Psychiatric consequences

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  • As a drug of abuse methamphetamine (MA) has received tremendous press, much of which has been inaccurate. For example people do not become addicted to MA after one exposure; it is not inherently more reinforcing than other drugs with abuse potential. Moreover, treatment for MA addiction can be effective; in fact it often appears to be as effective as treatment for cocaine addiction (e.g., Copeland & Sorensen, 2001; Luchansky et al., 2007). That is not to say, of course, that MA is benign. It is an incredibly dangerous drug.

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  • This book is based in part on presentations delivered at the 11th World Congress of Psychiatry (Hamburg, Germany, 1999). Consequently, the writing is scholarly and most passages are saturated with technical terminology. Readers not accustomed to academic works will find these essays challenging.

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  • The mental health consequences of disasters have been the subject of a rapidly growing research literature in the last few decades. Moreover, they have aroused an increasing public interest, due to the dramatic impact and the wide media coverage of many recent disastrous events—from earthquakes to hurricanes, from technological disasters to terrorist attacks and war bombings.

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  • Consequences of agitation include self-extubation, removal of IV catheters, dyssynchrony with mechanical ventilation, and, perhaps, a long-term risk of psychiatric problems, such as delirium and posttraumatic stress disorder can be prevented by a proper sedation. Prolonged and excessive sedation are problematic too, interfering with weaning from mechanical ventilation and leading to increased rates of nosocomial pneumonia, prolonged ICU stays, and difficulty identifying new problems, such as myocardial infarction or stroke....

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  • 432 NEUROLOGIC DISEASE IN WOMEN insomnia, and anxiety. Less than half of these cases are correctly identified as alcohol-related. Women are also more likely to be admitted to non–alcohol-specific treatment, such as general psychiatric units rather than conventional alcohol treatment services (81) and are more likely to drop out of treatment (85). Because female alcoholics often have low self-esteem and feelings of shame and embarrassment, they may balk at confrontational techniques and require more supportive and skill-building approaches.

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