Book contents
- Seminars in General Adult Psychiatry
- College Seminars Series
- Seminars in General Adult Psychiatry
- Copyright page
- Reviews
- Contents
- Contributors
- Introduction
- Chapter 1 Clinical Epidemiology
- Chapter 2 Assessment, Formulation and Diagnosis
- Chapter 3.1 Clinical Features of Depressive Disorders
- Chapter 3.2 Causes of Depression
- Chapter 3.3 Drug and Physical Treatments of Depression
- Chapter 3.4 Psychological and Social Treatment of Depression
- Chapter 4.1 Bipolar Disorder
- Chapter 4.2 Bipolar Disorder
- Chapter 5.1 Schizophrenia and Other Primary Psychoses
- Chapter 5.2 Causes and Outcome of Psychosis
- Chapter 5.3 Drug Treatment of the Psychoses
- Chapter 5.4 Psychosocial Management of Psychosis
- Chapter 6.1 Anxiety Disorders
- Chapter 6.2 Post-traumatic Stress Disorder
- Chapter 6.3 Specific Phobias
- Chapter 6.4 Obsessive-Compulsive and Related Disorders
- Chapter 6.5 Functional Neurological Disorder
- Chapter 6.6 Bodily Distress Disorder, Chronic Pain and Factitious Disorders
- Chapter 7.1 Clinical Features and Implications of New Classification of Personality Disorders
- Chapter 7.2 Clinical Approaches to Personality Disorder (AKA Complex Emotional Needs)
- Chapter 7.3 Antisocial and Other Personality Disorders, Impulse Control Disorders, and Non-substance Addictive Disorders
- Chapter 8 Neuropsychiatric Disorders
- Chapter 9 Autism
- Chapter 10 Attention-Deficit/Hyperactivity Disorder
- Chapter 11 Sleep Disorders and Psychiatry
- Chapter 12 Eating Disorders
- Chapter 13 Perinatal Psychiatry
- Chapter 14 Substance Use Disorders
- Chapter 15 Suicide and Self Harm
- Chapter 16 Physical Health Care
- Chapter 17 Culture, Mental Health and Mental Illnesses
- Chapter 18 Psychiatry in Primary Care
- Chapter 19 Psychiatry in the General Hospital
- Chapter 20 Adult Mental Health Services
- Index
- References
Chapter 14 - Substance Use Disorders
Published online by Cambridge University Press: 04 April 2024
- Seminars in General Adult Psychiatry
- College Seminars Series
- Seminars in General Adult Psychiatry
- Copyright page
- Reviews
- Contents
- Contributors
- Introduction
- Chapter 1 Clinical Epidemiology
- Chapter 2 Assessment, Formulation and Diagnosis
- Chapter 3.1 Clinical Features of Depressive Disorders
- Chapter 3.2 Causes of Depression
- Chapter 3.3 Drug and Physical Treatments of Depression
- Chapter 3.4 Psychological and Social Treatment of Depression
- Chapter 4.1 Bipolar Disorder
- Chapter 4.2 Bipolar Disorder
- Chapter 5.1 Schizophrenia and Other Primary Psychoses
- Chapter 5.2 Causes and Outcome of Psychosis
- Chapter 5.3 Drug Treatment of the Psychoses
- Chapter 5.4 Psychosocial Management of Psychosis
- Chapter 6.1 Anxiety Disorders
- Chapter 6.2 Post-traumatic Stress Disorder
- Chapter 6.3 Specific Phobias
- Chapter 6.4 Obsessive-Compulsive and Related Disorders
- Chapter 6.5 Functional Neurological Disorder
- Chapter 6.6 Bodily Distress Disorder, Chronic Pain and Factitious Disorders
- Chapter 7.1 Clinical Features and Implications of New Classification of Personality Disorders
- Chapter 7.2 Clinical Approaches to Personality Disorder (AKA Complex Emotional Needs)
- Chapter 7.3 Antisocial and Other Personality Disorders, Impulse Control Disorders, and Non-substance Addictive Disorders
- Chapter 8 Neuropsychiatric Disorders
- Chapter 9 Autism
- Chapter 10 Attention-Deficit/Hyperactivity Disorder
- Chapter 11 Sleep Disorders and Psychiatry
- Chapter 12 Eating Disorders
- Chapter 13 Perinatal Psychiatry
- Chapter 14 Substance Use Disorders
- Chapter 15 Suicide and Self Harm
- Chapter 16 Physical Health Care
- Chapter 17 Culture, Mental Health and Mental Illnesses
- Chapter 18 Psychiatry in Primary Care
- Chapter 19 Psychiatry in the General Hospital
- Chapter 20 Adult Mental Health Services
- Index
- References
Summary
Problems relating to alcohol or drugs occur across a spectrum of levels of consumption and may be physical, psychological or social in nature. At one extreme, there is a small but significant proportion of people who develop dependence and may require both intensive and extensive support. However, on a population level, huge reductions in the harm caused by psychoactive substances could be made if everyone was encouraged to use a bit less. All health and social care professionals should be able to screen for potential alcohol use disorders, deliver brief advice and refer on to specialist services where appropriate. They should also have an awareness of the common illicit drugs and the potential problems these drugs are associated with. The evidence base for treatment of substance use disorders has developed over the past 30 years, and clinicians should be positive and optimistic that meaningful change in behaviour can be achieved. Prompt referral to the right level of support and treatment may prevent future problems. Recovery support services play a crucial part in sustaining any gains made in treatment, and many people recover without using professionally directed treatment at all. It is estimated that approximately 10 per cent of the population of the USA is in remission from a substance use disorder of any severity.
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- Seminars in General Adult Psychiatry , pp. 636 - 653Publisher: Cambridge University PressPrint publication year: 2024