Consultation with a psychiatrist-narcologist

A consultation with a psychiatrist–addiction specialist is a specialized appointment with a physician who diagnoses, treats, and prevents addictions (alcohol, drug, and substance abuse) as well as associated mental and emotional disorders. An addiction psychiatrist helps not only to address physical dependence but also to work through the psychological factors that contribute to the development of addiction.

Goals of the consultation

1. Diagnosis of addiction. Assessment of the degree of physical and psychological dependence. Identification of the causes that led to the use of psychoactive substances (PAS).
2. Development of an individualized treatment plan. Selection of detoxification methods, pharmacological treatment, and psychotherapeutic support.
3. Motivational work. Assistance in recognizing the problem and building readiness for treatment.
4. Patient support. Reduction of anxiety and work with the emotional state.
5. Relapse prevention. Development of resilience to addiction triggers.

When is a consultation with a psychiatrist–addiction specialist needed?

1. Signs of addiction. Uncontrolled use of alcohol, drugs, or toxic substances. Strong craving for psychoactive substances. Withdrawal syndrome when attempting to stop use.
2. Emotional and mental disorders resulting from PAS use. Depression, anxiety, irritability, apathy. Decreased motivation and loss of interest in life.
3. Social and family problems. Conflicts in the family, at work, or with friends. Social isolation.
4. Desire or readiness to overcome addiction.
5. Relapse after previous treatment.

How does the consultation take place?

1. Medical history taking
2. Diagnostic assessment
3. Discussion of treatment methods
4. Motivational work
5. Family support

What treatment methods does a psychiatrist–addiction specialist offer?

Pharmacological treatment

• Detoxification of the body.
• Medications to reduce cravings for psychoactive substances.
• Medications to relieve anxiety, depression, and insomnia.
• Hepatoprotectors and antioxidants to restore health.

Psychotherapy

• Cognitive behavioral therapy (CBT). Identification and elimination of addiction triggers.
• Motivational therapy. Strengthening the patient’s intrinsic motivation.
• Group therapy. Participation in mutual-help programs such as “12 Steps”.
• Family therapy. Addressing family conflicts and improving interaction among relatives.

Rehabilitation

• Restoration of social skills.
• Reintegration into society and employment.

Recommendations after the consultation

1. Adherence to the treatment plan. Regular implementation of the physician’s recommendations.
2. Compliance with medication regimens when pharmacotherapy is prescribed.
3. Attendance at psychotherapy sessions. Individual and group sessions.
4. Creation of a supportive environment. Avoidance of triggers and toxic surroundings.
5. Active participation in rehabilitation programs. Engagement in support and resocialization programs.

A consultation with a psychiatrist–addiction specialist is a key stage in the diagnosis and treatment of addiction. The physician helps the patient recognize the problem, identify its causes, and develop an effective treatment plan. A comprehensive approach that includes detoxification, pharmacotherapy, psychotherapy, and rehabilitation helps achieve sustained remission and restore quality of life.