The Addicted Patient
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.
KeywordsPrimary Care Physician Psychosocial Functioning Step Program Alcoholic Anonymous Narcotic Anonymous
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