By Marc A. Schuckit
When this sequence used to be conceived, a booklet on substance abuse, together with alcohol and alcoholism, used to be to be of the top precedence. This precedence used to be a mirrored image of my view that the topic is frequently inadequately or inadequate ly taught in lots of education courses. Few clinicians have had comprehen sive didactic schooling during this region, regardless of the frequency with which those difficulties are encountered in perform. All too frequently those encounters are in events during which exact analysis and speedy therapy are of serious im portance. we would have liked a ebook that will be concise and simply readable but additionally entire in its presentation of the fundamental rules underlying medical manifestations, analysis, and administration. It was once of specific im portance that the booklet additionally function a simple reference consultant in emergency events. Marc Schuckit, a guy with impeccable credentials as a student and an skilled clinician during this box, produced simply this type of ebook together with his significantly acclaimed first version. That quantity swiftly turned a source of serious value for psychiatrists, psychotherapists, and physicians mostly. it's been followed as a textual content in clinical colleges and residency educate ing, in addition to for classes in psychology, emergency medication, social paintings, and nursing. the full quantity has been revised and up-to-date to mirror alterations in wisdom and medical perform because the ebook of the 1st version and in an effort to hold the excellent references present. there's a new bankruptcy on phencyclidine and one other on caffeine and nicotine.
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Extra info for Drug and Alcohol Abuse: A Clinical Guide to Diagnosis and Treatment
Feeling) hallucinations. 4. Relevant Laboratory Tests The first step in treating any OBS is to rule out major medical problems. Although the OBS may continue beyond the length of action of any drug (especially in the elderly), a blood or urine toxicologic screen may be helpful. It is also important to rule out aggressively all potentially reversible nondrug causes of confusion. S]); blood counts (especially the hematocrit and hemoglobin levels, as shown in the table); and liver and kidney function (including the BUN and creatinine for the kidney and the SGOT, SGPT, and LDH for the liver).
Kronfol, Z. Subtypes of drug abuse with psychosis: Demographic characteristics, clinical features, and family history. Archives of General Psychiatry 39:141-147, 1982. 21. Stewart, R. , Springer, P. , & Adams, J. E. Drug-related admissions to an inpatient psychiatric unit. American Journal of Psychiatry 137:1093-1095,1980. 22. Freitag, J. , & Miller, L. W. ). ). Boston: Little, Brown, 1980. 1. INTRODUCTION The central nervous system (CNS) depressant drugs include a variety of medications, such as hypnotics, antianxiety drugs (also called minor tranquilizers), and alcohol.
The major dangers include a disturbance in sleep pattern and a change in affect (increased irritability, hostility, and lethargy). In addition, the carbamates are highly lethal when taken in overdose. Most members of this drug subclass have a length of action that exceeds the usual time between 25 THE CNS DEPRESSANTS the administration of doses. I never prescribe the carbamates (Miltown, Equanil, or Tybamate) because of their much higher addictive potential and greater possibility of fatal overdosage than the benzodiazepines.