- Preface
- Foreword
- Acknowledgements
- Editors and authors
- Contributors
- Symbols and abbreviations
- Chapter 1 The nature of addictive disorders
- Chapter 2 Epidemiology and prevention
- Chapter 3 Pharmacology and pathophysiology
- Chapter 4 The scope of intervention
- Chapter 5 Establishing the diagnosis
- Chapter 6 Acute care
- Chapter 7 Ongoing management of substance use disorders
- Chapter 8 Tobacco
- Chapter 9 Alcohol
- Chapter 10 Cannabis
- Chapter 11 Opioids
- Chapter 12 Pain and opioids
- Chapter 13 Benzodiazepines and the other sedative-hypnotics
- Chapter 14 Psychostimulants
- Chapter 15 Hallucinogens and dissociative drugs
- Chapter 16 Other drugs
- Chapter 17 Polysubstance use
- Chapter 18 Injecting drug use
- Chapter 19 Gambling
- Chapter 20 Gaming
- Chapter 21 Other addictive disorders
- Chapter 22 Psychiatric co-morbidity
- Chapter 23 Specific clinical situations
- Chapter 24 Special populations
- Chapter 25 Substance use and specific healthcare settings
- Chapter 26 Legal and ethical issues
- Chapter 27 Resources
- Index
(p. 67) Establishing the diagnosis
- Chapter:
- (p. 67) Establishing the diagnosis
- DOI:
- 10.1093/med/9780198714750.003.0005
Chapter 5 of Addiction Medicine covers how patients with substance use disorders may present in different areas of medical practice and provides definitions and diagnostic criteria for the main diagnostic entities that are included in the international diagnostic and classification systems. With this as background, the principles and practice of eliciting a substance use history effectively are outlined including the measures of use of the substance, the medical and psychiatric history, and antecedent factors. Findings on clinical examination both in general terms and through systematic examination of body systems are presented, together with the key elements of the mental state examination aids the diagnosis includes screen instruments and assessment and diagnostic schedules, and examples of these are noted. The place of diagnosis as the foundation stone for management is emphasized.
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- Preface
- Foreword
- Acknowledgements
- Editors and authors
- Contributors
- Symbols and abbreviations
- Chapter 1 The nature of addictive disorders
- Chapter 2 Epidemiology and prevention
- Chapter 3 Pharmacology and pathophysiology
- Chapter 4 The scope of intervention
- Chapter 5 Establishing the diagnosis
- Chapter 6 Acute care
- Chapter 7 Ongoing management of substance use disorders
- Chapter 8 Tobacco
- Chapter 9 Alcohol
- Chapter 10 Cannabis
- Chapter 11 Opioids
- Chapter 12 Pain and opioids
- Chapter 13 Benzodiazepines and the other sedative-hypnotics
- Chapter 14 Psychostimulants
- Chapter 15 Hallucinogens and dissociative drugs
- Chapter 16 Other drugs
- Chapter 17 Polysubstance use
- Chapter 18 Injecting drug use
- Chapter 19 Gambling
- Chapter 20 Gaming
- Chapter 21 Other addictive disorders
- Chapter 22 Psychiatric co-morbidity
- Chapter 23 Specific clinical situations
- Chapter 24 Special populations
- Chapter 25 Substance use and specific healthcare settings
- Chapter 26 Legal and ethical issues
- Chapter 27 Resources
- Index