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Psychotherapy for cocaine dependence.

C P O'Brien¹, A T McLellan, A Alterman

¹Department of Psychiatry, University of Pennsylvania/Veterans Affairs Medical Center, Philadelphia 19104/6178.

Ciba Foundation Symposium

|January 1, 1992

Summary

Cocaine dependence treatment combines medication and psychotherapy for best results. This approach facilitates drug-free intervals, enabling patients to engage effectively in therapy and relapse prevention strategies.

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Area of Science:

Addiction Medicine
Clinical Psychology
Psychopharmacology

Background:

Cocaine dependence emerged as a significant clinical disorder in the US post-1980s.
Limited pharmacological models exist, primarily focusing on medication-assisted psychotherapy facilitation.

Purpose of the Study:

To review current treatment models for cocaine dependence.
To highlight the efficacy of combined pharmacological and psychotherapeutic interventions.

Main Methods:

Review of existing literature on cocaine dependence treatment.
Analysis of controlled studies on psychotherapy and behavioral interventions.
Examination of pharmacotherapy's role in facilitating psychotherapy.

Main Results:

Psychotherapy programs often adapt models like Alcoholics Anonymous.
Behavioral treatments show efficacy in reducing conditioned responses.
Pharmacotherapy combined with psychotherapy demonstrates the most promising outcomes.

Conclusions:

Combined pharmacotherapy and psychotherapy represent the most effective strategy for cocaine dependence.
Medication can create essential drug-free periods for therapeutic engagement.
Ongoing research is validating various therapeutic and relapse prevention approaches.

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