt3
<br /> patients do accept a referral, addiction treatment m?•, C C violence
<br /> TmJll flat fontrol. Disorders Daftly or wholly unsuccessful, as in cases where s!.3~s~h:, ~ , e:
<br /> Mgod_Disotders use continues when the patient returns to the ref-3. ri •y,i id,r,e emar
<br /> olyse6sixsS,pmRUtGV_~Jancefac Psychiatrist. Finally, although programs that fully irlte~r I'ce: A.arry a~
<br /> psychiatric and addiction treatment aro becoming nnona n y
<br /> I Panic Disorder common, they are Still unavailable in many areas hhn r,,::l, Ahheime
<br /> the most well-known model is based on asselt!ve c:+trn,r fly 4"+.thet~g
<br /> Personality Disorders treatment ror severe and persistent mental illnex, a,>sgcutl,
<br /> Post T[aumatlG stressDtsorder (RachBeisel et al„ 1999). Many dual-disorder pat erns o~ f n violence
<br /> i (~D1
<br /> eve a tlictive disorders unresponsroe to convent•ena
<br /> . i 5 I:Iinically l
<br /> ` P;ychgthcrapy treatments would not be appropriate for such prog:r;,
<br /> I Relationship Issues Until recently, models for addressing persistent addntti4 i in va.DPRS .
<br /> Schlzophrenla the context of psychiatric practice have not bean e?uilrr. 1::. (~eintlerb
<br /> In fact, providing psychiatric treatment in the face ~ ~f giagrosti
<br /> Sexual_is_SUes continuing substance use might be criCicized as e~inl:~ i'i<I. 7~iachert
<br /> Som;3toform_ Disorders accoMing to the dogma or some treatment systems, AIN1S.lgb
<br /> 4 Substance Abuse psychiatric treatment should be withheld until the a:Llici erl Moaemar
<br /> person reaches bottom, thereby becoming ready :a ~:P:,l~ il~:,• MnQ (1°la
<br /> S~~G!_dpi
<br /> a~ITav_to~ There is no evitlenc0, howevEr, that Such an ab5olulas+: Qua_st(oni
<br /> YI2Lef14e approach Is effective or even not harmful. Additio,~allp,
<br /> taking this stance is not ethically defensible in mNnY Al $~i'-`-
<br /> Women The intense public debate and ambivalence about dri .I :hose
<br /> Workplace and drug policy has intensified and politicized this grl:e!t c rl,
<br /> i making it even more difficult to confront and rasowe. ~d~~
<br /> Supporter Resources
<br /> ~ Harm Reduction Strategies
<br /> j .Madia._Kit Gradually, over the past few years, a new model for rh e
<br /> Glassified/Onh~ Adxetttslog management of active substance use disorders has Gee r ph
<br /> Rates taking form. Although newly applied to addictive c.115or:1: • Dapraaai
<br /> this model is not really new to psychiaby or' medi<i,te. tl '.i. nl:,nc~unt
<br /> Display Ad. Races/Sizes based on the time-honored principles of palliative care, I'33r!_an.c
<br /> where paNiative is taken in its broad sense of reliev6n;l, 1lmprovin
<br /> auevlating or easing a condition without curing. It do::a i ~nC ~?~Of"`
<br /> refer eXCII1aWEly t0 Care for terminal Condltldrls. T y ;61' t t':5 >In:&tQCfLi
<br /> way, most psychiatric treatment Is palliative, and nor - In~A;ajgr
<br /> t curative care for chronic conditions is somethin most !2!lL2rS1!Lt
<br /> s chiatrists are both skilled and comfortable in n :I r "-gIa"L<
<br /> P Y P 4 ~ nRedefini
<br /> • The general principles of palliative care, as they a-1! r U C i~a~a j2,„spas
<br /> to other chronic illnesses, are familiar .(Table,. FPPIf'r) 5chizoph
<br /> these principles to addictive disorders is less o4vLnes i'c rir, gff.Clitll7g
<br /> so ettquires a new conceptualization of addiction, + Ic cF f7ffirary
<br /> treatment and the methods to achieve these goals. IAyppgC
<br /> :iChhizppl
<br /> Addiction has many Characteristics of a chronic iBne!s<. I! `la . Fj:nctior
<br /> remissions and relapses, its course is highly variable:, r i iC: ol3ritlying
<br /> I severity varies from very mild and transient to severe: d Efficacy
<br /> persistent. Patients with different types and sever'ty ~:~1' PAarwtgo
<br /> substance use disorders respond to different interr!!nl' ui ~s, `•ktt'copl
<br /> j Substance abuse and dependence are often disorcen'3 .:1 Function
<br /> sdolescence and early adulthood, and m05t OCCY rre!nci!:; ,n1
<br /> mild to moderate and self-limiting. While hazardous t;:,e :r 'Ius..AD
<br /> mild dependence frequently responds to simple at'vlr.!~, gilCism.,.a~
<br /> specialty addiction treatment Is usually indicated ^m•
<br /> zf!R them
<br /> http:!/www.psychiatrietimes.com/p000255.htm1 :ir11;2G07
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