RU2234950C2 - Method of treating tobacco dependence - Google Patents

Abstract

FIELD: narcology.

SUBSTANCE: treatment comprises interrogation and psychotherapeutic conversation. Person is brought in meditative trans involving suggestion of negative response to aspiration of tobacco smoke and aversion reaction during smoking is induced. Treatment is carried out once a day during two days. Aversion reaction is induced by smoking one cigarette with deep aspiration of the smoke after two usual aspirations accompanied by irrigation of oral space with a drug formulation including dibasol, lidocaine, papaverine and prohibition of smoking before the next treatment cession.

EFFECT: accelerated achievement of desired result using maximally sparing psychotherapeutic and therapeutic ways.

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Description

The invention relates to medicine, namely to narcology, and can be used to treat patients suffering from the desire for tobacco smoking.

A known method of getting rid of tobacco dependence with exposure to a patient in an awake state by the methods of rational persuasion is the formation of a psychological attitude to stop smoking tobacco, proposed by V. Bekhterev. (Bul P.I. Fundamentals of psychotherapy. - M .: Medicine, 1974, s.16-20, 157-162).

Its disadvantage is that this method can be successfully used at the initial stage of tobacco dependence before the formation of a long-standing established habit.

A known method of treating tobacco dependence, including psychotherapy and subsequent irrigation of the oral cavity with chloroethyl (RF patent No. 2089232, class A 61 M 21/00, 1997). This medicine has been discontinued due to the advent of more effective drugs.

A known method of getting rid of tobacco dependence, including conducting collective and individual psychotherapeutic sessions with the patient in a state of relaxation, during which they perform a mechanical effect on the reflexogenic zones of the head and verbal suggestive effect with speaking the formula, forming a psychological attitude to abstain from smoking tobacco and fixing this installation (RF patent No. 2034576, class A 61 M 21/00, A 61 H 39/00, 1995).

The disadvantages of this method are severe stress on the patient with mechanical irritation of reflexogenic zones up to short-term amnesia and coding for a certain period of abstinence from tobacco smoking, psychologically perceived as punishment. As well as all methods with term coding, the known method does not contribute to the establishment of sustainable cessation of tobacco smoking and the patient waits for the coding term to expire as getting rid of the ban.

Closest to the claimed is a method of treating tobacco dependence by the method of "fast smoking", which is considered the most common in the world, in which the patient smokes at the same time 2-3 cigarettes at an accelerated pace until vomiting occurs (Aniskin DB. Psychotherapy of tobacco dependence. Journal "The attending physician ”, 1999, No. 5,

This method is very effective, but its disadvantage is the potential danger of a powerful toxic effect of nicotine on the cardiovascular and nervous systems.

The technical result of the claimed invention is to increase the effectiveness of the treatment of tobacco dependence.

The technical result is achieved by the fact that the treatment is carried out in 3 stages: stage 1 includes a survey and psychotherapeutic conversation; Stage 2 - a meditative trance with the suggestion of a negative reaction to the inhalation of tobacco smoke; Stage 3 - inducing an aversion reaction while smoking one cigarette with a deep breath of smoke after two usual puffs, while irrigating the oral cavity with a composition of medicines, including dibazole, lidocaine, papaverine, when smoking is prohibited until the next session. Treatment is carried out once a day, a course of two days.

The method is as follows.

STAGE 1.

First, they conduct a survey and a rational psychotherapeutic conversation, during which they clarify the clinical features of the course of tobacco dependence, the degree of preservation of personality, the motivation for seeking treatment, and treatment settings. Testing the patient for the effectiveness of the therapeutic effect. An insufficiently expressed reaction to the test is not decisive in deciding on the effectiveness of treatment and does not deny the patient’s attitude to treatment.

2 STAGE.

Verbally, in a state of meditative trance, during which the patient’s decision to quit smoking is fixed, the patient is given a transition to a painless transition to life without inhaling tobacco smoke, an suggestion is carried out aimed at fixing the negative reaction to inhalation of tobacco smoke from the patient’s body.

3 STAGE.

The patient smokes one cigarette at the usual pace, alternating two usual puffs of cigarette smoke with a deeper inhalation of the latter, while irrigating the oral cavity with a composition of medicines, including dibazole, lidocaine, papaverine. While smoking a cigarette, the patient has a feeling of slight dizziness, a pronounced cough or vomiting reaction. Enough 3-4 deep breaths of tobacco smoke. Until the next session, the patient is not allowed to smoke. To achieve a lasting positive therapeutic effect, as a rule, two treatment sessions are sufficient.

Example 1. Patient K., 56 years old, started smoking from 14 years old. For the past 12 years, he has smoked 40-50 cigarettes a day. You have to wake up at night to smoke a cigarette. Previously treated four times in different ways (medication, hypnosis, acupuncture, computer coding). A positive result was either short-lived or absent, as was the case with computer coding. The patient was firmly committed to treatment, because linked the disease of gastric ulcer directly with tobacco smoking. The treatment was started by interviewing and questioning the patient, conducting a psychotherapeutic conversation that lasted 30 minutes, and testing the patient for the effectiveness of the therapeutic effect. In a state of meditative trance for 12 minutes, the patient’s decision to quit smoking was fixed, a negative reaction to the inhalation of tobacco smoke from the patient’s body was developed. At the end of this stage, the patient was asked to smoke one cigarette at the usual pace, alternating a less deep inhalation of tobacco smoke with a deeper one. A deep breath was accompanied by irrigation of the oral cavity with a drug. While smoking, the patient experienced dizziness, nausea with vomiting, and lacrimation. After the first treatment session, the craving for smoking tobacco disappeared, as the patient informed himself when he arrived at the reception the next day. After the second session, the craving for smoking tobacco was persistently absent without changing the psychosomatic well-being. After a 2-week period, the patient brought for treatment his son with the words: “I did not think that I could not smoke so much time.” Currently, remission is 8 years.

Example 2. Patient S. 36 years. The first sample of tobacco smoking occurred at the age of 17. Before treatment, I smoked from 1.5 to 2 packs of cigarettes per day. It became a habit to smoke a cigarette immediately after waking up and during breakfast. I also smoked a lot during the working day.

The decision to quit smoking came after he began to worry about chronic bronchitis with an asthmatic component. She tried twice to stop smoking tobacco on her own, but withstood about one day. According to the patient, “I wanted to smoke so much that my ears began to swell.” After the first treatment session, which began with a survey, questionnaire, and psychotherapeutic conversation lasting about 40 minutes, suggesting negative feelings of smoking tobacco in a meditative trance for 15 minutes, smoking a cigarette with alternating one deep breath of tobacco smoke with two shallow and oral irrigation composition of medicines, including dibazole, lidocaine, papaverine, the craving for smoking decreased significantly, became tolerant. The patient, by her definition, began to “smell the fresh air.” Before the start of the second session the next day she reported that late in the evening and in the morning she noted periodically arising sensations, reminiscent of a craving for smoking, but slightly expressed, tolerant. After the second session, the craving for tobacco smoking was completely reduced while maintaining a satisfactory state of health. Remission time at the moment is 2.5 years.

Using the proposed method allows in a short time to achieve the desired result using the most gentle psychotherapeutic and therapeutic methods.

Claims (1)

A method of treating tobacco dependence, including questioning and psychotherapeutic conversation, introducing into a meditative trance with the suggestion of a negative reaction to inhaling tobacco smoke and inducing an aversion reaction during smoking, characterized in that the treatment is carried out once a day, for two days, an aversion reaction is caused when smoking one cigarette with a deep breath of smoke, after two usual puffs, while irrigating the oral cavity with a composition of medicines, including dibazole, lidocaine, papaverine, when smoking is prohibited until next session.