Doctor narcologist - who is it and what does it treat? Appointment

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Doctor narcologist - who is it and what does it treat? Appointment
Doctor narcologist - who is it and what does it treat? Appointment
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Narcologist

A narcologist is a doctor who diagnoses, treats and prevents alcohol, tobacco and drug addictions.

Narcology is a branch of medicine that studies the manifestations of drug addiction, substance abuse and alcoholism, seeks and creates methods to combat, prevent and treat these diseases.

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Who is a narcologist?

To be eligible to work as an narcologist, you must have a diploma from a higher educational medical institution and additionally obtain a specialization in narcology. Most often, psychiatrists, or resuscitators and anesthesiologists, who have received additional education, become narcologists.

A narcologist can work at the site in the district clinic. He advises patients, performs treatment in an outpatient setting, or issues a referral on the need for inpatient treatment. In addition, the local narcologist makes home visits to patients and, if necessary, interacts with the police department.

A doctor working in a narcological hospital treats patients with mental disorders (for example, with alcohol delirium), works with drug addicts and alcoholics during the withdrawal period.

A narcologist is also needed in the examination departments in order to perform medical examination procedures.

Drug addicts also work in rehabilitation centers, where people with addictions try to get rid of them after the withdrawal phase has been overcome.

What does a narcologist do?

expert in narcology
expert in narcology

A narcologist provides professional assistance in the field of narcology. It can be both primary and secondary. It is possible to provide assistance to a person in a clinic, in an office at the place of residence and even at home.

At the first meeting of the patient with the doctor, the person is diagnosed and the amount of necessary therapy is determined, and the patient is sent for the necessary tests and instrumental examinations.

Repeated consultations are aimed at clarifying the diagnosis, studying the information obtained from the results of examinations and building a treatment regimen. It is possible that the patient may require inpatient therapy.

A drug specialist can:

  • Professionally get a person out of binge;
  • Help overcome addiction;
  • Help ease withdrawal symptoms;
  • Arrange drug and non-drug treatment;
  • Perform medical examination;
  • Put on a dispensary account;
  • Remove from dispensary registration;
  • Help to challenge the results of an already completed examination.

Anonymous counseling in the narcologist's office is possible.

What diseases does a narcologist treat?

Diseases that a specialist helps to get rid of:

  • Pseudo-paralysis of alcoholic genesis, manifested in the defeat of internal organs, in the disorder of speech, movements, vision, etc.
  • Alcoholic depression;
  • Acute delusional alcoholic paranoid (psychosis), which is characterized by delusions, obsessions, illusions and other mental disorders;
  • Alcoholic epilepsy; (read also: What is alcoholic epilepsy?)
  • Polyneuritic psychosis, which is a variant of alcoholic encephalopathy;
  • Delirium tremens;
  • Drug addiction;
  • Alcoholic delusions and hallucinations.

When should I see a drug specialist?

You can come to the doctor for a consultation both on your own and after receiving a referral from another specialist. This could be a psychologist, psychiatrist, therapist, etc. Urgent referral required:

  • Drug overdose;
  • In severe alcohol poisoning;
  • If you need to get out of binge;
  • If necessary, detoxification with severe and severe withdrawal syndrome.

In addition, the patient may need scheduled visits to a narcologist when he is already receiving treatment for drug addiction, alcohol dependence or other diseases.

Specialist consultation will also be required for examination to determine the state of alcohol or drug intoxication.

Based on the reason for the appeal, it can be both voluntary and forced. As for the outpatient appointment, it is always voluntary. If a person does not believe that he needs the help of a narcologist, then he can refuse it. However, in this case, all responsibility for his he alth is removed from the doctors. The same applies to refusal to undergo an examination for the detection of alcohol intoxication. Only in this case, a person takes responsibility for his actions, which are considered by the courts as an indirect confirmation of the presence of such intoxication.

Compulsory inpatient treatment possible:

  • According to a court decision, when a person committed a crime in a state of altered consciousness;
  • When acute psychosis is detected;
  • With exacerbation of chronic alcoholic and drug psychoses;
  • In case of a threat to life and he alth, both one's own and someone else's as a result of the presence of addiction.

A relative who is worried about the he alth of a loved one, or wants to confirm or refute his doubts about his addiction can come to an appointment with a narcologist. However, assistance in this case is rather limited, since there is no way to diagnose a person in absentia or prescribe treatment for him. However, the doctor can advise what tactics of behavior should be chosen in order to persuade the patient himself to come to the appointment.

How is an appointment with a narcologist going?

How does an appointment with a drug specialist work?
How does an appointment with a drug specialist work?

To begin with, the specialist will interview the patient, find out his character traits, determine his mental and intellectual safety, the adequacy of the psyche, the nature of the perception of his own personality, etc.

The doctor will be interested in the duration of taking drugs and alcohol and the features characteristic of the dependence of a particular patient. This refers to the duration of binges, the dosage of psychoactive substances necessary for him to become euphoric, the duration of abstinence, etc. In addition, it is necessary to inform the doctor about the already existing treatment attempts, if any.

The narcologist finds out what he alth problems the patient has: with internal organs, with the nervous system, mentally.

When the interview is completed, the doctor performs an examination of the patient, for which he evaluates:

  • Man's well-being;
  • Physiological parameters (body weight and its ratio with height);
  • Skin condition;
  • Nerve and muscle tone;
  • Pulse;
  • Blood pressure;
  • Breathing function.

If necessary, the narcologist makes a recommendation to visit another specialist, for example, a neurologist, therapist, psychiatrist, etc. At the end of the appointment, the doctor makes a diagnosis to the patient and recommends treatment.

What diagnostic methods does the narcologist use?

  • TANK;
  • OAM;
  • UAC;
  • ECG;
  • Chest x-ray;
  • Tests to determine the content of the drug in biological fluids and tissues;
  • Rapid drug tests;
  • Hair drug test;
  • Analysis for antibodies to drugs, etc.

Treatment prescribed by a doctor is always versatile. It includes conservative therapy and the provision of psychological assistance to the patient. Depending on the situation, it may be recommended to undergo therapy in a hospital or in a rehabilitation center. Equally important is the support of loved ones, occupational therapy and social rehabilitation.

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