The Psychosocial Treatment Of cocaine Abuser And Dependent.

The psychosocial treatment
cocaine abuser and dependent.
of
Dr Olivier Phan Centre Emergence,
Institut
Mutualiste
Montsouris,
Paris, [email protected]
Dr
Laurent
Karila,
Centre
d'Enseignement, de Recherche et
de Traitement des Addictions,
Hôpital Universitaire Paul Brousse,
AP-HP, Univ Paris- Sud, CEAINSERM U1000, Villejuif France
If pharmacotherapy has shown great interest in the treatment of cocaine abusers, psycho-social
treatment remains today the most important approach to cure this type of addiction. Many
studies highlight the interest of such approach. Among them, three seems to have demonstrated
their efficacy in controlled randomized clinical trial (RCT). The cognitive behavioral therapy
(CBT) is now recognized as efficient in most of addictions. The importance of craving in cocaine
addiction is one of the reasons why CBT demonstrate such success. The contingency
management is well developed in the United States of America, many trials have been done and
confirm the positive impact of such approach. Unfortunately, this treatment is less developed in
Europe, the concept of vouchers being not always well understood. Drug counseling is also
described as a treatment that leads to positive outcomes. On the contrary, motivational
interviews seem not to have a positive impact alone.