Clinical Topics in Addiction

Addiction to psychoactive substances can lead to a range of biological, psychological and social problems, and the clinical management of these issues can often be complex. This book brings together papers from the popular journal Advances in Psychiatric Treatment, which have been updated to give systematic, authoritative and well-referenced accounts of over twenty key clinical topics relating to substance misuse. It is written by practitioners with extensive experience of managing these difficulties, and provides a handy synthesis of clinical, research and policy issues. Taking a very practical focus, the contents will be of use to any practitioner who comes across a patient with an addiction, and in particular to trainees in addiction psychiatry. Topics covered include gambling, all major psychoactive substances, comorbidity with mental health problems, addiction in special populations, including young people, pregnant women and offenders, psychological and pharmacological treatments, and addiction policy.

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Contents

Frontmatter
pp i-iv
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Contents
pp v-vi
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List of tables
pp vii-viii
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List of boxes
pp ix-xii
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List of figures
pp xiii-xiv
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List of contributors
pp xv-xvi
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Foreword by Nat Wright
pp xvii-xviii
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Preface
pp xix-xxii
- By Ed Day, Senior Lecturer in Addiction Psychiatry, Department of Psychiatry, University of Birmingham, Birmingham
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1 - What works in drug addiction?
pp 1-13
- By Jason Luty, South Essex Partnership NHS Foundation Trust and Cambridge and Peterborough Mental Health NHS Trust, Community Drug and Alcohol Team, Taylor Centre, Southend-on-Sea
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2 - The development of the drug treatment system in England
pp 14-28
- By David Best, Queen Elizabeth Psychiatric Hospital, Edgbaston, Birmingham, Sanju George, Bridge Community Drug Team, Birmingham and Solihull Mental Health NHS Trust, Larch Croft, Chelmsley Wood, Birmingham, Ed Day, University of Birmingham, Department of Psychiatry, Birmingham
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3 - Stimulant use still going strong
pp 29-41
- By Nicholas Seivewright, The Fitzwilliam Centre, Sheffield, Charles McMahon, Renfrew Substance Abuse Resource, Paisley, Renfrewshire, Paul Egleston, Rampton Hoospital, Retford, Nottinghamshire
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4 - Adverse effects of khat: a review
pp 42-54
- By Glenice Cox, St Andrews, Wells, Somerset, Hagen Rampes, Barnet and Haringey Mental Health Trust, Edgware
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5 - What the clinician needs to know about magic mushrooms
pp 55-59
- By Nicholas Seivewright, The Fitzwilliam Centre, Sheffield, Olawale Lagundoye, Sheffield Care Trust, The Fitzwilliam Centre, Sheffield
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6 - What works in alcohol use disorders?
pp 60-75
- By Jason Luty, South Essex Partnership NHS Foundation Trust and Cambridge and Peterborough Mental Health NHS Trust, Community Drug and Alcohol Team, Taylor Centre, Southend-on-Sea
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7 - Management of alcohol detoxification
pp 76-89
- By Duncan Raistrick, Leeds Addiction Unit, Leeds
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8 - Nicotine addiction and smoking cessation treatments
pp 90-100
- By Jason Luty, South Essex Partnership NHS Foundation Trust and Cambridge and Peterborough Mental Health NHS Trust, Community Drug and Alcohol Team, Taylor Centre, Southend-on-Sea
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9 - Pathological gambling: an overview of assessment and treatment
pp 101-112
- By Sanju George, Bridge Community Drug Team, Birmingham and Solihull Mental Health NHS Trust, Larch Croft, Chelmsley Wood, Birmingham, Vijaya Murali, Azaadi Community Drug Team, Birmingham and Solihull Mental Health NHS Trust, Birmingham
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10 - Use of investigations in the diagnosis and management of alcohol use disorders
pp 113-129
- By Colin Drummond, Section of Addictive Behaviour, Division of Mental Health, St George's, University of London, London, Hamid Ghodse, International Centre for Drug Policy, St George's, University of London, London, Sanjoo Chengappa, Section of Addictive Behaviour, Division of Mental Health, St George's, University of London, London
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11 - Laboratory investigations for assessment and management of drug problems
pp 130-148
- By Kim Wolff, King's College London, Institute of Psychiatry, National Addiction Centre, London, Sarah Welch, Countrywide Specialist Substance Misuse Service, Gloucester, John Strang, King's College London, Institute of Psychiatry, National Addiction Centre, London
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12 - Pharmacotherapy in dual diagnosis
pp 149-168
- By Ilana B. Crome, Academic Psychiatry Unit, Keele University Medical School (Harplands Campus), Stoke-on-Trent, Tracey Myton, Pennine Care NHS Trust, Rochdale Substance Misuse Service, Rochdale
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13 - Dual diagnosis: management within a psychosocial context
pp 169-183
- By Mohammed T. Abou-Saleh, Section of Addictive Behaviour, Division of Mental Health, St George's, University of London, London
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14 - Treating depression complicated by substance misuse
pp 184-195
- By Claire McIntosh, Community Alcohol and Drug Service, Bannockburn Hospital, Stirling, Stirlingshire, Bruce Ritson, Alcohol Problems Service, Royal Edinburgh Hospital, Edinburgh
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15 - Treating anxiety complicated by substance misuse
pp 196-212
- By Anne Lingford-Hughes, Psychopharmacology Unit, University of Bristol, Bristol, John Potokar, Psychopharmacology Unit, University of Bristol, Bristol, David Nutt, Psychopharmacology Unit, University of Bristol, Bristol
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16 - An overview of psychological interventions for addictive behaviours
pp 213-228
- By Adam Huxley, Birmingham and Solihull Mental Health NHS Trust, Alex Copello, University of Birmingham School of Psychology, and Birmingham and Solihull Mental Health NHS Trust
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17 - Motivational interviewing
pp 229-239
- By Janet Treasure, Department of Academic Psychiatry, Guy's Hospital, London
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18 - Substance misuse in adolescents
pp 240-258
- By Harith Swadi, 115 Memorial Avenue, Christchurch 8053, New Zealand, Sangeeta Ambegaokar, Orchard House, Leamington Spa, Warwickshire David Best Queen Elizabeth Psychiatric Hospital, Edgbaston, Birmingham
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19 - Management of drug misuse in pregnancy
pp 259-274
- By Ed Day, University of Birmingham, Department of Psychiatry, Birmingham, Sanju George, Bridge Community Drug Team, Birmingham and Solihull Mental Health NHS Trust, Larch Croft, Chelmsley Wood, Birmingham
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20 - Intoxication and legal defences
pp 275-287
- By Quazi Haque, Priory Secure Services, Farmfield Hospital, Charlwood, Surrey, Ian Cumming, Her Majesty's Prison Belmarsh, Thamesmead, London Ed Day University of Birmingham, Department of Psychiatry, Birmingham
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21 - Substance misuse and violence: the scope and limitations of forensic psychiatry's role
pp 288-302
- By Peter Snowden, Meadow Lodge Secure Unit, Priory Hospitals, Widnes
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22 - Literary and biographical perspectives on substance use
pp 303-314
- By Ed Day, University of Birmingham, Department of Psychiatry, Birmingham, Iain Smith, Gartnavel Royal Hospital, Glasgow
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