How do you approach managing patients with substance-related and addictive disorders, such as tobacco use disorder or stimulant use disorder?

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Sample interview questions: How do you approach managing patients with substance-related and addictive disorders, such as tobacco use disorder or stimulant use disorder?

Sample answer:

Approach to Managing Substance-Related and Addictive Disorders

1. Comprehensive Assessment:

  • Detailed history of substance use, including patterns, duration, and triggers
  • Physical and mental health evaluation
  • Psychosocial assessment, including social support, relationships, and occupational status
  • Assessment of detoxification risk and withdrawal symptoms

2. Treatment Planning:

  • Develop an individualized treatment plan based on assessment findings
  • Set realistic goals and establish a timeline for care
  • Involve the patient in decision-making and provide psychoeducation

3. Pharmacological Interventions:

  • Medications can assist in detoxification, reduce cravings, and prevent relapse
  • Options include: methadone, buprenorphine, naltrexone, antidepressants, and antipsychotics

4. Psychotherapy:

  • Cognitive Behavioral Therapy (CBT): Focuses on changing maladaptive thoughts and behaviors that contribute to addiction
  • Motivational Interviewing (MI): Encourages the patient to explore their ambivalence and make positive changes
  • Contingency Management: Rewards positive behaviors and reduces negative consequences
  • Dialectical Behavior Therapy (DBT): Teaches skills for managing emotions and preventing self-destructive be… Read full answer

    Source: https://hireabo.com/job/2_1_14/Psychiatrist

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