Mental health articles

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dependence

When to suspect sleeping pill dependence

When to suspect sleeping pill dependence Dependence should be suspected with anyone who: • has been taking sleeping pills for more than three months; • insists that you should prescribe these medicines; • needs more sleeping pills because of complaints of ‘tension’, for example, and sleep problems.   Related articles Why do people become dependent […]

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substance abuse and dependence disorders

Substance abuse refers to the overuse of alcohol and/ or drugs that results in harmful physical, social, legal, or interpersonal consequences; substance dependence is marked by continued use of alcohol or other drugs, despite these consequences. The WHO has argued that an individual’s cultural context must be considered when diagnosing an alcohol problem. For a […]

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Dependence about personality disorder

This can often be heard as an excuse used to avoid offering help to people with personality disorder. Some health care professionals may fear offering services in case it promotes dependence. While dependence can be a genuine problem at times, it is a necessary part of the healing process. Dependence can best be viewed as […]

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Managing alcohol dependence

Managing alcohol dependence Detoxification Alcohol dependence usually requires controlled withdrawal (detoxifi cation) with an attenuation therapy (such as a benzodiazepine), as abrupt cessation of alcohol can induce one of the withdrawal states (Box 14.5). Detoxifi cation is increasingly taking place in the community, but inpatient detoxifi cation is recommended for those at risk of suicide, […]

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Treating opioid dependence

Maintenance, either with methadone mixture (1 mg/mL) or buprenorphine should be the mainstay of management for opioid dependence, certainly until the patient is able and willing to withdraw (‘detoxify’) and achieve abstinence. Methadone maintenance treatment has been shown to be effective in reducing health, criminal and social harms in trials, including many randomised, doubleblind studies. […]

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Dependence syndrome

The dependence syndrome is a cluster of symptoms, not all of which need be present for a diagnosis of dependence to be made. The key feature is a compulsion to use drugs, which results in overwhelming priority being given to drug-seeking behaviour. Other features are tolerance (need to increase drug dose to achieve desired effect), […]

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