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Diagnosis and Treatment Overview E-mail

Diagnosis
Doctors and clinicians do experience problems with properly diagnosing the occurrence of substance abuse in your troubled teenager. Several methods may be applied in the diagnosis. These may be empirical, like medical tests for urine and blood samples or through obtaining vital information of the patient’s history from those close to the child, like school teachers, parents, or peers. Observation of present actions or behavioral patterns may also be used.

Difficulty may particularly ensue when your child suffers not only from substance abuse but from a psychiatric disorder as well. When this is the case, a dual diagnosis may be deliberated upon. For complete recovery, both issues must be tackled and relative treatment must occur. Research has shown that substance abuse and psychiatric disorders frequently occur simultaneously or one may lead to the other. For example, disorders such as Post Traumatic Stress Syndrome, Obesessive-Compulsive Disorder, and Attention Deficit Hyperactivity Disorder may lead to abuse of prescribed medication; while substance abuse can concurrently exist with disorders such as schizophrenia, depression, anxiety, and personality disorders.

Treatment
It is suggested to center treatment on the symptoms of substance abuse while co-treating the psychiatric disorder if dual diagnosis occurs. Stabilization of the patient’s physical health must be achieved before focusing treatment for the psychiatric disorder.

The following are aspects to consider regarding substance abuse treatment:
  • Gender
  • Age (stages of development as well as maturity)
  • Social upbringing and principles
  • Psychiatric disorders—Treatment of substance abuse can be affected by an existing psychiatric disorder. This disorder must be treated as well for it may hinder the complete recovery from addiction of the patient
  • Role of the Family—Family members can actually make a situation better or worse for the patient involved. If active participation of a family member is recommended than his compliance or non-compliance could mean the complete recovery or relapse of his child.
Medication

The prescription of medication can depend on dual diagnosis. If a co-existing psychiatric disorder is identified then medication may be prescribed accordingly. Other approaches for treatment can simultaneously be given with medication. Some commonly prescribed medications for substance abuse treatment are the following:
  • Methadone—used to treat heroine addiction
  • Wellbutrin—used to treat marijuana and smoking abuse
  • Naltrexone—used to deal with both opiate and alcohol dependency
Treatment starts with the detoxification of the patient. This depends on the acuteness of the substance dependence and may be accomplished in either an inpatient or outpatient process. After initial detoxification other approaches of treatment may follow:
  • Recognition of co-existing mental disorders and respective treatment
  • Psychotherapy (Individual)
  • Group Therapy
  • Cognitive Therapy
  • Behavior Modification Programs
  • 12-Step types of Programs to prevent relapse