Substance Use Disorders

H. Thomas Milhorn, MD, PhD

Director, Didactics Section

East Central HealthNet Family Medicine Residency Program

Meridian, Mississippi

Formerly Professor of Family Medicine, Professor of Physiology and Biophysics, and

Associate Professor of Psychiatry and Human Behavior

University of Mississippi School of Medicine

Jackson, Mississippi

This practical and timely book provides comprehensive, state-of-the-art guidance on how primary care clinicians can best care for patients with substance use disorders. The book covers the major drugs of abuse, as well as the more recent ones, detailing the biology of various addictions and all dimensions of clinical diagnosis and management. It is organized in four parts: (1) The Basics, (2) Psychoactive Substance Dependencies, (3) Diagnosis, Treatment, Recovery, Relapse, and the Family, and (4) Special Groups. Part I, The Basics, consists of an overview, the various definitions of substance dependence, and the pharmacology of addictive substances. Chapter 1, Overview, is an introductory chapter that covers material common to the entire field of substance dependence. Chapter 2 covers the various definitions of substance dependence, and Chapter 3 reviews the pharmacology of addictive substances. Part II, Psychoactive Substance Dependencies, explains the various drug dependencies-alcohol dependence, sedative-hypnotic dependence, opioid dependence, stimulant dependence, nicotine dependence, cannabis dependence, dissociative dependence, inhalant dependence, hallucinogen dependence, and anabolic steroid dependence. Part III addresses diagnosis, treatment, recovery, relapse, and the family. Part IV, Special Groups, discusses substance dependence in women, adolescents, the elderly, ethnic minority groups, co-occurring disorders, LGBT patients, HIV positive patients, and the impaired physician. In addition to primary care physicians, Substance Use Disorders: A Guide for the Primary Care Provider will serve as an invaluable resource to primary care nurse practitioners and physician assistants, as well as medical students, primary care residents, emergency medicine physicians, ASAM and APA certified addictionists and those studying for certification in those specialties, psychiatrists, psychologists, and alcohol/drug counselors.

Part I. The Basics.- Chapter 1. Overview.- Chapter 2. Definitions of Substance Dependence.- Chapter 3. Pharmacology of Psychoactive Substances.- Part II. Psychoactive Substance Dependencies.- Chapter 4. Alcohol Dependence.- Chapter 5. Sedative-hypnotic Dependence.- Chapter 6. Opioid Dependence.- Chapter 7. Stimulant Dependence.- Chapter 8. Nicotine Dependence.- Chapter 9. Cannabis Dependence.- Chapter 10. Dissociative Drug Dependence.- Chapter 11. Inhalant Dependence.- Chapter 12. Hallucinogen Dependence.- Chapter 13. Anabolic Steroid Dependence.- Part III: Diagnosis, Treatment, Recovery, Relapse, and the Family.- Chapter 14. Diagnosis.- Chapter 15. Treatment.- Chapter 16. Recovery.- Chapter 17. Relapse.- Chapter 18. The Family.- Part IV. Special Groups.- Chapter 19. Women.- Chapter 20. Adolescents.- Chapter 21. The Elderly.- Chapter 22. Other Groups.- Chapter 23. The Impaired Physician.