Counseling types (refer to UpToDate content for further discussion of counseling for substance use disorders):
* Stimulant use disorders include cocaine use disorder, methamphetamine use disorder, and diverted pharmaceutical stimulants. Refer to legend for diagnosis and severity of stimulant use disorder.
¶ While we encourage complete and sustained remission from stimulants in all individuals treated for stimulant use disorder, we use shared decision making to establish achievable goals that lead to harm reduction and improvement in quality of life. Patients may find significant improvement in their lives with only a reduction of use.
Δ When contingency management is unavailable, cognitive-behavioral therapy (with intensive outpatient therapy) is an acceptable alternative.
◊ Patients occasionally use more than one stimulant and may be unclear which is the primary problematic one. In these cases we reinforce the need for an accurate history and, after using shared decision making, treatment is directed at the one thought to be the stimulant of primary misuse. There are no safety considerations if the medication used for treatment of cocaine use disorder is used for amphetamine-type stimulants or vice versa.
§ For each agent, we treat and monitor for at least three months prior to deciding on clinical efficacy.آیا می خواهید مدیلیب را به صفحه اصلی خود اضافه کنید؟