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Substance Abuse Mood Disorders. Thomas W. Brown, MD, JD, FCLM Department of Psychiatry Wake Forest University School of Medicine. “Automatic Screens”. Age Undergraduate Education Legal Education. Mood Disorders. What are the broad categories? Conventional definitions.
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Substance AbuseMood Disorders Thomas W. Brown, MD, JD, FCLM Department of Psychiatry Wake Forest University School of Medicine
“Automatic Screens” • Age • Undergraduate Education • Legal Education
Mood Disorders • What are the broad categories? • Conventional definitions. • What else do we need to understand?
Definitions • Social use • Abuse • Dependence • Addiction
Substance Use Disorders • Disease concept of addiction. • High heritability. • Role of a high stress profession.
Comorbidity • Perhaps the rule rather than the exception? • Why a grave error to leave one of two illnesses undiagnosed or untreated? • Modern medication/methods for treatment.
Lawyers: What is different? • A particular aspect of mood disorder. • An occupation based on higher mental function. • Independent interest in protection of the public.
What to do? • The alternative to treatment is always sure deterioration. • Always consider NCLAP. • Range of treatment modalities.