Sex After Rape -- Victims Coping Tactics
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If it seems that only the addictive substances are being taken, the pt may have only a substance abuse disorder, however, dual diagnosis pts may be noncompliant for the same reasons as single diagnosis pts. If serious symptoms persist despite several weeks of treatment with the patient being abstinent from substances of abuse or alcohol, you can be sure they have a dual diagnosis, but only if you are sure they have really been abstinent. All substances of abuse affect the pleasure-reward system in the brain. Legal history including DUIs, Intoxicated in Public, or Possession are also good clues about substance abuse. The incidence of completed suicide in substance abusers is 3-4 times higher than in the general population, and even higher in depressed patients. I wear 36 A AND 36 B. I get the panties, bras at Wal Mart, Sears and in mall shops at times. From the times of the acid house explosion in the 1980's Chris Coco has honed his craft as a DJ. If so, then the patient may more likely have a substance induced disorder. If the patient understands that your major concern is to help, not punish them, they may open up, if not on the first interview, when you might inquire again later if substance abuse is suspected
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