Relapse

What do you recommend when patients continue to relapse while taking buprenorphine? I recognize that opioid addiction is an illness, so I increase the intensity of treatment if a patient should relapse. However, repeated relapses signify a major problem. Medication-assisted treatment with buprenorphine requires a great deal of self-monitoring (self-policing). Patients who are unable to self-monitor are still in need of treatment, but at a higher intensity level. Options include treatment at an…

Consequently, there are high relapse rates when the drugs are stopped. Moreover, antidepressant drugs compare unfavorably to cognitive treatment. Patients treated with cognitive therapy have lower relapse rates, particularly if they have been treated with drugs on more than one occasion, which suggests that cognitive therapy may be more appropriate than drug therapy…

In early clinical studies, the drug had an approximated 16% relapse rate for those treated with MDMA-assisted psychotherapy. (Mithoefer et al, 2012). Although these rates are significantly lower when compared current drugs on the market, it raises the overall question on whether MDMA is truly a “one size fits all”…

Another factor that may influence prolactinomas evolution is their natural history. Koppelman et al studied 25 women with untreated hyperprolatinemia for a mean period of 11.3 years. Seven of 22 patients with amnorreia resumed menses spontaneously. Galacthorrea resolved completely in 8 of 19. At the reevaluation, mean PRL levels decrease from 225 µg/L, to 155 µg /L. One patient had a slight progression of sellar abnormality. (G) Sisam et al (H) found that nearly 55% of 38 patients with untreated…

Sometimes limits aren’t so troublesome. Without limits for a ruler, that ruler would turn into a tyrant. In the late 1770’s, our Founding Fathers were trying to give birth to an idea that would protect our natural rights, and prevent tyranny. When writing the Constitution, the first draft was actually the Articles of Confederation. However, the government was not very sturdy, and fell apart dreadfully and quickly. In 1786, six out of the thirteen states sent delegates to a conference in…

Cognitive-Behavioral Treatment (CBT) a client is taught to analyze and after that change the “attributional processes” that promotes to “emotional upset stemming from his or her delusions” (Regehr & Glancy, 2014, p. 166). According to the textbook, there is three-stage model of the intervention of Cognitive-behavioral treatment (Regehr & Glancy, 2014, p. 165). The first two stage have a connection to one another in the process of delivering therapy. During the first stage, the “therapist…

Primary Counselor met with Pt. for his monthly individual counseling session. Counselor and Pt. discussed his progress in recovery, his medication compliance and side effects, any personal concern and/or problems and current car accident. Pt. reported that he has been arguing with his girlfriend over money issues. Pt. indicated that his current prescribed medication is working well. Pt. is taking 8 mg of subutex and he is on a stable dose. Pt. denied having any medication side effects. Pt.…

“How to Help Someone with an Opioid Addiction” is a essay shared by Kelly Gallagher. The author explains how to help someone with an opioid addiction. He provides evidence, reasoning, and appeals to emotion. I’m using this these topics because it shows the author explaining how to help someone with an addiction. The overall meaning of this article is to teach someone how to help someone else with an opioid addiction. How to help them to become sober, how to find treatments, to help prevent the…

Although there is currently no known cure for schizophrenia, many medications be it antipsychotic, antidepressant, and anticonvulsant drugs are used to help prevents delusions and hallucinations. Several therapy and support services are also available to help not only schizophrenics, but also their families and close friends through difficult times. I. Medications: First and second generation antipsychotic medications are used to reduce anxiety and agitation as well as prevent hallucinations…

Identification of bipolar disorder has been part of the medical field since the 1850s when Jean-Pierre Falret, a psychiatrist, published an article about “circular insanity”. Being the first documented diagnosis, the article talks about how a person will feel ecstatic one moment yet at another moment, they are feeling depressed. They are experiencing a serious mental illness called bipolar disorder or mania-depression, where mood swings happen at sudden periods of time. There are many various…