Abstract:
OBJECTIVE:gamma-Hydroxybutyrat (GHB) is used medically for narcolepsy and as a narcotic. It is also a rare illegal drug. In this case report the development of a GHB-dependency against the background of a primary alcohol dependency is described. METHODS:Based on established alcohol withdrawal scales (AWSS by Wetterling, CIWA) and neuropsychological testing procedures (CGI, GAF, SKID-II, PISQ, analog-scale for Craving), the initial situation, the development of psychopathological findings, and the course of detoxification were shown. RESULTS/CONCLUSION:The combined detoxication of GHB and alcohol was successfully finished by a reduction schedule of diazepam. Withdrawal-assessment scales for alcohol were helpful, but show limitations for GHB-withdrawal symptoms. The patient suffers, according to ICD-10, from a multiple drug dependence (alcohol, GHB, abstinence from amphetamines). Symptoms of insomnia, major depression, and generalized anxiety disorder can be associated with the use of GHB.
journal_name
Psychiatr Praxjournal_title
Psychiatrische Praxisauthors
Richter C,Romanowski A,Kienast Tdoi
10.1055/s-0028-1090089subject
Has Abstractpub_date
2009-10-01 00:00:00pages
345-7issue
7eissn
0303-4259issn
1439-0876journal_volume
36pub_type
杂志文章abstract::The case of a 32-year old man suffering from a 10-year course of schizophrenia is presented. The man's delusions include the conviction of being of the opposite sex and thus, he applied for an operational correction of his gender according to the law of transsexualism. Based on the evident problems arising from this c...
journal_title:Psychiatrische Praxis
pub_type: 杂志文章
doi:
更新日期:1996-09-01 00:00:00
abstract::Within the process of individual psychotherapy the author stresses the importance of understanding the initial everyday life view of "what is about being sick" for to establish a working, and cooperative setting. Thus, a three step procedure has been developed to guide the patient to a self responsible attitude toward...
journal_title:Psychiatrische Praxis
pub_type: 杂志文章
doi:
更新日期:1988-01-01 00:00:00
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journal_title:Psychiatrische Praxis
pub_type: 杂志文章
doi:10.1055/a-1043-8126
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journal_title:Psychiatrische Praxis
pub_type: 杂志文章,评审
doi:
更新日期:1994-07-01 00:00:00
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journal_title:Psychiatrische Praxis
pub_type: 杂志文章,评审
doi:10.1055/s-0030-1248443
更新日期:2010-09-01 00:00:00
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journal_title:Psychiatrische Praxis
pub_type: 杂志文章
doi:10.1055/s-2006-940056
更新日期:2007-07-01 00:00:00
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journal_title:Psychiatrische Praxis
pub_type: 杂志文章
doi:10.1055/s-2004-828431
更新日期:2004-11-01 00:00:00
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journal_title:Psychiatrische Praxis
pub_type: 杂志文章
doi:10.1055/s-2005-866923
更新日期:2006-01-01 00:00:00
abstract::A patient with chronic paranoid schizophrenia with delusions of infestation and of grandeur type, developed polydipsia in the course of his illness which ended up in acute life-threatening water intoxication. Apart from somatic causes like SIADH, which are discussed in literature, water-intoxication could psychodynami...
journal_title:Psychiatrische Praxis
pub_type: 杂志文章
doi:
更新日期:1998-01-01 00:00:00
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journal_title:Psychiatrische Praxis
pub_type: 历史文章,杂志文章
doi:10.1055/s-0034-1370066
更新日期:2014-07-01 00:00:00
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journal_title:Psychiatrische Praxis
pub_type: 历史文章,杂志文章
doi:10.1055/s-0034-1369941
更新日期:2014-07-01 00:00:00
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journal_title:Psychiatrische Praxis
pub_type: 杂志文章
doi:
更新日期:1987-08-01 00:00:00
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journal_title:Psychiatrische Praxis
pub_type: 杂志文章
doi:
更新日期:1999-09-01 00:00:00
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journal_title:Psychiatrische Praxis
pub_type: 杂志文章
doi:10.1055/s-0030-1266105
更新日期:2011-08-01 00:00:00
abstract::The conditions determining statutory offences as represented by indictable sex offences, have been amended and revised by the 4th Penal Reform Law of the Federal German Penal Code, in 1973, under the heading "Indictable Offences against Sexual Self-Determination". This heading, which is meant to convey a programme, ho...
journal_title:Psychiatrische Praxis
pub_type: 杂志文章
doi:
更新日期:1983-05-01 00:00:00
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journal_title:Psychiatrische Praxis
pub_type: 杂志文章
doi:10.1055/s-0030-1248424
更新日期:2010-09-01 00:00:00
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journal_title:Psychiatrische Praxis
pub_type: 杂志文章
doi:
更新日期:1980-05-01 00:00:00
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journal_title:Psychiatrische Praxis
pub_type: 杂志文章,评审
doi:
更新日期:1995-03-01 00:00:00
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journal_title:Psychiatrische Praxis
pub_type: 临床试验,杂志文章
doi:
更新日期:1989-08-01 00:00:00
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journal_title:Psychiatrische Praxis
pub_type: 杂志文章
doi:
更新日期:1998-09-01 00:00:00
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journal_title:Psychiatrische Praxis
pub_type: 杂志文章
doi:
更新日期:1980-02-01 00:00:00
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journal_title:Psychiatrische Praxis
pub_type: 杂志文章
doi:
更新日期:1998-07-01 00:00:00
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journal_title:Psychiatrische Praxis
pub_type: 杂志文章
doi:
更新日期:1997-01-01 00:00:00
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journal_title:Psychiatrische Praxis
pub_type: 杂志文章
doi:10.1055/a-1294-0950
更新日期:2020-11-24 00:00:00
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journal_title:Psychiatrische Praxis
pub_type: 杂志文章
doi:10.1055/s-0028-1090044
更新日期:2009-05-01 00:00:00
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journal_title:Psychiatrische Praxis
pub_type: 杂志文章
doi:
更新日期:1995-05-01 00:00:00
abstract:AIM:The present contribution scrutinizes the assumption that people with a migration background (PMB) make less use of addiction services than non-migrants. METHODS:Differentiated by diagnoses, the proportions of PMB in the Statistical Report on Substance Abuse Treatment in Germany are compared to the share of PMB in ...
journal_title:Psychiatrische Praxis
pub_type: 杂志文章
doi:10.1055/s-0034-1387291
更新日期:2016-03-01 00:00:00
abstract::In the last years there has been an increasing interest in psychiatric surveys as basis of epidemiologic studies and morbidity investigations. Numerous statistics from hospitals, from general psychiarists and general practioners have been referred to and constitute the basis for the 'Enquete zur Lage der Psychiatrie i...
journal_title:Psychiatrische Praxis
pub_type: 杂志文章
doi:
更新日期:1980-08-01 00:00:00
abstract::Deinstitutionalization (DI) of most of the chronic long-stay patients has taken place in the last decades in Germany. However, a "residual" group of patients often remains in psychiatric hospitals, with an ongoing controversy on an appropriate type of their care (community based vs. hospital). Clinical, functional and...
journal_title:Psychiatrische Praxis
pub_type: 杂志文章
doi:10.1055/s-2002-32711
更新日期:2002-07-01 00:00:00
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journal_title:Psychiatrische Praxis
pub_type: 杂志文章,评审
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更新日期:2010-05-01 00:00:00