This document summarizes the key points from a mental health skills training workshop on addiction. It outlines 10 important things known about addiction, including that it is a compulsive disorder initiated outside of consciousness, about 50% heritable, and often co-occurs with other psychiatric problems. It emphasizes the importance of individualized treatment and notes that change takes time. The document then discusses how family doctors can get closer to addiction treatment by addressing common substances of abuse, using screening models, reducing treatment gaps, and maintaining empathy while setting limits.
2. 19THWONCA WORLD CONFERENCE OF FAMILY DOCTORS Mental Health Skills Training Workshop AIM: Makeyoufeelcraving Only on addiction knowledge InstitutoMexiquense Contra lasAdicciones
4. The 10 most important things known about addiction Addiction is fundamentally about compulsive behaviour(disorder) Compulsive drug seeking is initiated outside of consciousness Addiction is about 50% heritableand complexity abounds Most people with addictions who present for help have other psychiatric problems as well (Co-occurrency) Addiction is a chronic relapsing disorder Different psychotherapiesappear to produce similar treatment outcomes âCome back when youâre motivatedâ is no longer an acceptable therapeutic response The more individualized and broad-based the treatment a person with addiction receives, the better the outcome Epiphanies are hard to manufacture Change takes time
5. The 10 most important things known about addiction Addiction is fundamentally about compulsive behaviour(disorder) Compulsive drug seeking is initiated outside of consciousness Addiction is about 50% heritableand complexity abounds â Orbitofrontalactivation (FDG-PET) in active cocaine users â Activation prefrontal/anterior cingulatecortex (FDG-PET) in abstinent cocaine users
6. The 10 most important things known about addiction Most people with addictions who present for help have other psychiatric problems as well (Co-occurrency) Always discardcomorbidity (Depression, anxiety, cognitive disorders) Addiction is a chronic relapsing disorder If you want to help people with addiction⊠âyou have to develop frustration toleranceâ Different psychotherapies appear to produce similar treatment outcomes Donât fight each other AddictiĂłn thinks: âDivide and conquer the enemyâ
7. The 10 most important things known about addiction âCome back when youâre motivatedâ is no longer an acceptable therapeutic response Reduce treatment GAP⊠Get closer If the mountain will not come to Mohammed, Mohammed goes to mountain The more individualized and broad-based the treatment a person with addiction receives, the better the outcome Collaborative work (Think as if you win a football game) Epiphanies are hard to manufacture Change takes time âyou have to develop frustration toleranceâ (again)
16. The most important things known aboutaddiction (Family Doctors) What is theâaddictive substanceâ of higher prevalence and impact on the world? You can treat anxiety, insomnia and depression without benzodiazepines Question purposefully the presence of substance abuse â5 A'sâ model (tobacco). Just like vital signs (always on clinical record) Ask (Presence) Advise (Health risk accord age and status) Assess willingness to make a quit attempt Assist in quit attempt Arrange followup (âDâ day, Addiction REHAB centre) http://www.ncbi.nlm.nih.gov/bookshelf/br.fcgi?book=hsahcpr&part=A28163
17. The most important things known aboutaddiction (Family Doctors) Get closer to addiction field They need family physicians Reduce the treatment GAP (therefore disability) Use âlove and disciplineâ Be empathetic Learn to set limits The first to teach âyour own attitudeâ Love your self Put limits to your self
18. The most important things known aboutaddiction (Family Doctors) The first to teach âyour own attitudeâ Love your self Put limits to your self
19. A leader is one who makes LEADERS Pedro Camacho pcamacho4.4@gmail.com