What you need to Know about addiction

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What you need to Know about addiction

  1. 1. 19THWONCA WORLD CONFERENCE OF FAMILY DOCTORS<br />Mental Health Skills Training Workshop<br />Pedro Camacho<br />Asistant Director<br />InstitutoMexiquense contra lasAdicciones<br />Estado de México<br />pcamacho4.4@gmail.com<br />InstitutoMexiquense<br />Contra lasAdicciones<br />
  2. 2. 19THWONCA WORLD CONFERENCE OF FAMILY DOCTORS<br />Mental Health Skills Training Workshop<br />AIM:<br />Makeyoufeelcraving<br />Only on addiction knowledge<br />InstitutoMexiquense<br />Contra lasAdicciones<br />
  3. 3. What do I need to Know?<br />
  4. 4. The 10 most important things known about addiction<br />Addiction is fundamentally about compulsive behaviour(disorder)<br />Compulsive drug seeking is initiated outside of consciousness<br />Addiction is about 50% heritableand complexity abounds<br />Most people with addictions who present for help have other psychiatric problems as well (Co-occurrency)<br />Addiction is a chronic relapsing disorder<br />Different psychotherapiesappear to produce similar treatment outcomes<br />‘Come back when you’re motivated’ is no longer an acceptable therapeutic response<br />The more individualized and broad-based the treatment a person with addiction receives, the better the outcome<br />Epiphanies are hard to manufacture<br />Change takes time<br />
  5. 5. The 10 most important things known about addiction<br />Addiction is fundamentally about compulsive behaviour(disorder)<br />Compulsive drug seeking is initiated outside of consciousness<br />Addiction is about 50% heritableand complexity abounds<br />↑ Orbitofrontalactivation (FDG-PET) in active cocaine users<br />↓ Activation prefrontal/anterior cingulatecortex (FDG-PET) in abstinent cocaine users<br />
  6. 6. The 10 most important things known about addiction<br />Most people with addictions who present for help have other psychiatric problems as well (Co-occurrency)<br />Always discardcomorbidity (Depression, anxiety, cognitive disorders)<br />Addiction is a chronic relapsing disorder<br />If you want to help people with addiction…<br /> “you have to develop frustration tolerance”<br />Different psychotherapies appear to produce similar treatment outcomes<br />Don’t fight each other<br />Addictión thinks: “Divide and conquer the enemy”<br />
  7. 7. The 10 most important things known about addiction<br />‘Come back when you’re motivated’ is no longer an acceptable therapeutic response<br />Reduce treatment GAP… Get closer<br />If the mountain will not come to Mohammed, Mohammed goes to mountain<br />The more individualized and broad-based the treatment a person with addiction receives, the better the outcome<br />Collaborative work (Think as if you win a football game)<br />Epiphanies are hard to manufacture<br />Change takes time<br /> “you have to develop frustration tolerance” (again)<br />
  8. 8. startfeelingcraving???<br />
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  16. 16. The most important things known aboutaddiction (Family Doctors)<br />What is the“addictive substance” of higher prevalence and impact on the world?<br />You can treat anxiety, insomnia and depression without benzodiazepines<br />Question purposefully the presence of substance abuse<br />“5 A's” model (tobacco). Just like vital signs (always on clinical record)<br />Ask (Presence)<br />Advise (Health risk accord age and status)<br />Assess willingness to make a quit attempt<br />Assist in quit attempt<br />Arrange followup (“D” day, Addiction REHAB centre)<br />http://www.ncbi.nlm.nih.gov/bookshelf/br.fcgi?book=hsahcpr&part=A28163<br />
  17. 17. The most important things known aboutaddiction (Family Doctors)<br />Get closer to addiction field<br />They need family physicians<br />Reduce the treatment GAP (therefore disability)<br />Use “love and discipline”<br />Be empathetic<br />Learn to set limits<br />The first to teach “your own attitude”<br />Love your self<br />Put limits to your self<br />
  18. 18. The most important things known aboutaddiction (Family Doctors)<br />The first to teach “your own attitude”<br />Love your self<br />Put limits to your self<br />
  19. 19. A leader is one who makes<br />LEADERS<br />Pedro Camacho<br />pcamacho4.4@gmail.com<br />

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