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What is Addiction Medicine?

Addiction medicine is a medical specialty that deals with the treatment of addiction.  The specialties often crosses over into other areas, since various aspects of addiction fall within the fields of public health, psychology, social work, psychiatry, and internal medicine, among others.  Incorporated with the specialty are the processes of detoxification, rehabilitation, harm reduction, abstinence-based treatment, individual and group therapies, oversight of halfway houses treatment of withdrawal-related symptoms, acute intervention, and long term therapies designed to reduce likelihood of relapse.  Some specialists, primarily those who also have expertise in family medicine or internal medicine, also provide treatment for disease states commonly associated the substance use, such as hepatitis and HIV infection.

Physicians specializing in the field are in general agreement concerning applicability of treatment to those with addiction to drugs, such as alcohol and heroin, and often also to gambling, which has a similar characteristics and has been well described in the scientific literature.  There is less agreement concerning  definition or treatment of other so-called addictive behavior such as sexual addiction and internet addiction, such behaviors not being marked generally by physiologic tolerance or withdrawal.

Doctors focusing on addiction medicine are medical specialist who focus on addictive disease and have had special study and training focusing on the prevention and treatment of such disease.  There are two routes to specialization in the addiction field:  one via a psychiatric pathway and one via other fields of medicine.  The American Society of Addiction Medicine notes that approximately 40% of its members are psychiatrists while the remainders have received medical training in other fields.

Within the United States, there are two accepted specialty examinations.  One is a Certified I Added Qualifications in Addiction Psychiatry from the American Board of Psychiatry and Neurology.  The other is a certificate from the American Board of Addiction Medicine following a peer-reviewed

 Board-type examination.  The latter  approaches is available to all physicians, while the former is available only to board-certified psychiatrists.  The American Board of Addiction Medicine is not currents a member of the American Board of Medical Specialties.

American Board of Preventive Medicine.  (2010). Retrieved December 28, 2010.

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