Drug abuse treatment mode in patients with high motivation by sa grebnev |
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IPC classes for russian patent Drug abuse treatment mode in patients with high motivation by sa grebnev (RU 2360662):
Method of heroine addiction treatment / 2344822
For heroine addiction treatment, 2-3 drops of naloxone hydrochloride are administered into each nasal meatus, i.e. 80-120 mcg 3 times a day during the whole course of treatment.
 Pharmaceutical composition for treatment of by-effects caused by opioids and idiopathic syndromes / 2342935
Pharmaceutical composition is used for treatment of by-effects and idiphatic syndromes caused by opioids, contains a matrix and a pharmaceutically active substance, and the matrix is executed from ethyl cellulose or polymer on a basis of ethyl cellulose and at least one acyclic spirit; thereat the matrix is diffused and practically not bulking up, and contains naloxone as a pharmaceutically active substance, released from the matrix invariant and prolonged, in amount of 1-50 mg, 5-30 mg preferably, and the most preferably in amount of 5-20 mg.
 Medicinal agent for ethyl alcohol and/or narcotic addiction treatment, parmaceutical composition, active ingredient of pharmaceutical composition, method of ethyl alcohol and/or narcotic addiction treatment for alcoholics' and/or narcotists' psychosomatic and neurological complication treatment / 2327448
Inventions refer to: substance for ethyl alcohol and/or narcotic addiction treatment, psychosomatic and neurological complication treatment, as well as to pharmaceutical compositions containing this substance, and to method of psychosomatic and neurological complication treatment using this substance. Stated invention implies production of new medicinal agent with minimum by-effect, which is to-date actual problem for such diseases. Substance used for ethyl alcohol and/or narcotic addiction treatment is polyprenols of formula
 Composition for termination of opiate abstinent syndrome manifestations / 2323725
Pharmaceutical compositions are invented, which decrease the abstinent syndrome manifestations in narcotic opioid drug withdrawal. The compositions contain the optimal proportions of tiapride and clofelin (8000÷1000:1). These compositions, which contain less amount of each drug, demonstrate the potentiation of analgesic activity (which significantly exceeds that in monotherapy with tiapride and clofelin). Also, toxic effect of the compositions is less than that when tiapride and clofelin are administered separately, in mice.
Entherosorbent / 2319488
Disclosed is entherosorbent of wide action spectrum based on opal-crystoballite rock. Sorbent is useful in combined radiation and thermal lesion in human and animals, alcoholic and drug intoxication, as antibacterial agent.
 Method and dosing system for treating drug and/or alcoholic addiction / 2314794
Method involves intracorporally introducing system filled with medical remedy based on Naltrexon into patient stomach for approximately 6 months. Naltrexon is applied in daily dose of 50 mg supplied in solution from the system into patient stomach. Dosing system has dosing micropump having electronic control means and power supply source, reservoir for storing the medical remedy. The reservoir is flexible shell manufactured from material physiologically permissible for keeping it in the stomach. The dosing micropump is enclosed in common casing with electronic control means and power supply source and placed into the reservoir. Its end face bearing outlet chamber having outlet opening coupled with reservoir outlet opening having tightly sealed valve.
 Method for treating opioid and/or alcoholic addiction / 2310449
It is necessary to implant a system with naltrexone into a patient's body; moreover, the implanted system should be supplied with means of dosing and delivering naltrexone into epidural space and has got a dosing pump. Naltrexone should be introduced into epidural space at the quantity of 2.5-5 mg on conversion to dry matter at interval ranged 10-24 h during prolonged period of time up to 365 d. The suggested therapy provides necessary concentration of naltrexone in a patient's spinal liquid at the required level in the course of the whole period of therapy, decreases harmful impact of naltrexone upon a body and decreases its expenses. It, also, makes it impossible for a patient to stop this therapy independently.
 Matrix providing prolonged, invariant, and independent releasing of active substances / 2297225
Invention relates to composition containing at least two active ingredients, opioid analgesic, and opioid agonist in non-swelling diffusive matrix. Releasing characteristics are defined by matrix made of ethylcellulose and at least one fatty alcohol. Also disclosed is pharmaceutical preparation containing 10-150 mg of oxycodone and 1-50 mg of naloxone in standard dose.
 Pharmaceutical preparation containing oxycodon and naloxon / 2295344
Preparation has pharmaceutical composition containing Oxycodon, Naloxon enclosed into matrix with ethyl cellulose, and the like pharmaceutical composition enclosed into matrix with ethyl cellulose and fatty alcohols being used.
Method for treating opium narcomania / 2290947
The present innovation deals with treating patients in case of opium (heroin) narcomania due to introducing cytokine-containing immunotropic preparation, moreover, as the above-mentioned preparation it is possible to apply composite solution of cytokines obtained due to arterio-venous perfusion of porcine spleen with physiological solution of sodium chloride at volumetric rate ranged 30-40 ml/min followed by sterilizing filtration and cryoconservation. This solution should be injected intravenously per 200 ml once daily at 3-d-long interval, the course consists of 10-15 infusions after restoring patients' own body weight on finishing the course of curative starvation. Moreover, the course of starvation should be carried out during the period of narcotic abstinence at the background of psychosensory deprivation. The innovation suggested enables to achieve stable refusal of narcotic addiction syndrome due to complex immunocorrection, detoxication and endorphin-like effect.
 Way of psychological correction of alimentary behaviour of person / 2359713
Invention concerns psychosomatic and psychotherapeutic areas of medicine, in particular to the method of psychological influence for change of alimentary behaviour at the persons interested in the figure suffering from excess of mass of a body. The way includes a psychodiagnosis of is personal-typological features and condition of the person, creation of an electron database. Images of problem situations of the consecutive daily actions are shown including; a dream, rest, food intakes, dialogue, weighing, a self-rating of the mutual relations, a self-rating of satisfaction with life. Processing of the accepted decisions and self-ratings accordingly put in pawn in microprocessor system is carried out by an executed code, estimations on scales which consider consumed calories, plastic properties of nutrition, weight reduction, a state of health, an emotional condition, social contacts, the organism metabolism, necessary time of duration of procedure are shown. Then on a scale of feeling of hunger and possibility of failure of virtual alimentary behaviour, it is shown a resulting result.
Method of choice of therapeutic tactics of pathological gambling inclination / 2358769
Complex clinical therapy of pathological gambling involves diagnosing the disturbance symptoms including obsessive inclination, compulsive inclination, symptom of mental comfort/discomfort, symptom of physical comfort/discomfort, change of psychotropic gambling effect, change of realisation forms of pathological inclination, tolerance growth, disappearance of protective marks, emphasizing, person deformation and impoverishment, hypothymia, antivital ideas, altered state of consciousness in gambling. Their intensity is estimated by 4-score scale, where 1 is minimal intensity of the symptom detected in active inquiry only, 2 is insignificant intensity of the symptom independently described by the patient and moderately influencing his behaviour, 3 - considerable intensity of the symptom described by the patient and his surroundings, considerably influencing his behaviour, 4 is maximal intensity of the symptom determining his behaviour and vital activity. It is followed with calculating the progression factor evaluated as ratio of total scored symptoms to disturbance duration in years. If said factor does not exceed 5, the complex aid combining psychopharmacotherapy and psychotherapy is ambulatory, while the factor exceeding 5 required therapy in hospital environment.
Method of neurotic disorder psychotherapy / 2357764
Method can be applied in neurotic disorder psychotherapy, such as anxiety and depression states, adaptation disorders, neuroses etc. Gelototherapy is performed in four stages daily, the course comprising at least 9-10 sessions. First stage involves breath exercises in the form of reflex laugh or contrary breath. Second stage involves gelatomeditation with forced smiling. Third stage involves dynamic physical exercise and exercise aimed at intelligence and creativity development. Fourth stage involves telling and listening to funny stories and jokes to form and consolidate stable therapeutic plateau. Time devoted to each next stage is gradually increased.
Method of scleroplasty operation anesthesia for 9 to 14 years old children / 2357727
Invention concerns medicine, particularly surgical ophthalmology, and can be applied in anesthetic support of scleroplasty operation for 9 to 14 years old children. Method involves administration of local anesthetic immediately before operation by triple instilling of visityl and alcaine mix in 1:1 ratio over 5 minutes to the eye to be under surgery. Mix of 0.5% seduxen solution and fentanyl solution mix is injected intravenously during surgical intervention. Each drug in the mix is taken in half amount of calculated dosage corresponding to age and weight of patient.
 Method for relative preparedness degree determination of investigated person / 2355309
Preparedness degree of each investigated person is determined subject to complexity of each type test tasks for the investigated group. To this end, bλj i is established, i = 1,2; λ = 1 … n; j = 1 … m, where: bλj 1 is total number of right answers given by λth investigated in all tasks of jth-type; bλj 2 is mean time spent by λth participant for one right answer in tasks of jth-type; n is number of participants in study or test; m is number of task types. Values: yλj 1 = bλj 1 / bj 1 and yλj 2.= bj 2/ bλj 2, are determined, where bj 1 = max (bλj 1; λ=1…n; j=1…m), bj 2= min (bλj 2; λ,=1…n; j=1…m). φλj i=(1-γλj i); i=1,2; λ=1…n; j=1…m and
Method of carrying out art-therapy / 2354416
Invention relates to field of medicine, psychology, psychotherapy. Patient determines in front of psychotherapist urgent for them somatic or psychological problem. Psychotherapist brings patient into state of meditation and suggests drawing on paper mask reflecting present patient's state and mask reflecting their future on condition of solving set urgent problem, then patient takes mask reflecting their present state and brings it to face at the distance at which they start identifying themselves with said mask. Therapist asks questions to mask in person of patient aimed at determining archetypical image characterising said mask state, after which therapist takes said mask and brings it to their face at the distance at which they start to identify themselves with said mask, mirrors determined in patient archetypical mask content, then therapist tells patient their sensations which appeared in interaction with said mask. Patient asks mask in person of therapist questions of interest which concern different aspects of urgent problem, patient takes mask of future, brings it to face at the distance at which they start identifying themselves with said mask, then therapist asks mask questions in person of patient aimed at determining archetypical image characterising said mask state. After which therapist takes said mask and brings it to their face at the distance at which they start to identify themselves with said mask, mirrors determined in patient archetypical mask content. Then therapist tells patient their sensations which appeared in interaction with said mask, patient asks mask in person of therapist questions of interest which concern different aspects of urgent problem. Therapist brings patient out of meditation state. Then therapist in dialogue with patient without masks stresses positive and negative aspects of problem which patient does not realise, which were determined during work with mask of the present, then stresses positive - determined during work with mask of the future. After that therapist superimposes two masks and hands them to patient, in such way allowing patient to see integral image basing on which positive strategy of patient's behaviour is elaborated. If, being in mask, therapist gives unexpected for patient answer, therapist hands mask to patient, patient brings it to themselves and in dialogue with therapist checks if the answer given by therapist, is acceptable to image created by patient.
Method of prevention of students' addictive behaviour / 2354415
Invention relates to field of medicine, in particular to psychotherapy and addictology and can be used for carrying out primary prophylaxis of addictive behaviour among students, as well as in psychology for teaching stress-overcoming behaviuor. Collective work of doctors with students is carried out by verbal influence, during which information of tobacco, drugs, alcohol and stress harm is given, motivation for healthy lifestyle is strengthened. Training of psychological stability is carried out. Additionally doctors carry out individual work with students and determine main representative system of information perception: visual or audial, or kinesthetic. According to perception system students are divided into groups and visual influence is carried out with presentation of information for visual perception in form of picture-diagram of human organism and result of impact on it of addictive behaviour and stress: for students with leading visual and audial representative system in colour image, for students with leading kinesthetic system - in one colour. Verbal influence is carried out repeating said information about types of additive behaviour and stress and importance of copping behaviour formation for prophylaxis by means of talk using categories of visual images, acoustic impressions, by means of sensations. 50% of talk time are carried out using categories of determined leading representative system and 25% and 25% of talk time using two other categories of perception. Then kinesthetic influence is performed, distributing informational brochures about harmful impact of tobacco, drugs, alcohol and stress development for students with leading visual and audial representative system in colourful version, and for students with leading kinesthetic system on smooth glossy pleasant to touch paper. Psychotherapist communicating with students who have leading kinesthetic system speaks in low monotonous voice using words characterising perception. To students who have leading visual and audial system doctor speaks in loud voice using words which express visual and sound perception.
Interactive therapy of dependent behaviour / 2353404
Invention refers to medicine and to be used in psychiatry, psychotherapy, drug dependence, as well as in domestic and mobile telemedicine. A doctor performs verbal suggestive influence on the patient with using video data and recording psychophysiological reactions, and applying interactive correction program. There is detected minimal intensity of audible sounds at relevant frequency of this intensity. Then a sound of different frequencies and intensities is involved in individual program of interactive therapy of dependent behaviour. One verbal suggestive influence performed by the doctor on the patient at lower loudness is to be selected with detected frequency characteristics with minimal intensity of audible sounds, while the other verbal suggestive influence performed by the doctor on the patient involves louder sounding with frequency characteristic higher or lower than detected frequency with minimal intensity of audible sounds. In stereophony environment there is detected minimal intensity of audible sounds at relevant frequency for both ears. To detect minimal intensity of audible sounds at relevant frequency, sound characteristics are supplied to both ears with various time intervals between sounds generated by an audiometer. Then a sound of lower loudness with detected frequency characteristics for both ears and a sound of higher loudness with other frequency characteristics are involves in the individual program of interactive therapy of dependent behaviour.
Method of psychological correction of overweight / 2352363
Invention concerns area of medicine, psychophysiology and psychotherapy, namely, methods of correction of mass of a body of the person by means of psychological influence. Groups of patients are formed on the basis of testing for revealing of the reasons of a set of superfluous mass of a body. Correction is performed to 7 sessions (two individual, five group sessions) in the evening. Two sessions of respiratory exercises with elements of transpersonal therapy are performed, reflexotherapy is spent in the form of an acupressure, in addition an osteopathy course is made. The osteopathy course is spent with regularity once a week by first two sessions and 1 time in two next weeks, and sessions are spent simultaneously by the male and female experts.
Method of treating compulsive overeating / 2351371
Invention relates to medicine, namely to psychotherapy, reflexotherapy and concerns treating patients suffering from compulsive overeating. Psychotherapeutic influence is realised by means of individual suggestive influence. Patient is brought into the state of trance and simultaneously their acupuncture points are influenced, before individual suggestive influence, neurolinguistic programming is carried out and new ecological image of "healthy Ego" is formed. Essence transformations of personality are realised and new healthy principles of correct nutrition are formed, prevention of "diet depression" is also realised, individual suggestive influence being directed to psychological support, distraction from persistent thoughts about food, weight and figure, normalisation of food intake, elimination of diet self-restrictions, solution of life difficulties; reflexotherapeutic influence on acupuncture points is realised by infrared photobiostimulation and extremely high-frequency exposure onto corporal points, after which patient is given home task in form of "diary of correct food behavior". Infrared photobiostimulation is performed on point T20, extremely high-frequency exposure is performed on corporal points E36, MC6, GL4, VB8, VC12, RP6. Individual suggestive influence is performed by means of Ericksonian hypnosis. On finishing the course of treatment, psychological support is carried out in form of consultations in order to form and support strategy of correct food behaviour. In process of carrying out reflexotherapy course simultaneously infrared exposure of low intensity and extremely high-frequency exposure are used. Individual suggestive influence, infrared exposure of low intensity and extremely high-frequency exposure are carried out simultaneously.
 New aryl amidine derivative, its salt and antifungal preparation containing such compositions / 2359959
Invention is related to new aryl amidine derivatives, which are represented by general formula:
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FIELD: medicine. SUBSTANCE: invention refers to medicine, namely to study of narcotic addiction and psychotherapy and can be used for treatment of the patients suffering from addiction, mainly opium-containing substances. Treatment involves sessions of individual psychotherapy and reflexotherapy. The therapeutic course starts for 5-7 day after reduction of abstinence syndrome. Psychotherapy is combined with individual pharmacotherapy including opiate antagonists depending on amount of taken narcotics and rate of symptomatology change. Sessions of individual psychotherapy are systematic by cognitive psychotherapy as a dialogue on the preset subject with using guiding and key questions, and suggestive psychotherapy in Erickson hypnotherapy by influencing the patient's emotional component. Reflexotherapy is carried out within first two weeks in number 7-10 sessions in the miraculous meridians points R 9 chu-bin, TR 5 vaj-guan, then in the points intensifying somatic and mental balance E 36 chu-san-li, GI 4 he-gu, GI 11 tsuj-chi, V 15 sin-shu, V 59 fu-jan, MC 6 ney-uan, VG 20 baj-huej, VG 14 da-chuj, VC 15 tszju-vej, VB 38 jan-fu. And action of the mental balance points of V 15 sin-shu from both sides, while VG 14 da-chuj is additionally intensified with action on the point VG 20 baj-huej. EFFECT: method allows involving various representative data input channels, mobilising personal resources of the patient. 3 cl, 3 ex
The invention relates to medicine, namely to narcology and psychotherapy, and can be used for the treatment of patients suffering from addiction to drugs, mainly episodebased substances. Drug addiction is a chronic disease characterized by pathological urge to narcotic substance (psychological dependence), change the tolerance to the drug with a tendency to increase doses and the development of physical dependence, which manifests itself withdrawal syndrome upon discontinuation of the drug. Clinical practice shows that psychotherapy and socio-psychological methods allow us to really change their personal settings and affect the motivation of the patient, therefore, psychotherapeutic methods are an essential part of therapy of drug addiction. There is a method of treatment of drug dependence in the process of rational psychotherapy which reveal the mental and physical consequences of drug use and use this information to individual adapted suggestion necessity and possibility of deliverance from drug addiction. The patient is injected in a state of hypnotic trance, carry out repeated pressure on the area of the orbit of the left eye and continue suggestion of reduced and the dose of the drug. Followed by a session reflex-hypnosis, which are laying the primary code. Then after a month refresher session reflex-hypnotic suggestion with the laying of the secondary code on the withdrawal of drug dependence (RU, patent No. 2113243, IPC AM 21/00, publ. 20.06.1998). However, this method does not use sufficiently modern technical possibilities of psychotherapy, which can increase the effectiveness of the treatment. The closest is a method of psychotherapy addiction through informational influence and stimulation of reflex zones. At sufficiently high motivation of a patient individual treatment session, which impose a psychotherapeutic information, the semantic content of which is installation with the text passed in the form of audiovisual media containing illustrations and music. During the session periodically perform instill confidence, surely indulge in drugs, feelings of freedom from the drug. In the final part of the session put acupuncture needles first point he-GU, zu-San-Li, kun-LUN, zu-Lin-qi, Yin-Tang, Duy-Duan, Zhen-Zhong, and then, after 7-10 minutes, in addition to the point Shen-men and qu-Chi. Against this background, the patient is injected in the state of Medite the AI and using the soundtrack through headphones for 25-30 min repeat suggestive impact. Psychotherapeutic information is an informational diagnostic text and therapeutic compositions, in which the verbal, as well as using music and visual tools form the negative attitude of the patient to the drug (RU, patent No. 2276612, IPC AM 21/00, AN 39/00, publ. 20.06.2005 - prototype). This method allows you to use different representational channels introduction information and use available, integrative, causally-relevant information and method of acupuncture programming, enabling them to mobilize personal resources of the patient and change his Outlook, however, a small number of sessions (6 meetings) and mainly formalized (through headphones and finished audio installation text) psychotherapy does not take into account the diversity of individual characteristics and formed by the drug personal beliefs of patients. The objective of the invention is to provide a method of treatment addiction, allowing you to completely abandon the drug. The technical result that will be achieved from the use of this invention is to improve the effectiveness of treatment. The technical result is achieved in that in the method of treatment of patients with high motivation, what with conducting individual psychotherapy and reflexology treatment starts at 5-7-th day after the relief of withdrawal symptoms. Simultaneously with psychotherapy additionally provide medical treatment with opiate antagonists on individual basis depending on the number of received drug and the rate of change of symptoms: dose of heroin 0.5-1.0 g per day 1 tablet per day for 3 months, then 4-month - 1 tablet twice a day, 5th month - 1 tablet three day, 6-month and 1 tablet in the four days of the 7th month - 1 tablet in five days, the 8th month 1 tablet in six days, the 9th month - one tablet per week; dose of heroin 1.5-2.0 g per day - two tablets a day for 3 months, then the 4th and 5th months - 1 tablet per day, 6th month - one tablet twice a day, 7th month - one tablet three days, the 8th month - one tablet four days, the 9th month - one tablet five days; at a dose of heroin from 3.0 to 12.0 - three tablets within the first three months, then 4-month - 2 tablets per day, 5th month, one tablet per day, 6th month - one tablet twice a day, 7th month - one tablet three days, the 8-month - one tablet four days, the 9th month - 1 tablet in five days. Individual therapy is conducted systematically by cognitive psychotherapy in the form of a dialogue on a given topic with the help of the guides and the key issues and suggestive psychotherapy in the style of Ericksonian hypnotherapy by influencing the emotional component of the patient. Reflexology is carried out in the first two weeks in the amount of 7-10 sessions at point "a wonderful meridians" R 9 Zhu-bin, TR 5 Wai Guan, then in point, strengthen physical and mental balance - E 36 zu San Li, GI 4 he-GU, GI 11 qu-Lee, 15 V Hsin-Shu, V 59 fu-Yang, MS 6 it-Guan, VG 20 Bai Hui, VG 14 Yes-Jui, VC 15 JIU-Wei, VB 39 Yang-fu, the effect of psychic equilibrium points 15 V Hsin-Shu from two sides 14 and VG-Jui additionally reinforce the impact of the point VG 20 Bai Hui. Suggestive psychotherapy is carried out either in the middle or at the end of the session during 10-1800 C. When individual therapy first identify explicit and implicit beliefs, pay attention to the surroundings, habits, how the environment and behavior of the patient formed a real problem, then form the ability to refuse drugs at the level of consciousness and feelings, and negative attitudes toward drug and eliminate the desire to take the drug, using the technique of "slides", develop the patient's skill to find beliefs against drugs shaped through dialogue between a patient and his image in the past include the mechanism of forgetting drugs on the subconscious level, conduct the processing of personal experience, then work together with parents to restore their confidence, learn to give importance and significance of the spoken words of Yamani; then suggestive fix the achieved result, develop the skills necessary to care from drugs and personal growth; reinforce the suggestion that change is inevitable in life, connect and put in direct relationship to the nursing process from drug addiction with the actions of the patient that he is willing to take; identify and articulate values, and then develop skills foresight, avoid repeated errors. The invention consists in a comprehensive approach to treatment and rehabilitation for drug dependence. Beginning treatment at 5-7-th day after the relief of withdrawal symptoms is necessary for effective impact of drugs on the patient, because from that moment on you can use opiate antagonists with prolonged action (revia, antxon, naltrexone). Conducting simultaneously with psychotherapy advanced medical therapy with opiate antagonists on individual basis depending on the number of received drug and the rate of change of symptoms is necessary for the appearance of more even moods, reduce the number and duration of spontaneous desire to take drugs, reduce the desire for alcohol recovery sleep. The dosage was adjusted individually and on a big right the political experience was found regimen opiate antagonists, dosage and duration of administration: the dose of heroin 0.5-1.0 g per day 1 tablet per day for 3 months, then 4-month - 1 tablet twice a day, 5th month - 1 tablet three day, 6-month and 1 tablet in the four days of the 7th month - 1 tablet in five days, the 8th month - 1 tablet in six days, the 9th month - one tablet per week; a dose of heroin 1.5-2.0 g per day - two tablets a day for 3 months, then the 4th and 5th months - 1 tablet per day, 6th month - one tablet twice a day, 7th month - one tablet three days, the 8th month - one tablet four days, the 9th month - one tablet five days; at a dose of heroin from 3.0 to 12.0 - three tablets within the first three months, then 4-month - 2 tablets per day, 5th month, one tablet per day, 6th month - one tablet twice a day, 7th month - one tablet three days, the 8th month - one tablet four days, the 9th month - 1 tablet in five days. This drug regimen has allowed to achieve a more stable attend psychotherapy sessions, improve mood, behaviour change, which ultimately had an impact on increasing the effectiveness of the treatment. Conduct individual therapy systemically by cognitive psychotherapy in the form of a dialogue on a given topic with the help of the guides and the key issues and suggestive psychotherapy in the Ile Ericksonian hypnotherapy by influencing the emotional component of the patient contributes to persistent personality changes, the refusal of drugs and return the patient to social work. As a result of such therapy a step-by-step change the views of the patient on a life of itself and its place in society; suggested indifferent attitude to drugs, free to live without drugs and self-confidence; change the belief system, the environment and behavior of the patient; a new system of values and system of beliefs (mostly at myself); develop lost skills and abilities, as well as the ability to set goals and achieve them; restored the confidence of the family and form a conflict-free communication. Cognitive psychotherapy allows you to resolve a number of erroneous beliefs that led to their primary drug, and belief, formed long-term drug use; to form new beliefs and new behavior, cessation of drug use. This part of psychotherapy takes place in the form of a dialogue on a given psychotherapist topic. The main component of this dialogue are guides and key issues. These issues are those that bring about a state of prolonged contemplation (meditation), lead to mediocrity (insights) and change the mindset of the patient and its relationship to drugs. Suggestive psychotherapy affects emotional is leaving perception and reduces, either fix the craving for the drug, increase confidence in their own (rather than supernatural) forces to bring peace in relationship with the environment. Holding reflexology in the first two weeks in the amount of 7-10 sessions at point "a wonderful meridians" R 9 Zhu-bin, TR 5 Wai Guan, then in point, strengthen physical and mental balance - E 36 zu San Li, GI 4 he-GU, GI 11 qu-Lee, 15 V Hsin-Shu, V 59 fu-Yang, MS 6 it-Guan, VG 20 Bai Hui, VG 14 Yes-Jui, VC 15 JIU-Wei, VB 39 Yang-fu, the effect of psychic equilibrium points 15 V Hsin-Shu from two sides 14 and VG-Jui and additional impact VG 20 Bai Hui enhances the effect of treatment, accelerates the process of normalizing sleep faster and reduces irritability. Holding suggestive psychotherapy either in the middle or at the end of the session during 10-1800 is used for the formation of negative attitudes towards the drug, the appearance of confidence to live a drug-free happily ever after, consolidation of new beliefs, which comes to the patient, but as a result of the formation of he these new beliefs in the process of cognitive psychotherapy on a given topic. Identify when individual therapy first explicit and implicit beliefs that prevent "forget" drugs, the care environment, habits, how the environment and the behavior of p is they formed a real problem creating the ability to refuse drugs at the level of consciousness and feelings, and negative attitudes towards drug and eliminating the desire to take the drug, using the technique of "slides", a patient develops skills to find beliefs against drugs shaped through dialogue between a patient and his image in the past, the inclusion of a mechanism of forgetting drugs on the subconscious level, carrying out processing of personal experience and holding then work together with parents to restore their confidence, learning to give meaning and significance of the spoken words and promises; and then the suggestion consolidation of the achieved results; development of skills for avoiding drug use and personal growth; securing the suggestion that change is inevitable in life, binding and placing in direct relationship to the nursing process from drug addiction with the actions of the patient that he is willing to take; identification and formulation of values, then the skills to anticipate and avoid repeated mistakes allows you to return the patient to normal life without drugs for many years. From the analysis of scientific-technical and patent literature inventive combination of features that provide the most comprehensive approach to the treatment of full rehabilitation of the patient with drugs is addiction, we are not found, which allows to make a conclusion on the conformity of the proposed solutions to the criteria of "novelty" and "inventive step". The invention is carried out as follows. After the patient agreed to treatment test for the presence of drugs in urine. Usually a negative test is fixed at 5-7-th day of refusal of drugs. It depends on the dose taken drugs, and receive frequencies characteristics of the organism (the extent of involvement of the kidneys, liver and gastrointestinal tract). When a negative test, give the first dose of opiate antagonists - naltrexone, initially, 25 mg, and 30 minutes the second 25 mg of the drug. If the patient has taken up to 1 gram of heroin a day (the degree of purity of the drug to find out is impossible), it is assigned to 1 tablet (capsule) of naltrexone per day for the first 3 months of treatment. On the same day is held the first session of psychotherapy and acupuncture (acupuncture). Naltrexone taken daily on their own, but preferably under the supervision of relatives and friends. There are cases of failure of the drug under various pretexts. About these features we usually warn parents or relatives of the patient. Because patients often incorrectly informed about the dosages taken drugs, then the rate of change in clinical cards what are the symptoms (frequency of desire to take the drug, the duration of this desire, speed of recovery sleep, relieve subdepression symptoms and other signs) we may change the dosage of the drug, usually in the direction of increasing the dose. Less than 50 mg of the drug per day we do not practice. Starting with the 4th month begins a gradual reduction of the dose of naltrexone to 9-10 month. In the 4th month is assigned to 1 tablet (capsule) drug 2 days, on the 5th month 1 tab. in 3 days; 6 months 1 table. in 4 days; on the 7th month 1 tab. in 5 days; on the 8th month 1 tab. in 6 days; and on 9-10 St month one table. in 7 days. Acupuncture is available daily from 7 to 10 sessions. It takes usually the first two weeks of treatment. Duration of treatment is 25-30 minutes (sedation), and are alternately selected point either on the front surface of the body, or on the back surface. Point used: E 36 zu San Li, GI 4 he-GU, GI 11 qu-qi, V 15 Hsin-Shu, V 59 fu-Yang, 15 V Hsin-Shu, TR 5 Wai Guan, MS 6 it-Guan, VG 20 Bai Hui, VG 14 Yes-Jui, US 15 JIU-Wei, VB 39 Yang-fu, R 9 Zhu-Binh, MS 6-Wang, VG 20 Bai Hui, VG 14 Yes-joy VC 15 JIU-Wei, VB 39 Jan-fu and action points of psychic equilibrium V 15 Hsin-Shu from two sides 14 and VG-Jui additionally reinforce the impact of the point VG 20 Bai Hui. With acupuncture fixed subdepression condition, reduce irritability, vosstanovlivaetsya sleep. Vosstanovlivaetsya the gastro-Ki is echnolo tract, leave residual unpleasant sensations in the limbs and body. Normalizes the release of endorphins (aligned mood). Psychological goal - formed belief in the impossibility to use the drug. Psychotherapy is being conducted once in 2-3 days for 45 min at least 10 meetings per month and not more than 15 meetings per month. The standard course of therapy lasts 3 months. Assigned with the following tasks. To restore sleep, good mood, calmness, trust, family and friends, self-confidence. To create a indifferent attitude to drugs, and the freedom to live without them. Change the belief system of the patient, the circle of communication and behavior. To develop the lost skills (to work, to study, to answer for their words and many others). To form a new belief system, mostly to himself. To form a system of values. These tasks provides a consistent system of psychotherapy that is in the style of cognitive and suggestive psychotherapy with specific topics. Systemic psychotherapy in working with addicted people I. discussion: the Causes which provoked the primary drug. The objective of this topic is to study the explicit beliefs ("it is curious, interesting, everything tasted" and more) and hidden beliefs (the neck is considered individually, sometimes it is possible to allow yourself banned) patient who contributed to the primary drug and keep the patient in dependence (drug knows how to wait, former drug addicts). In the process of identifying these beliefs held their change (key issues, technology changes in beliefs, suggestion). This topic can go on for several sessions. II. Topic: drug use as a consequence. What? Pay attention to the environment (what were friends), on the habits that led to drugs, and how the environment and behavior of the patient formed a real problem. The task is not only to draw the patient's attention on how the environment has shaped dependence, but also to make the necessary psychotherapeutic change. III. Topic: skills ability to say NO to drugs and people offering them. Generated the ability to refuse drugs at the level of consciousness and at the level of feelings (subconscious). In this part of the work carry out the Association between drug use and clearly dangerous in which the patient always said NO. IV. Topic: Changing views on the drug. The technique of "slides". Formed a negative attitude towards drug through the technique of "slides". For the patient, the expandable picture of him for whom Alemania (more precisely this problem in time, denote the main stages (4 stages) and sealed in time. Discussing what the difference is between the patient and his friends, who refused to try a drug, we additionally identify his false beliefs and step-by-step change them. This topic may take 2-3 sessions of 45 minutes. V. discussion Topic: Randomness and patterns. This is a continuation detection of underlying (hidden) false beliefs that hold in the power of drugs. Discussing randomness and patterns, we define the boundary between them, and changing misconceptions and beliefs, we find the criteria that say about the frequency of occurrence of events, first and foremost criteria, heralding a new drug. "Erasable" the desire to take the drug. VI. Topic of discussion: the Detection of hidden (deep) belief that is holding in the power of drugs. Technique convince ourselves. The objective of this topic is to continue to reveal the hidden false beliefs, and then change them shaped through dialogue between a patient and his image in the past. This uses a new perspective on the problem under discussion and develops the ability to find beliefs against drugs. The result is that the patient finds most strong arguments, which are then used in the suggestion. VII. Topic of discussion: the Inclusion of mechanisms of forgetting on the seals. The objective of this theme is to form a new patient the belief that many things in life we forget, therefore, able to forget the desire to take the drug. VIII. Topic: Processing of personal experience, building a future without drugs. The vast majority of patients with drug dependence no clear and enforceable prospects. Attempt to avoid drug without goals is equivalent to a boomerang thrown in the middle of nowhere. Sooner or later he will come back. The objective of this theme is to create confidence in the future without drugs, learn to enjoy the freedom. IX. Topic: Restoring confidence of parents. Many years of drug use repeated promises to stop taking them lead to the development of negative experiences of relatives, complete or partial disbelief. Work is conducted jointly with parents (relatives) of the patient. The objective is to develop clear and measurable criteria to build confidence in the patient by which they begin to understand that changes occur, the probability of withdrawal from the drug increases. theme may take a few sessions. X. discussion: to be able to answer for their words. Quite a topical subject and at the same time the most difficult. theme runs through many of the sessions. Is not the subject of one DN is or one session. The task is to give meaning and significance of the words. XI. Topic: goal Setting. The objective of the session is to set specific (measurable), positive, correct purposes. Given the experience, we can say quite a complex operation, if the informal approach. Suggestive of the work necessary to consolidate the achieved results. Discussion topics, and then tracking results, as a rule, it takes several sessions. XII. Topic: Development of skills for avoiding drug use and personal growth desired goals. In the process of drug is maladjustment of basic skills: perseverance, persistence, the ability to answer for their words, the ability to analyze; communication skills with people management free time and much more. Apart from the discussion outlined and timing of the development or recovery of lost skills. Starting with the second month and lasts up to 10 sessions. XIII. Topic of discussion: Significant events in my (the patient's) life. The objective of this theme is to continue to uncover the hidden beliefs and to teach them to analyze. Significant events are those events that changed the life of the patient. The suggestion fixed the inevitable changes in life, which began with a moment of treatment./p> XIV. Topic of discussion: "What am I willing to do today what tomorrow would understand that I walked away from drugs?". The task is to link and put in direct relationship to the nursing process from drugs with the same action, which is ready to take the patient. Another task is to continue to build a belief in the inevitability of change. XV. Topic for discussion: "life Line. Why I was born? Identifying values and work with them." Seeks to identify and create value, which is ready to follow the patient. XVI. Topic for discussion: "a New life under the care of a wise man". The task is to develop the skills of predicting, preventing repetition of errors, including drug use. Is a continuation and extension of theme of Randomness and regularity". Psychotherapy should act on the following areas. Emotional - to reduce the craving for the drug, increase confidence in their own (rather than supernatural) forces to bring peace in relationships with family and loved ones. - Cognitive - fix a number of erroneous beliefs that led to the original drug and its subsequent retention. Behavioral - to recover lost skills, ability to benefit themselves and society, to improve the credibility loved ones. Psychotherapy is not what it should be-only policy, wear instructive character that indicates what to do with the position of an older person or a specialist (doctor, psychiatrist, psychotherapist, psychologist), but need step by step to change beliefs in such a way that he comes to conclusions. Generally, psychotherapy and acupuncture are sequentially sessions combined in time. In General, the meeting takes up to 1.5 hours a day. Examples of specific performance of the treatment method. Patient A. Took drugs 5 years from 19 to 23 years. Dosage of about 1 g Hanki in the day. Started treatment on may 8, 1997, the Treatment is 3 months. The treatment included the use of opiate antagonists - 50 mg revia (1 capsule) per day. Acupuncture was performed 4 weeks on the scheme. A month later recovered from a dream, decreased irritability, tension. Improved behavioral responses. Stepwise psychotherapy that combines cognitive and suggestive, allowed two months to significantly reduce the desire to take drugs. After 3 months of work for 3 months, the patient lived at his country house, doing chores. One year after treatment control over the continuing failure of the drug was carried out using the test urine sample. Testing was performed spontaneously about 6-8 times a year on PR is over the next 3 years. For 4 years the patient has not only started, but got married, there were two children. The main problems remained poor memory and periodic, rare desire to take the drug. After 7 years after treatment in a chance meeting with the patient learned that Andrew was admitted to the Institute, the children grew, continued to work, drug refuses emotional desire to take the drug disappeared. Patient O. 17 years. Took drugs about 2 years. Dosage of about 0.5 grams of heroin per day over the last year. Home treatment - September 17, 1999, the duration of treatment is 3 months. The treatment included the use of opiate antagonists - 50 mg revia night, reflexology and psychotherapy. As always, complaints were not only addicted to drugs, but also on conflict behavior with relatives, frequent deceptions, sometimes leaving home. Some of these problems appeared two years before you start taking drugs. Treatment proceeded in normal mode: irregular attendance (place of residence, about 200 km from Yekaterinburg, and outpatient visits), not regular intake of revia, continued the quarrel with her family, leaving home. Gradually, the status was changed, became more calm, went to work, improved mood, disappeared emotional dependence is of NARKOTIKOV. After treatment control was performed by testing and feedback with their families during the year. During this time, the drug was not. Patient C. for 22 years. Took drugs not less than 3 years. Repeatedly treated before coming to our center. Three treatment ended with the withdrawal of the withdrawal syndrome. The duration of the refusal of drugs ranged from 2 weeks to 3 months. Once he passed a course of short-term psychotherapy with the same result. Initiation of treatment in our center since April 12, 1999, the Dosage reaches up to 1.5 grams of heroin per day. The course lasted 3 months. Used opiate antagonists (revia). First 3 months - 2 tablets per day, 4th month - 1 tablet a day and then on the scheme. Reflexology was conducted within 2 weeks as previously described. After a month, improved mood, recovered from a dream, disappeared subdepressus disappeared desire to take drugs, the patient, like many others, began to consider myself healthy, but at the insistence of parents and the doctor, he continued treatment. The treatment results were tracked until March 2001, has Changed the patient's attitude to drugs, was adapted in the society, from the work of the dresser turned into the Director. Practice pokusavala that treatment within one month gives remission for more than one year not more than 10-15% of cases, leczenie more than 3 months increases the number of recovery (remission for more than one year) up to 60%. 1. Method of treatment of patients with high motivation, including the sessions of individual psychotherapy and acupuncture, characterized in that the treatment begin 5-7 days after relief of withdrawal syndrome, simultaneously with psychotherapy additionally provide medical treatment with opiate antagonists on individual basis depending on the number of received drug and the rate of change of symptoms: dose of heroin 0.5-1.0 g per day 1 tablet a dose of 50 mg per day for 3 months, then 4-month - 1 tablet a dose of 50 mg twice a day, 5th month - 1 tablet a dose of 50 mg three day, 6th month - 1 tablet a dose of 50 mg in the four days of the 7th month - 1 tablet a dose of 50 mg in five days, the 8th month - 1 tablet a dose of 50 mg in six days, the 9th month - one tablet a dose of 50 mg per week; dose of heroin 1.5-2.0 g per day - two tablets a dose of 50 mg per day for 3 months, then the 4th and 5 months 1 tablet a dose of 50 mg per day, 6th month - one tablet a dose of 50 mg twice a day, 7th month - one tablet a dose of 50 mg three day, 8th month - one tablet a dose of 50 mg in four days, the 9th month - one tablet a dose of 50 mg in five days; at a dose of heroin from 3.0 to 12.0 - three tablets a dose of 50 mg for the first three months, then 4-month - 2 tablets a dose of 50 mg per day, 5th month is - one tablet a dose of 50 mg per day, 6th month - one tablet a dose of 50 mg twice a day, 6th month - one tablet a dose of 50 mg twice a day, 7th month - one tablet a dose of 50 mg three day, 8th month - one tablet a dose of 50 mg in four days, the 9th month - 1 tablet a dose of 50 mg in five days, individual psychotherapy sessions are conducted systematically by cognitive psychotherapy in the form of a dialogue on a given topic using guides and key issues and suggestive psychotherapy in the style of Ericksonian hypnotherapy by influencing the emotional component of the patient; and reflexology spend the first two weeks in the amount of 7-10 sessions at point "a wonderful meridians" R 9 Zhu-bin, TR 5 Wai Guan, then in point, strengthen physical and mental balance - E 36 zu San Li, GI 4 he-GU, GI 11 qu-Chi, 15 V Hsin-Shu, V 59 fu-Yang, MS 6-Wang, VG 20 Bai Hui, VG 14 Yes-Jui, VC 15 JIU-Wei, VB 38 Yang-fu, and the action of psychic equilibrium points 15 V Hsin-Shu from two sides 14 and VG-Jui additionally reinforce the impact of the point VG 20 Bai Hui. 2. The method according to claim 1, characterized in that suggestive psychotherapy is carried out either in the middle or at the end of a psychotherapy session for 10-1800 C. 3. The method according to claim 1, characterized in that when individual psychotherapy first identify explicit and implicit beliefs, pay attention to the whirling, habits, how the environment and behavior of the patient formed a real problem, then form the ability to refuse drugs at the level of consciousness and feelings, and negative attitudes toward drug and eliminate the desire to take the drug, using the technique of "slides", develop the patient skills to find beliefs against drugs shaped through dialogue between a patient and his image in the past include the mechanism of forgetting drugs on the subconscious level, conduct the processing of personal experience, then work together with parents to restore their confidence, learn to give importance and significance of the spoken words and promises; then suggestion fix the achieved result, develop the skills necessary to care from drugs and personal growth; reinforce the suggestion that change is inevitable in life, connect and put in direct relationship to the nursing process from drug addiction with the actions of the patient that he is willing to take; identify and articulate values, and then develop skills foresight, avoid repeated mistakes.
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