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Physical & Mental Disorder Comorbidity in Substance Users - page 14 / 40

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Initial Management

Alcohol dependence:

Management acute withdrawal - reducing regime benzodiazepines (maximum 7 days)

Engagement with programmes to maintain abstinence: Cognitive Behaviour therapy, motivational enhancement, AA, pharmacotherapy (naltrexone/acamprosate).

Opiate dependence

Manage withdrawal - symptomatic, reducing doses of long-acting opiate or maintenance

Cannabis dependence

Cognitive behaviour therapy, motivational enhancement.

Education about interaction of psychosis and cannabis use

Treat physical and psychosocial complications of substance misuse

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