RU2308297C2 - Method for treating patients with different addictions - Google Patents

Abstract

FIELD: medicine.

SUBSTANCE: it is necessary to carry out intensive psychotherapeutic training dealing with motivation to overcome pathological inclination at different addictions. Then one should affect a patient with the Strelkov's hypoxicator for about 3-10 min 3-4 times daily. Maintenance therapy should be carried out in the course of 6-8 seances annually, not less. Moreover, maintenance psychotherapy deals with applying the Strelkov's hypoxicator at simultaneous informing a patient with negative information about aftereffects of pathological addictions.

EFFECT: higher efficiency of therapy.

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Description

The invention relates to medicine and can be used in narcology for the treatment of patients with various addictions.

A widely known method of treating patients with various addictions.

(RU No. 2243757, 2005; RU No. 2148993, 2000; RU No. 2089229, 1997; RU No. 2055602, 1996; RU No. 2142294, 1999)

The closest is a method of treating opium and alcohol dependence by exposure to a physical factor - Strelkov hypoxicator, with which intermittent normobaric hypoxic therapy is performed.

(RU No. 2142294, 1999)

However, this method is not effective enough, because in this method there is no relationship between hypoxic therapy and psychotherapeutic effects on the patient, which does not provide a quick relief of the physical component of drug or other dependence and reliable disposal of patients from the mental component of the dependence.

The aim of the invention is to increase the effectiveness of the treatment and rehabilitation of patients with various addictions - alcoholism, drug addiction, substance abuse, pathological attraction to gambling.

A method of treating patients with various addictions is as follows.

Treatment of patients with various addictions begins with an intensive psychotherapeutic preparation, which consists in strengthening the motivation to overcome the pathological attraction with various addictions. Then carry out the impact on the patient hypoxicator Strelkova for 3-10 minutes 3-4 times a day. In the future, at least 6-8 sessions per year are carried out anti-relapse maintenance therapy, including the use of Strelkov hypoxicator, while at the same time bringing negative information about the consequences of the pathological drive to the patient.

Example 1

Patient B., 25 years old. Anesthesia for about 6 years.

Diagnosis: opium addiction of the second degree.

Upon admission to the hospital, he complained of intense pain in the lower back, lower limbs and large joints, a feeling of chills, fever, palpitations, nausea, severe weakness, irritability, and mood depression.

Appointment: from the first day of treatment, an intensive psychotherapeutic preparation was carried out, which consisted of increasing motivation to abstain from the use of psychoactive substances and to participate in any treatment and rehabilitation programs.

Then the patient was offered to breathe using Strelkov hypoxicator for 3-10 minutes, and then for 5 minutes breathing atmospheric air. During the day, 3-4 procedures.

The prescribed treatment was carried out daily for 7 days. Subsequently, supportive treatment was carried out to refuse the use of psychoactive substances, using psychotherapy and Strelkov hypoxicator 6 sessions per year.

The patient was under observation for 12 months. During this period I did not take drugs, there is no expressed attraction to them.

Example 2

Patient A., 30 years old. Alcoholism.

Heredity: father abused alcohol, was treated by a private doctor. The early development of the patient without features. He graduated from high school and construction college. He did not serve in the army due to the fact that he had a logoneurosis. He has been drinking alcohol since he was 14 years old. Abuses alcohol since 19 years. Drinking periodically for 4-6 days, breaks up to 8-10 days. During the evening he drinks 0.5 liters of vodka. When intoxicated, sociable, verbose, easily comes into conflict; in connection with fights he got into the police. The Palimpsest is intoxicated for two years. Formed alcohol withdrawal syndrome: general weakness, nausea, sometimes vomiting, increased thirst, lack of appetite, craving for alcohol. It is sober with beer or vodka. During binges does not go to work.

Diagnosis: alcohol dependence, stage II.

Appointment: from the first day of treatment, intensive psychotherapeutic training was carried out, which consisted of increasing motivation to abstain from the use of psychoactive substances, including alcohol.

Then the patient was offered to breathe using Strelkov hypoxicator for 3-10 minutes, and then for 5 minutes breathing atmospheric air. During the day, 3-4 procedures.

The prescribed treatment was carried out daily for 7 days. Subsequently, supportive treatment was carried out to refuse the use of psychoactive substances, using psychotherapy and Strelkov hypoxicator 7 sessions per year. As a result of the treatment, the patient normalized family relations, he got a job, does not drink alcohol.

Example 3

Patient M., 28 years old. Substance abuse.

The heredity of mental and narcological diseases is not burdened. In childhood, he was distinguished by increased excitability, incontinence. He studied unevenly, more often received "mediocre" grades. After graduation, he studied at the Pedagogical Institute, which he dropped out in his third year. He claimed that he did not like the chosen profession. He served in the army. After demobilization, married, has a daughter. Family relations are satisfactory. Works as an administrator at a construction site.

Complains of fatigue, memory impairment, attention span, decreased potency. Drinks alcohol no more than 1 time per month, sometimes gets drunk until severe intoxication. He notes that he gets drunk quickly, alcohol tolerance is low.

From the age of 24 he began to use phenazepam in order to relieve tension, improve sleep. At first, during the day I took 7-8 tablets of phenazepam. The last three years, the number of tablets reaches 12-18. Sometimes phenazepam is administered intramuscularly in 2 ml. Repeatedly tried to independently stop the use of phenazepam. More than 3-4 days could not stand, i.e. general irritability, aggressiveness appeared, sleep was upset.

Diagnosis: substance abuse caused by the use of phenazepam.

Purpose: from the first day of treatment, an intensive psychotherapeutic preparation was carried out, which consisted of increasing motivation to abstain from the use of psychoactive substances.

Then the patient was offered to breathe using Strelkov hypoxicator for 3-10 minutes, and then for 5 minutes breathing atmospheric air. During the day, 3-4 procedures.

The prescribed treatment was carried out daily for 7 days. Subsequently, supportive treatment was carried out to refuse the use of psychoactive substances, using psychotherapy and Strelkov's hypoxicator for 8 sessions per year.

Example 4

Patient P., 35 years old. Gambling addiction.

Heredity: the maternal grandmother suffered from a mental illness (the patient does not know the diagnosis). The early development of the patient without features. As a child, he loved to play checkers and cards, mainly "in the dummy fool". Sometimes he played "for fun", i.e. for money. He considered himself a good and successful player. After graduating from high school, he served in the army. After demobilization, he worked at the police station for some time, from where he was fired for his lack of discipline. I got a job in a dealer repair company. Married a woman with a child. From marriage has his own child. Relationships in the family are complex. Prone to abuse of alcoholic beverages, sometimes (once every 2-3 weeks) gets drunk until intoxicated. Alcoholism is one-two-day.

He started playing slot machines at the age of 26. At the expense of a successful game, he wanted to return a monetary debt. And in fact, the first games brought him a certain income - up to 15 thousand rubles. He believed in his "special gaming qualities." He began to play almost daily. The loss was from 500 rubles. up to 3 thousand rubles per evening. Gradually went into debt. Borrowed money from his relatives in order to repay the debt. Did not play for about two months. There was a feeling of discomfort, thoughts arose about slot machines, various "winning", "one hundred percent" options. In dreams, he “sees” gaming halls, “hears” the sounds of the operation of slot machines. Resumed the game, again got into debt. For slot machines can spend 7-12 hours, there would be money. He began to steal property from cars and in the market.

Diagnosis: gambling addiction.

Appointment: from the first day of treatment, an intensive psychotherapeutic preparation was carried out, which consisted of increasing motivation to abstain from gambling in slot machines and casinos.

Then the patient was offered to breathe using Strelkov hypoxicator for 3-10 minutes, and then for 5 minutes breathing atmospheric air. During the day, 3-4 procedures.

The prescribed treatment was carried out daily for 8 days. Subsequently, supportive treatment was carried out to refuse the use of psychoactive substances, using psychotherapy and Strelkov hypoxicator 7 sessions per year. During the year, the patient had a single breakdown, i.e. the resumption of the game, which was associated with non-compliance with the recommended treatment using Strelkov hypoxicator. In the future, the patient resumed supporting anti-relapse therapy, which allowed achieving stable therapeutic remission.

In the proposed method for the treatment of patients with various addictions - alcoholism, drug addiction, substance abuse, a pathological attraction to gambling - the relationship between the results of hypoxic therapy and psychotherapeutic effects was effectively used, as a result of which, when the withdrawal syndrome was stopped, not only the physical component of the drug, alcohol or other dependence was eliminated , but also there was a significant decrease in the mental component of addiction.

Claims (1)

A method of treating patients with various addictions, characterized in that they carry out intensive psychotherapeutic training, which consists in enhancing motivation to overcome the pathological cravings for various addictions, then treat the patient with Strelkov hypoxicator for 3-10 minutes 3-4 times a day, after which spend at least 6-8 sessions a year maintenance therapy, including the use of Strelkov hypoxicator, while at the same time bringing negative information to the patient about the consequences of pathological treatment.