Anxiety and Substance Use Disorders: The Vicious Cycle of Comorbidity (Series in Anxiety and Related Disorders)

"It takes my worries away it helps me unwind when I m tense Those with an anxiety disorder are at two to five times greater risk of having an alcohol or drug use disorder than those without an anxiety disorder. And although anxiety disorders are among the most common co-occurring conditions affecting people with substance issues, mainstream methods often fail to treat both halves of the picture. Anxiety and Substance Use Disorders: The Vicious Cycle of Comorbidity addresses this gap with dispatches from the frontlines of research and treatment. Thirty-four international experts offer findings, theories, and intervention strategies for this common form of dual disorder both across types of substances (alcohol, tobacco, street and prescription drugs) and the range of anxiety disorders (PTSD, social phobia, panic disorder, OCD) to give the reader comprehensive knowledge in a practical format. Informed by the reciprocal relationship between the two types of disorders (such as the contributions of substance abuse to anxiety-related symptoms), the book: Brings together neurobiological, psychosocial, and cognitive perspectives on its subject, Outlines theoretical models of co-occurring anxiety and substance abuse, its epidemiology, and etiology, Offers up-to-date research findings on the nature, origins, and treatment of specific combinations of substance use and anxiety disorders, Presents detailed reviews of emerging targeted treatment methods including cognitive-behavioral, personality-based, and medical interventions with latest data on their efficacy, Pinpoints future directions in understanding and treating the dually diagnosed. This integrative approach makes Anxiety and Substance Use Disorders: The Vicious Cycle of Comorbidity an important resource for all mental health professionals. It will also serve as an excellent clinical text.""The first of its kind in providing a critical review of the emerging literature addressing such co-morbid conditions, this book is an excellent step in providing researchers and clinicians with guidance in the understanding and treatment of this complicated presentation. Overall, the current volume will likely be instrumental in further advancing the field of co-occurring anxiety and substance use disorders."" -Lindsay S. Ham, Florida International University, Book Review Editor for Anxiety Disorders: A Quarterly Report, Association for Behavioral and Cognitive Therapies" Springer 0387742891 1 Contents 12 Part I. Theoretical Issues 20 1. Epidemiological Perspectives on Co-Occurring Anxiety Disorder and Substance Use Disorder 21 2. The Neurobiology of Anxiety: Potential for Co-Morbidity of Anxiety and Substance Use Disorders 36 Part II. Research Findings 51 3. Posttraumatic Stress Disorder and Substance Use Disorder: Neuroimaging, Neuroendocrine, and Psychophysiological Findings 52 4. Co-Morbidity of Social Phobia and Alcohol Use Disorders: A Review of Psychopathology Research Findings 73 5. Panic Spectrum Disorders and Substance Use 94 Part III. Treatment Strategies 112 6. Treatment of Co-Morbid Obsessive-Compulsive Disorder and Substance Use Disorders 113 7. Treatment for Co-Morbid Posttraumatic Stress Disorder and Substance Use Disorders 130 8. Treatment of Co-Occurring Alcoholism and Social Anxiety Disorder 149 9. Treating Co-Morbid Panic Disorder and Substance Use Disorder 166 10. Cognitive-Behavioral Treatment of Co-Morbid Panic Psychopathology and Tobacco Use and Dependence 185 11. Personality-Based Approaches to Treatment of Co-morbid Anxiety and Substance Use Disorder 209 12. Medical Management of Co-Morbid Anxiety and Substance Use Disorder 228 Part IV. Integration And Conclusions 244 13. Anxiety Disorder and Substance Use Disorder Co-Morbidity: Common Themes and Future Directions 245 Author Index 264 A 264 B 264 C 265 D 266 E 266 F 266 G 267 H 267 I 268 J 268 K 268 L 269 M 269 N 270 O 270 P 270 Q 271 R 271 S 271 T 272 U 273 V 273 W 273 Y 273 Z 274 Subject Index 275 A 275 B 275 C 276 D 276 E 277 F 277 G 277 H 277 I 277 L 277 M 277 N 278 O 278 P 278 R 279 S 279 T 280 W 280 ISBN-13:,9780387742892 ISBN-13: 9780387742892 Disorders of anxiety and substance use are, for some reason, rarely treated in an integrated fashion by professionals. This timely volume addresses this glaring omission with dispatches from the frontlines of research and treatment. Thirty-four international experts offer findings, theories, and intervention strategies for this common form of dual disorder, across a range of substances and of anxiety disorders, to give the reader comprehensive knowledge in a practical format. Those with an anxiety disorder are at a risk of having an alcohol or drug use disorder. This book contains findings, theories, and intervention strategies for these disorders - both across types of substances (alcohol, tobacco, street and prescription drugs) and the range of anxiety disorders (PTSD, social phobia, panic disorder, and, OCD)