出版社：Institute on Global Drug Policy & the International Scientific and Medical Forum on Drug Abuse
摘要：This paper will review the clinical, empirical and heuristic observations provided by many years of front line treatment of patients with severe addictive disorders. This discussion would not be complete if it did not include some of the historical challenges facing a psychiatrist trying to serve this unique population. For reasons outlined in this paper, acceptance by the recovering community can be problematic. Of critical importance is the concept of the multi-diagnosis approach to victims of substance abuse. Essentially gone are the days of the pure alcoholic. Substance abuse comorbid with other major psychiatric disorders has become the norm. Substance abuse and co-occurring bipolar disorder, depression, attention deficit hyperactivity disorder, social anxiety disorder, other anxiety disorders, insomnia and psychosis will be reviewed. The toxic impact of illicit drugs on the brain will be stressed. Clinical cases will be reviewed in throughout this paper with reference to the diagnostic and therapeutic approaches for special patient populations.
