Cocaine

Front Cover
American Psychiatric Pub, Nov 1, 2002 - Medical - 204 pages

Sports heroes, executives, and the homeless -- cocaine permeates every inch of our society, with tragic results. Although casual use of cocaine has clearly declined, the number of daily users, in particular those using crack, continues to climb. Why do people continue to use cocaine? What is its appeal? How does it affect the body and mind? What can a person do if a family member or friend is using cocaine?

In the past decade, the introduction of "crack" has increased the popularity of cocaine. Treatments have changed to adapt to this new, cheaper, more widely available drug. This Second Edition of Cocaine -- by three noted psychiatrists from Harvard University and the University of Utah -- highlights the tremendous research effort that has been mounted to discover the most effective way to help cocaine-dependent patients. It covers what cocaine is, the different methods of its use, its effects on the brain and other organs, and its psychological and social consequences for users and those around them -- both at home and in the workplace. This book also covers cocaine addiction -- how it happens, who is at risk, how to treat it, and how to find help. Cocaine includes a list of commonly asked questions about the drug and a self-test to determine if you or someone you love is dependent on cocaine.

From inside the book

Contents

The Current Cocaine Epidemic
1
Cocaine Use Through History
5
From coca leaf to the American street
9
The manufacture of cocaine
10
The uphill baltle against the cocaine trade
12
The social costs of cocaine use
13
How Cocaine Is Used
15
Smoking cocaine
18
How dependence develops
95
Ellen
102
Cocaine and the Family
111
Family responses to the cocaine user
113
How families try to avoid the pain of cocaine dependence
115
How relatives can help
122
Recovery for the families of cocaine users
124
Cocaine in the Workplace
127

Intravenous cocaine use
23
The Effects of Cocaine on the Body
27
General physical effects of cocaine
28
Medical complications from cocaine use
29
Cocaine overdose how cocaine can kill
30
Effects of longterm cocaine use
33
Medical complications due to effects of cocaine itself
34
Adverse effects of cocaine on pregnancy
36
Medical complications due to drug paraphernalia
39
Medical complications due to adulterants cuts
45
Medical complications due to lifestyle and psychiatric symptoms in cocaine users
46
Cocaine and the Brain
51
Events at the nerve cell junction synapse
53
Effects of cocaine on neurolransmitters
55
Effects of cocaine on brain function and behavior
57
Behavioral effects of longterm cocaine use
63
who is vulnerable?
68
Cocaine Dependence
71
Factors contributing to cocaine dependence
73
The course of cocaine dependence
93
Why cocaine?
128
Hazards of cocaine use in the workplace
129
Cocaine use by executives
132
The response of business
134
The concept of employee assistance
136
Treatment of Cocaine Abuse
141
Getting the cocaine user into treatment
142
Treatment methods for cocaine users
145
How to choose the right type of treatment
163
Pathways to recovery
167
Questions Frequently Asked About Cocaine
169
Questions frequently asked by occasional cocaine users
171
Questions frequently asked by people dependent on cocaine
175
Questions frequently asked by people who treat cocaine users
179
Questions frequently asked by family members of cocaine users
180
SelfTest for Cocaine Dependence
183
Bibliography
187
Index
195
Copyright

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About the author (2002)

Roger D. Weiss, M.D., is the Clinical Director of the Alcohol and Drug Abuse Treatment Program, McLean Hospital, Belmont, Massachusetts, Associate Professor of Psychiatry at Harvard Medical School.

Steven M. Mirin, M.D., is the General Director and Psychiatrist in Chief, McLean Hospital, Belmont, Massachusetts, and Professor of Psychiatry at Harvard Medical School.

Roxanne L. Bartel, M.D. is Clinical Instructor in Psychiatry at the University of Utah.

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