Person-centered approach to work with drug addicts on substitution maintenance therapy

Introduction According to the United Nations World Drug Report 2019, there are an estimated 53 million opioid users[1]. Health problems, social problems associated with this abuse result of a complex interaction between psychoactive substances, patient and environment. There two main approaches in treatment - aimed at complete abstinence from use substance substitution maintenance therapy using methadone buprenorphine [2]. This is due pharmacological effects narcotic dynamics physiological processes general state health systematic substances. Objectives The problem substances must be considered not only as problem, but also person resorting drugs specific situation. In case, curative rehabilitation work acquires new content opportunities. emergence addiction depends on reasons: one hand, these certain personality traits person, formed primarily by family, other external factors such influence friends, curiosity, life difficulties experienced personal problems. greatest danger formation drug occurs case simultaneous exposure both groups causes. Methods study interviewed 123 patients aged 23 45 years (109 men 14 women) diagnosed addiction. Of these, 17 period up three 105 longer than years, respectively. Personality disorders were assessed 16-factor Cattell Questionnaire for [3], multi-aspect MMPI methodology (mini-mult) [4], Luscher color choice method [5]. Results addicts (82%) less 3 characterized impulsivity, reduced stress resistance, risk appetite; 83 (79%) persistent psychosocial maladjustment, communication difficulties, conflicts detected, norms disregarded, increased readiness open manifestation aggression; women (100%) had features mental rigidity, disregard norms, conflict, impulsiveness; 88 (81%) emotional instability, excitability, hostility. Conclusions dependence influenced psychophysiological characteristics pathopsychological changes that occurred during substance. Addiction should include psychological analysis factors. Selection options adaptation contribute maximum possible realization individual’s potential, will increase effectiveness accelerate resocialization addicts. Disclosure Interest None Declared