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Prof. Piotr Galecki

In psychiatry, harm reduction has been used for a long time

MedExpress Team

Tomasz Kobosz

Published March 27, 2023 14:54

In psychiatry, harm reduction has been used for a long time - Header image
Fot. MedExpress TV
We discuss the usefulness of harm reduction methods in treating nicotine addiction with Professor Piotr Galecki, national consultant in psychiatry.

Prof. Piotr Galecki:

  • Harm reduction in psychiatry has been used for a long time.
  • The first was the methadone treatment program, used to treat drug addiction.
  • In modern psychiatry, we also talk about harm reduction methods when treating nicotinism and alcohol addiction.
  • The ICD-11 classification abandons the division into 3-stage categories, that is, any entity under the section on mental disorders is a mental disorder. So it includes addictions to nicotine or caffeine.
  • The best treatment for nicotine addiction is a combination of psychotherapy and pharmacotherapy.
  • Harm reduction finds its justification in the treatment of nicotinism, although here therapists have different opinions. However, there are those comorbidities [serious mental disorders] in nicotine addicts that do not allow them to abruptly quit cigarettes. In such cases, harm reduction is worth considering.

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