J Psychiatr Pract. 2024 Jan 1;30(1):62-67. doi: 10.1097/PRA.0000000000000763.
This article presents a unique framework that combines insights from neuroscience with clinical assessment to evaluate individuals who have co-occurring alcohol use disorder, anxiety, and trauma. Through the use of a case study, the authors demonstrate the practical application of this framework and contextualize the relevant neurocircuitry associated with alcohol withdrawal, maladaptive fear and anxiety, and chronic stress. By integrating these perspectives, they provide a comprehensive approach for assessing and treating patients with complex psychiatric histories, particularly those presenting with anxiety symptoms, offering valuable insights for practitioners.
本文提出了一个独特的框架，结合了神经科学和临床评估的见解，用于评估同时患有酒精使用障碍、焦虑和创伤的个体。通过使用案例研究，作者展示了该框架的实际应用，并将与酒精戒断、适应不良的恐惧和焦虑以及慢性应激相关的相关神经回路置于上下文中。通过整合这些观点，他们为评估和治疗具有复杂精神病史的患者提供了一种综合方法，特别是那些表现出焦虑症状的患者，为从业者提供了有价值的见解。
