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The Treatment Of Psychiatric Disorders, 3rd Edition by Beverly J. Sutton, George U. Balis, William H. Reid

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CHAPTER 14

 

WITHDRAWAL/­DETOXIFICATION

 

 

 

Withdrawal includes all manifestations of the “abstinence sickness” except delirium. Common symptoms include anxiety, restlessness, irritability, insomnia, and impaired attention. The nature of the substance determines additional symptoms. The course is generally self-limited, unless it becomes complicated with delirium or seizures (e.g., in severe alcohol or sedative, hypnotic, anxiolytic withdrawal).

GENERAL TREATMENT PRINCIPLES

The treatment goal is to eliminate physiological dependence without allowing the development of the withdrawal syndrome. This procedure is based on decreasing doses, either of the abused drug or one that is cross-tolerant to it. Loss of physiological dependence does not ...

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