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Doctor insights on: Discharge Summary For Substance Abuse

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What are the DSM criteria for substance dependence and alcohol abuse?

What are the DSM criteria for substance dependence and alcohol abuse?

Addiction: Alcohol/drugs can be robustly abused by someone but as long as the person is not addicted to it, and doesn't miss it after putting it down, the diagnosis is alcohol abuse. If, however, the person feels either physically or psychologically addicted/dependent on it and either cannot go a day without it, or binge drinks uncontrollably the diagnosis is alcohol dependence. ...Read more

Dr. Vasu Brown
267 doctors shared insights

Substance Abuse (Definition)

Substance abuse refers to a dependence on a harmful or addictive substance, most often drugs or alcohol. The substance is often used to suppress difficult feelings and results in impaired intimate and work relationships. Substance abuse is diagnosed by observing the pattern of use, looking for tolerance, and withdrawal upon halting the use of the substance. Recovery begins with the substance abuser admitting being out of control and ...Read more


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What times of services does a substance abuse counselor provide?

What times of services does a substance abuse counselor provide?

Go2asap.com: A substance abuse counselor will work with clients on their addiction to things like alcohol, marijuana, opiates, methamphetamine, or any other substance.  substance abuse psychologists are commonly referred to as chemical dependency counselors or addictions counselors, too. An alcohol counselor often works with clients on other addictions like sex and gambling, as well. ...Read more

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Any substance abuse treatment centers for people with ketamine addiction?

Any substance abuse treatment centers for people with ketamine addiction?

AAC: Ketamine is gaining popularity as a club drug between young adults. Separate perception from sensation. Call american addiction centers at 866- 572-1806. ...Read more

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Is drug abuse considered a matter of public health?

Is drug abuse considered a matter of public health?

Drug abuse: Yes it most certainly is. Due to this there is a flurry of legislation, guidelines, restrictions that will ultimately impact on the use of medications to the detriment of the patients. ...Read more

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Is substance abuse a form of mental illness?

Is substance abuse a form of mental illness?

Both: Mental illness and substance abuse (sa) can be co- occurring disorders. Sa by itself can be seen as a mental illness. Some conditions like depression and anxiety can be causative factors or can be as a result of the substance being used. However the chemical dependency is usually treated first. Then it is easier to know if its a cause or an effect. Getting clean is the path as u treat the others. ...Read more

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Who coined the term substance abuse (ie, alcoholism, legal and illegal drug abuse, etc.)?

Who coined the term substance abuse (ie, alcoholism, legal and illegal drug abuse, etc.)?

Not clear: The term alcoholism was originally coined in 1849 by magnus huss. Untill the 1940s it referred primarily to the physical consequences of long-term heavy drinking. I am not sure about the term substance abuse. ...Read more

Dr. Timothy Re Dr. Re
5 doctors agreed:
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What can be done for substance abuse as a coping mechanism for depression?

Dr. Timothy Re Dr. Re
5 doctors agreed:
What can be done for substance abuse as a coping mechanism for depression?

Treat the depression: Traditionally if someone had both addiction and depression, we treated the addiction first. However if someone is abusing drugs as an attempt to self medicate, it makes sense to treat what is primary. Getting help for depression may be most helpful. ...Read more

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What does a substance abuse evaluation consist of?

What does a substance abuse evaluation consist of?

See below: Current drug use, any withrawal, coexistant medical and psych issues, assess patients motivation for change. ...Read more

Dr. Timothy Re Dr. Re
6 doctors agreed:
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Which types of questions would a drug and alcohol abuse counselor ask a client?

Dr. Timothy Re Dr. Re
6 doctors agreed:
Which types of questions would a drug and alcohol abuse counselor ask a client?

Depends: Generally an evaluation consists of questions about a persons relationship to drug use. This usually involves a good history, patterns , consequences etc. We try to understand what has the person had experienced in all spheres of life and who they are in this and why. ...Read more

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What roles does medication play in substance abuse treatment?

What roles does medication play in substance abuse treatment?

Abuse treatment: Medications used during substance abuse treatment have to do with receptor blockage to prevent further opioid effects and others treat the side effects associated with opioid withdrawal. ...Read more

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Thought medical marijuana for serious illness like cancer. Saw a cnn episode in california where md's were prescribing for anxiety & insomnia. Abuse?

Thought medical marijuana for serious illness like cancer. Saw a cnn episode in california where md's were prescribing for anxiety & insomnia. Abuse?

quandary!: As a california physician, this alarms me. To my knowledge, these are not evidence-based practices. Just because a substance is legal, it does not make it a safe medical agent. Marajuana is associated with potentially permanent harmful brain changes that have been clinically determined only to be worth the risk for patients with terminal cancer or severe, treatment refractory pain conditions. ...Read more

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I'm wondering why are medications needed for substance abuse treatment?

I'm wondering why are medications needed for substance abuse treatment?

Addiction treatment: There are three big reasons to use medications for substance abuse. First, to block receptors and prevent further effects of the abused drug. Secondly, to treat the withdrawl effects of the substance being abused and thirdly to treat the craving of the drug which will lead up to long term abstinence from drug abuse. ...Read more

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Please suggest a positive (work?)book to help: born w/adhd, years of physical/emotion/sexual abuse by parent, now has c ptsd, bipolar 2, & borderline.

Please suggest a positive (work?)book to help: born w/adhd, years of physical/emotion/sexual abuse by parent, now has c ptsd, bipolar 2, & borderline.

Possibility: This sounds like an extremely complex situation that would benefit more from working individually with an experienced psychologist or psychiatrist. However, the mind-body workbook for ptsd by block(s) may be a nice accompaniment to your own more individualized therapy. Good luck to you. ...Read more

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How high is the percent of substance abusers have a mental health disorder?

How high is the percent of substance abusers have a mental health disorder?

100%: Sorry to sound flippant, but officially, i think it's true. If you really mean "abuse" and not periodic over-doing it - it is a diagnosis and really needs treatment to resolve it. Often that treatment can be a 12 step program. But you might mean a dual diagnosis, and while i expect it is quite a high %, it could be that a person is not suffering another disorder too. ...Read more

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How can I find substance abuse treatment center information in maine?

SAMSHA: The substance abuse mental health administration has an online tool, and a help line. http://www.samhsa.gov/treatment. ...Read more

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What are the risk factors for Substance abuse?

What are the risk factors for Substance abuse?

Risk factors: Male gender, family history of substance use especially in a parent or sibling, personal history of mental illness especially if untreated, personal history of stressors such as loss of employment, etc. Other risk factors may depend upon specific substances. If you are concerned about substance use issues, please seek help with a mental health professional for an evaluation. ...Read more

Dr. Alan Ali Dr. Ali
1 doctor agreed:
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How is substance abuse diagnosed?

Dr. Alan Ali Dr. Ali
1 doctor agreed:
How is substance abuse diagnosed?

Substance abuse: Signs and symptoms depending on the substance and pattern of use, plus urine drug screen. ...Read more

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What does a substance abuse evaluation consist of?

See below: Current drug use, any withrawal, coexistant medical and psych issues, assess patients motivation for change. ...Read more

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My wife thinks I should see someone for my substance abuse. Should i?

My wife thinks I should see someone for my substance abuse. Should i?

Hmmm: Why does she think you need substance abuse treatment? Do you have problems with alcohol or drug abuse? Have you been asked by a doctor or family member to curtail your drug/alcohol use? Have you had dui's? Is there a problem with keeping a job or managing finances? Are there problems with the marriage or physical abuse? ...Read more

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What are the early signs of substance abuse?

Depends: There are different substances which are used and abused ranging from cigarettes, alcohol, prescription narcotics and of course illicit drugs! if the question is being asked there is a good chance abuse is involved! symptoms depend on the substance. ...Read more

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What's substance abuse or chemical dependence?

What's substance abuse or chemical dependence?

Maladaptive pattern: Substance abuse, also known as drug abuse, is a maladaptive patterned use of a substance (drug) in which the user consumes the substance in amounts or with methods not condoned by medical professionals. Substance abuse/drug abuse is not limited to mood-altering or psycho-active drugs. Activity is also considered substance abuse when inappropriately used(as in steroids for performance enhancement). ...Read more

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Which neurotransmitters are linked with substance abuse disorder?

Depends on drug: Dopamine, serotonin are affected by stimulants like cocaine, meth. Endorphins affected by downers like heroin, opioids. Gaba affected by benzo. ...Read more

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How good are substance abuse treatments?

Effective treatment: This is all relative to the the program and more importantly the patients willingness to get his/her life back. A very effective program exists in michigan through the eagle advancement institute called the clarity program. Check it out. ...Read more

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What are the treatments for Substance abuse?

Treatment is: targeted not only to the substance, but also for the patient’s lifestyle. Treatment for say, a married patient with opiate use disorder who works several jobs will be different from a patient who suffers with alcohol use disorder who has a different lifestyle for example. There are various pharmacological, individual, and group interventions available for substance use disorders. ...Read more

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Do you think substance abuse can be defense mechanism ?

Yes, but a poor one: Many if not most people with substance abuse come from dysfunctional families & suffer from anxiety &/or depression. Many are very sensitive souls.They use substances as a way to escape, emotionally numb themselves & self-medicate.Unfortunately, substance abuse not only fails to solve their problems but adds to them.Counseling, appropriate medications/herbs/supplements & meditation will help more. ...Read more

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How does substance abuse affect people mind and bodies?

How does substance abuse affect people mind and bodies?

List is extensive: Depending on the drug, the amount and duration used their is a vast array of effects. Drugs can make you feel great, energetic and self confident. Then again, it can cause depression, shame, guilt, hopelessness, lethargy, psychosis, bad judgement. Seizures, coma, hepatitis brain damage, stroke, death by heart attack, suicide or overdose.. Many get addicted and can't stop. Please don't start now, . ...Read more

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Do substance abuse patients usually share any common traits?

Do substance abuse patients usually share any common traits?

Yes: Persons with addictions have unique personalities just like people without, so without out giving specific labels, i would say that people with addictions lack coping skills to deal with feelings and emotions, to regulate them in a healthy way. Vicious cycle, the worse the addiction less able to regulate feelings, less able to regulate feelings need to use more to numb them out. ...Read more

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Can you tell me about drug or substance abuse counselor jobs?

What do you want to: know about them? In the old days, such jobs were universally held by people who were themselves in recovery and did not necessarily have training or degrees. Now they are mostly certified positions, with licensing requirements that vary state to state, and include people with Master's and Doctoral degrees as well. Pay isn't always great, work is long and hard, but they can be very rewarding. ...Read more

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Describe how addiction differs from substance abuse ? isnt it the same

Describe how addiction differs from substance abuse ? isnt it the same

Dependence: Abuse: periodic heavy use that negatively impacts life (I.e., weekend binge drinker who gets one or more DUIs)., but no physical/psychological dependence. Addiction: person experiences negative life outcomes from use as well as needs the substance to function, and has physical/psychological dependence - goes through withdrawal without substance and is preoccupied with use. ...Read more

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Dr. Alan Ali Dr. Ali
1 doctor agreed:
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Can I recover from a substance abuse disorder without formal treatment?

Dr. Alan Ali Dr. Ali
1 doctor agreed:
Can I recover from a substance abuse disorder without formal treatment?

Substance use: Unlikely, unless it affected your health and you are strong willed. ...Read more

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Can I be a substance abuse counselor if I myself have never abused substances?

Can I be a substance abuse counselor if I myself have never abused substances?

Absolutely: Absolutely. You don't have to use or abuse alcohol or drugs to be a substance abuse counselor. Your talent to understand and help people with addiction is what it counts. ...Read more

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Can celexa (citalopram) help at all to break substance abuse problems to pills?

Can celexa (citalopram) help at all to break substance abuse problems to pills?

Celebs: Celexa (citalopram) may help treat depression and indirectly help your substance abuse. Work with a team of doctors psychologists friend aa church spirituality. Etc. Don't be alone. There many ways to help. ...Read more

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Can substance abuse problems affect male fertility? 25yr)using 8yrs.Help please

Can substance abuse problems affect male fertility? 25yr)using 8yrs.Help please

See a drug counselor: It depends on what kind of substances you have used. Marijuana has been linked to decreased libido, impaired ejaculation, low sperm count and abnormal sperm mobility in males. You should discuss your history with a drug and alcohol counselor. Consider enrolling in an inpatient or outpatient program for best results. ...Read more

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How long does it take to become a substance abuse nurse if you haven't started nursing school?

How long does it take to become a substance abuse nurse if you haven't started nursing school?

Depends: Nursing degrees span the educational spectrum. From two year LPN progams to 3 year rn training, to 4 year bsn (bachelors degree), 6 year master's degree programs (msn), to 8 year nurse practitioner programs. These are great fields and have abundant opportunities for success, advancement and being socially redeeming. To do alcohol & drug treatment, you'll need another two years. ...Read more

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What's the best way when afraid to admit you need help with substance abuse addiction that works and helps get you in the right direction?

What's the best way when afraid to admit you need help with substance abuse addiction that works and helps get you in the right direction?

Asking for help: This is a good start on the internet, however the next step can cause more anxiety but once you do it you will be glad you did. Call someone and make an appoinment for help, be that your doctor, couselor, going to an aa or na meeting, perhaps even contacting a inpatient or out patient rehab. Make that call, you can do it, it does get better with help, and there is lots of help out there. ...Read more

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Dr. Alan Ali Dr. Ali
1 doctor agreed:
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How is substance abuse diagnosed?

Dr. Alan Ali Dr. Ali
1 doctor agreed:

Substance abuse: Signs and symptoms depending on the substance and pattern of use, plus urine drug screen. ...Read more

Discharge (Definition)

Discharge can be a noun or a verb; it has multiple meanings in physics, chemistry, military, and legal usage. The most common medical meaning is a substance that is being excreted. Examples: pus is the discharge from a pimple; a vaginal discharge can mean infection; an ear discharge can mean an infection of the outer ear tract; a nasal discharge ...Read more


Dr. Peter Kurzweil
168 doctors shared insights

Drug Problems (Definition)

occur when use of either illicit , prescription or over - the - counter medications negatively ...Read more