Who is the addicted patient? We all know how addicted patients behave, but why do they behave in this manner? In Chapter 1, we describe the physiology of addiction, and in Chapter 3 we present ways to identify addicted patients. However, also understanding who addicted patients really are and why they act in seemingly “insane” ways is of the utmost importance when managing this type of patient in the office-based setting. Three aspects of the addicted patient are especially noteworthy: 1) addiction as a fear-based illness, 2) psychosocial functioning, and 3) the process of denial. We discuss these aspects in this chapter as well. What the primary care physician needs to know about 12-step programs, such as Alcoholics Anonymous, Narcotics Anonymous, and Al-Anon.


Primary Care Physician Psychosocial Functioning Step Program Alcoholic Anonymous Narcotic Anonymous 
These keywords were added by machine and not by the authors. This process is experimental and the keywords may be updated as the learning algorithm improves.


Unable to display preview. Download preview PDF.

Unable to display preview. Download preview PDF.


  1. 1.
    Alcoholics Anonymous Big Book, 4th ed. New York: Alcoholics Anonymous World Services, Inc.; 2002.Google Scholar
  2. 2.
    Pomm HA, Shahady E, Pomm RM. The CALMER approach: teaching learners six steps to serenity when dealing with difficult patients. Fam Med 2004;36(7): 467–469.PubMedGoogle Scholar
  3. 3.
    Alcoholics Anonymous. Twelve Steps and Twelve Traditions. New York: Alcoholics Anonymous World Services, Inc.; 2002.Google Scholar
  4. 4.
    Gold MS (1994). Neurobiology of addiction and recovery: the brain, the drive for the drug, and the 12-step fellowships. J Subst Abuse Treat 1994;11(2): 93–97.PubMedCrossRefGoogle Scholar
  5. 5.
    Pomm HA. Regaining balance after “reality vertigo:” teaching learners to attend to the psychological aspects of patients with chronic, nonmalignant pain. Fam Med 2006; 38: 86–89.PubMedGoogle Scholar

Copyright information

© Springer Science+Business Media, LLC 2007

Personalised recommendations