Intervención cognitivo-conductual en un caso clínico de Trastorno por consumo de sustancias psicoactivas en un entorno controlado

Abstract

Abstract: The present study approached a 53-year-old male patient institutionalized in a rehabilitation center due to the problematic use of cocaine base and tobacco that he has maintained for approximately 36 years, meeting the diagnostic criteria according to ICD-10 of F14.21 Mental and behavioral disorders due to cocaine use. Dependence syndrome currently in abstinence, but in a protected environment. and F17.1 Harmful use of tobacco. The assessment was carried out by means of a semi-structured interview, clinical observation and the application of 7 psychological tests (MMSE, ASSIST, LSB-50, CCQ-G, URICA, BIS-11 and SEAPSI). The treatment was developed from a cognitive-behavioral approach during 9 sessions lasting approximately 50 minutes; achieving greater awareness of the harmful use of tobacco and cocaine base paste, predisposition to change, reduction of craving and impulsivity, acquisition of problem-solving skills and assertive communication, better management of strategies for relapse prevention and establishment of a future projection.