Mental health articles

OF mental health care and mentally ill

How to treatment of borderline personality disorder

Treatment of borderline personality disorder as follows: Psychological approaches Treatment of people with borderline personality is not easy, and there are relatively few controlled trials examining the effects of therapy. Roth and Fonagy tried to establish some overall goals of therapy and guidelines for who may benefi t from it most. They suggested the following: […]

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Treating opioid dependence

Maintenance, either with methadone mixture (1 mg/mL) or buprenorphine should be the mainstay of management for opioid dependence, certainly until the patient is able and willing to withdraw (‘detoxify’) and achieve abstinence. Methadone maintenance treatment has been shown to be effective in reducing health, criminal and social harms in trials, including many randomised, doubleblind studies. […]

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Withdrawal from non-opioid drugs

To withdraw a patient from any benzodiazepine, fi rst convert the misused drug into an equivalent dose of diazepam, chosen because of its long half-life. Reduce the diazepam dose by 2 mg a fortnight over a period of two to six months. Even those individuals on large amounts of benzodiazepines can be reduced fairly rapidly. […]

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Dependence syndrome

The dependence syndrome is a cluster of symptoms, not all of which need be present for a diagnosis of dependence to be made. The key feature is a compulsion to use drugs, which results in overwhelming priority being given to drug-seeking behaviour. Other features are tolerance (need to increase drug dose to achieve desired effect), […]

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Clinical conditions associated with drug misuse

Acute intoxication: may be uncomplicated or associated with bodily injury, delirium, convulsions or coma. Includes ‘bad trips’ due to hallucinogenic drugs Harmful use: a pattern of drug misuse resulting in physical harm (such as hepatitis) or mental harm (such as depression) to the user. These consequences often elicit negative reactions from other people and result […]

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Sexual variations and deviations

Sexual variations and deviations Paraphilias are problems arising from sexual preferences that are unwelcome to the patients, to others or to society at large. They represent modifi cations of the capacity for erotic response to another adult and can be understood as a disconnection between sex and affection. Most paraphilias involve behaviours that play a […]

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Behaviour therapy for paedophilia

Behaviour therapy for paedophilia Both aversion therapy and masturbatory reconditioning methods have been used in the treatment of paedophilia. In aversion therapy, an inappropriate sexual stimulus is paired with an aversive event such as mild electric shock or strong aversive odour. This process is thought to condition a negative emotional state to the presence of […]

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Relapse prevention for paedophilia

Relapse prevention for paedophilia Relapse prevention involves teaching the individual to do the following: identify situations in which they are at high risk of offending behaviour get out of the risky situation consider lapses as something to be learned from identify factors that led to relapse and plan how these could be avoided in the […]

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Case for paedophilia

Case for paedophilia Mr J was a 30-year-old man, admitted to hospital as a result of a period of severe depression. Prior to his depression he had been a teacher in a school in the north of England. Although there was no evidence that he had engaged in paedophile acts with any children, his name […]

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What if the person does not improve?

If the person’s condition does not improve, consider the following possible reasons for this: • Poor compliance. Make sure the person has understood thedosage and reason for the prescription. Poor compliance with medicines may occur because the person feels better and decides that there is no more need for medicines. Another reason may be that […]

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