The treatment of stimulant dependence.
Rehabilitation efforts offered to individuals with stimulant dependence incorporate a series of maneuvers to accomplish three major goals. Following active detoxification, most clinicians attempt to: (1) increase motivation for abstinence and maintain a high level of commitment to this goal; (2) help individuals to rebuild a stable life-style without substances; and (3) actively work toward ways of decreasing the probability of relapse (relapse prevention). While these activities incorporate education, counseling, outreach to families and exposure to self-help groups (e.g. Cocaine Anonymous), numerous pharmacological approaches have been tested. Each mode of drug therapy is based on a reasonable hypothesis, but appropriately controlled and structured clinical trials have not yet revealed any pharmacological approach for rehabilitation of stimulant-dependent individuals for which the risks have been shown to outweight the assets.
Veterans Affairs Medical Center, San Diego, CA 92161.
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Schuckit
D000662:Amphetamines / Q000009:adverse effects; D000697:Central Nervous System Stimulants / Q000009:adverse effects; D003042:Cocaine / Q000009:adverse effects; D003131:Combined Modality Therapy; D006801:Humans; D012008:Recurrence; D019966:Substance-Related Disorders / Q000534:rehabilitation*
D000662:Amphetamines; D000697:Central Nervous System Stimulants; D003042:Cocaine