Addiction Medicine Diagnosis and Treatment Handbook

A Substance-by-Substance Approach to Intoxication, Withdrawal Care, & Medication-Assisted Recovery for Primary Care Providers

von Andrew M. Lerner MD

590 Seiten, Taschenbuch

Kurzbeschreibung des Verlags

Built for primary care clinicians managing intoxication, withdrawal, recurrence, medication treatment, and long-term recovery, this handbook connects addiction neurobiology with the decisions that determine immediate safety and sustained engagement. It moves substance by substance through alcohol, opioids, sedatives, stimulants, nicotine, cannabis, hallucinogens, inhalants, prescription medications, performance-enhancing agents, and mixed exposures, then integrates medical complications, psychiatric comorbidity, pregnancy, adolescence, aging, chronic pain, and practice-system design.The Substance-to-Strategy Decision System organizes each presentation around the clinical state, immediate threat, assessment anchor, treatment strategy, disposition threshold, continuity move, and reasoning trap that matter at the point of care.- Recognize intoxication and overdose syndromes - identify respiratory depression, hyperthermia, dysrhythmia, seizure, delirium, and masked polysubstance toxicity before deterioration.- Stabilize withdrawal safely - separate opioid distress from alcohol or sedative withdrawal that can progress to seizure and delirium.- Initiate medication-assisted recovery - match buprenorphine, methadone, alcohol-use-disorder treatment, nicotine pharmacotherapy, and supervised medication transitions to the patient's clinical state.- Manage continued use without abandoning care - adjust treatment intensity, address recurrence triggers, and preserve effective medication when other substances remain in use.- Treat medical and psychiatric comorbidity concurrently - integrate infection, liver injury, cardiovascular disease, chronic pain, trauma, psychosis, depression, and suicide-risk care.- Adapt treatment for pregnancy, adolescents, older adults, and disability - account for developmental stage, altered physiology, caregiving, polypharmacy, and access barriers.- Apply harm reduction at every encounter - provide naloxone, safer-use counseling, infection prevention, reduced-tolerance warnings, and continuity after overdose or incarceration.- Navigate complex presentations rapidly - use the Substance-to-Strategy Master Navigator to move from substance or symptom to disposition and follow-up.Choose this handbook to make addiction care more precise, safer, and easier to sustain across the full course of illness and recovery.

• Reihe: Independently published
• ISBN: 9798187100989
• Sprache: Englisch
• Erscheinungsdatum: 13.07.2026
• Größe: 279 x 216 mm
• Verlag: Independently published