Magazine article Clinical Psychiatry News

Tobacco-Free Chemical Dependence Treatment Facilities Advocated. (Smoking Undercuts Therapy)

Magazine article Clinical Psychiatry News

Tobacco-Free Chemical Dependence Treatment Facilities Advocated. (Smoking Undercuts Therapy)

Article excerpt

COLORADO SPRINGS -- Allowing inpatients who are at chemical dependence treatment facilities to go outside to smoke is an outdated and indefensible practice--yet it is still the norm across the country Dr. Elizabeth B. Stuyt said at a symposium on addictive disorders sponsored by Psychotherapy Associates.

Not only is this practice physically unhealthy in so many ways, it also undercuts the effectiveness of the patient's treatment program, according to Dr. Stuyt, who is medical director of the Circle Program, a 90-day inpatient treatment program based on cognitive-behavioral therapy for dual diagnosis patients at the Colorado Mental Health Institute at Pueblo.

"Since the 1970s, we've evolved to an understanding that we have to treat mental illness at the same time as substance abuse problems, and I truly believe we also have to treat tobacco dependence at the same time," she said.

"I think one reason substance abuse treatment results have been so dismal is that nicotine is [the] one drug we've totally missed that we're not treating. We're allowing people to continue to smoke avidly," she said.

Positron emission tomography data have shown that cocaine, amphetamines, alcohol, and nicotine all affect the same area of the brain, the psychiatrist said.

A cornerstone of cognitive-behavioral therapy is the careful titration of exposure and response prevention. In the setting of substance abuse, this involves group sessions aimed at fanning drug cravings in a controlled environment to teach patients how to manage their cravings without getting high. …

Search by... Author
Show... All Results Primary Sources Peer-reviewed

Oops!

An unknown error has occurred. Please click the button below to reload the page. If the problem persists, please try again in a little while.