Table of Contents
Preface xi
Acknowledgments xvii
Introduction xix
Chapter 1 "I'm Not an Addict; I Can Stop Anytime I Want!" 1
What Is Addiction? 1
What Is Addiction Treatment? 17
Chapter 2 Hey! You Talkin' to Me? 35
The Brain Anatomy and Chemistry of Addiction 35
Chapter 3 Denial Is Not Just a River in Egypt! 55
Denial Can Take Many Different Forms 55
Chapter 4 There's an App for That! 61
Medically Managed Detoxification 65
Opiatcs/Opioids 67
Stimulants 69
Alcohol 71
Sedative-Hypnotics 76
Chapter 5 Getting with the Program 81
Medication-Assisted Treatment and Recovery 81
Antabuse 84
Naltrexone 86
Campral 88
Opiate/Opioid Substitution 89
Methadone 90
Buprenorphine 95
Chapter 6 Which Came First, the Chicken or the Egg? 101
Addiction, Comorbid Psychiatric Disorders, and Psychotropic Medications 101
Depressive Disorders 106
Anxiety Disorders 111
ADHD 114
Bipolar Disorder 117
Schizophrenia 119
Cognitive Behavioral Therapy (CBT) 128
Dialectical Behavior Therapy (DBT) 132
Motivational Interviewing (MI) 133
Chapter 7 What a Pain in the 137
Addiction and Chronic Pain 137
The Making of an Epidemic 139
Pseudoaddiction 143
Methadone for Pain 144
Weighing the Cost and Benefits of Using Opioids in Treating Chronic Pain 145
Chapter 8 Cirrhosis Is NOT One of the Knights of the Round Table 149
Addiction and Comorbid Medical Conditions 149
Alcohol 150
Injection Drug Use 156
Stimulants 158
Chapter 9 You People Are Really Sick! 161
Addiction and Infectious Diseases 161
Hepatitis 161
Hepatitis C 162
HIV and AIDS 167
TB 171
Sexually Transmitted Diseases (STDs) 176
Chapter 10 Look into My Eyes-You're Getting Very Sleepy! 179
Addiction and Sleep Problems 179
Chapter 11 What's the Matter with Kids Today? 191
Adolescents and Addiction 191
Adolescents Are Different 194
Special Considerations for Adolescent Treatment 199
Inhalants 200
Club Drugs 202
Bath Salts 205
Hallucinogens 205
Anabolic Steroids 207
Chapter 12 Using for Two 213
Addiction and Pregnancy 213
Chapter 13 I'd Walk a Mile for a Camel-If I Could Only Catch My Breath 223
Nicotine Addiction and Smoking Cessation 223
Chapter 14 Process Addictions: Gambling, Food, and Sex, Oh, My! 235
Pathological Gambling 237
Eating Disorders 242
Sex Addiction 247
Chapter 15 Passing a Drug Test Won't Get You into College (But It Will Help You Stay Out of Trouble)! 251
Appendix A Recovery, Diet, and Nutrition 259
Appendix B Patient Guidelines for Early Recovery 265
Appendix C The California Society of Addiction Medicine's Position on Medical Marijuana 271
Resources
Twelve-Step Mutual-Aid and Support Programs for Addicts 277
Non-Twelve-Step Mutual-Aid and Support Programs for Addicts 279
Twelve-Step Mutual-Aid and Support Programs for Family Members and Significant Others 281
National Agencies 281
