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General Treatment Principles 

General Treatment Principles
Chapter:
General Treatment Principles
Author(s):

Darius A. Rastegar

and Michael I. Fingerhood

DOI:
10.1093/med/9780190214647.003.0003
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date: 03 April 2020

There are a wide variety of modalities used for treatment of substance use disorders (SUD). Although substances vary widely in their effects, there are common themes and approaches for treatment of SUDs. Most SUD treatment can be roughly divided into two types of modalities: (1) psychosocial treatment, which includes brief interventions, self-help groups, counseling (either individual or group), cognitive-behavioral therapy, mindfulness-based treatment, and analytic psychotherapy; and (2) pharmacotherapy, which includes drug antagonists or agonists and other agents. These treatments are not mutually exclusive; the best approach in many cases is a combination of therapeutic modalities. The chapter concludes with a discussion of issues that arise in therapeutic studies and guidelines for evaluating them.

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