Management of the adolescent with substance use disorders and comorbid psychopathology

TitleManagement of the adolescent with substance use disorders and comorbid psychopathology
Publication TypeJournal Article
Year of Publication2010
AuthorsBukstein, OG, Horner, MS
JournalChild and Adolescent Psychiatric Clinics of North America
PublisherElsevier Science
Place PublishedNetherlands
Publication Languageeng
ISBN Number1056-4993
Accession Number2010-11880-016. First Author & Affiliation: Bukstein, Oscar G.
KeywordsAdolescent Development, adolescents, cognitive behavior therapy, Cognitive behavioral therapy, Comorbidity, dialectic behavior therapy, Dialectical Behavior Therapy, Disease Management, Drug abuse, Family Therapy, motivational interviewing, psychopathology, psychopharmacology, Substance use disorders

Substance use disorders are common in youth, and co-occurring psychiatric disorders are present in the majority of cases. This article reviews clinical considerations unique to the population, including intricacies of assessment and special treatment considerations. Several psychotherapeutic intervention models are discussed, including cognitive-behavioral therapy, dialectic behavior therapy, motivational enhancement therapy/motivational interviewing, family behavior therapy, multidimensional family therapy, and multisystemic therapy. Research on psychopharmacologic treatment is limited, and primarily focuses on mood disorders and attention deficit/hyperactivity disorder. To maximize outcome, recommendations based on practice parameters promote integration of treatment modalities versus serial or concurrent treatment of co-occurring substance use and psychiatric disorders. (PsycINFO Database Record (c) 2010 APA, all rights reserved) (journal abstract)

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