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[1](https://drmineev.ru/articles/chto-lechit-narkolog-osobennosti-spetsialnosti-priyoma-i-vybora-vracha)[4](https://ecosafety.ru/ru/pacientam/vrachi/narkolog/)[6](https://AlkoSpas.ru/blog/narkolog-v-kakih-situaciyah-k-nemu-obrashchatsya/). Также врач занимается диагностикой, лечением и профилактикой расстройств психики, обусловленных зависимостями [4](https://ecosafety.ru/ru/pacientam/vrachi/narkolog/)[6](https://AlkoSpas.ru/blog/narkolog-v-kakih-situaciyah-k-nemu-obrashchatsya/).\n\n## Заболевания\nВ компетенции нарколога: \n* **Алкоголизм** — пристрастие к спиртному [9](https://unclinic.ru/otdelenie-psihoterapii-i-psihiatrii/priem-narkologa/). \n* **Наркомания** — зависимость от наркотических препаратов [9](https://unclinic.ru/otdelenie-psihoterapii-i-psihiatrii/priem-narkologa/). \n* **Токсикомания** — пристрастие к веществам, отравляющим организм, но не считающимся наркотическими [9](https://unclinic.ru/otdelenie-psihoterapii-i-psihiatrii/priem-narkologa/). \n* **Табакокурение** — зависимость от табака и различных курительных смесей [9](https://unclinic.ru/otdelenie-psihoterapii-i-psihiatrii/priem-narkologa/). \n* **Лекарственная зависимость** — возникает при отмене снотворных, успокаивающих препаратов, антидепрессантов, психостимуляторов [9](https://unclinic.ru/otdelenie-psihoterapii-i-psihiatrii/priem-narkologa/). \n* **Игромания** и различные типы интернет-зависимости [9](https://unclinic.ru/otdelenie-psihoterapii-i-psihiatrii/priem-narkologa/). \n\nНарколог также помогает устранить сопутствующие психологические заболевания, которые возникли вследствие зависимости (депрессия, тревожное расстройство, расстройства личности) [1](https://drmineev.ru/articles/chto-lechit-narkolog-osobennosti-spetsialnosti-priyoma-i-vybora-vracha)[2](https://kemerovo.ofkpn.ru/articles/kto-takoj-vrach-narkolog-chto-nuzhno-znat-speczialistam-i-ix-paczientam/).\n\n## Методы лечения\nЛечение может проводиться по нескольким направлениям [1](https://drmineev.ru/articles/chto-lechit-narkolog-osobennosti-spetsialnosti-priyoma-i-vybora-vracha): \n* **Для людей с химической зависимостью** — сначала детоксикация с выведением токсичных веществ из организма, потом кодирование, затем — психологическая и психиатрическая работа для снижения вероятности рецидива [1](https://drmineev.ru/articles/chto-lechit-narkolog-osobennosti-spetsialnosti-priyoma-i-vybora-vracha)[2](https://kemerovo.ofkpn.ru/articles/kto-takoj-vrach-narkolog-chto-nuzhno-znat-speczialistam-i-ix-paczientam/). \n* **Для людей с нехимической зависимостью** — в первую очередь психиатрическая и психологическая работа [1](https://drmineev.ru/articles/chto-lechit-narkolog-osobennosti-spetsialnosti-priyoma-i-vybora-vracha)[2](https://kemerovo.ofkpn.ru/articles/kto-takoj-vrach-narkolog-chto-nuzhno-znat-speczialistam-i-ix-paczientam/). \n\nЛечение может проводиться амбулаторно или в стационаре, в зависимости от состояния пациента [4](https://ecosafety.ru/ru/pacientam/vrachi/narkolog/).\n\n## Диагностика\nНарколог проводит **наркологический осмотр** — комплексное медицинское обследование, направленное на выявление признаков употребления психоактивных веществ [15](https://metod-dovzhenko.com/o-klinike/stati/medosmotr-u-narkologa.html). Некоторые этапы осмотра: \n* **Первичное интервью** — врач собирает анамнез, выясняет образ жизни пациента, его привычки и возможные контакты с психоактивными веществами и алкоголем [15](https://metod-dovzhenko.com/o-klinike/stati/medosmotr-u-narkologa.html). \n* **Медицинские анализы** — проводятся тесты, включая анализы мочи и крови, которые позволяют выявить наличие наркотиков и алкоголя в организме [15](https://metod-dovzhenko.com/o-klinike/stati/medosmotr-u-narkologa.html). \n* **Психологическая оценка** — используются специализированные методики и тесты для оценки психологического состояния и выявления признаков зависимости [15](https://metod-dovzhenko.com/o-klinike/stati/medosmotr-u-narkologa.html).\n\n## Профилактика\nНарколог также занимается **профилактикой зависимостей** [2](https://kemerovo.ofkpn.ru/articles/kto-takoj-vrach-narkolog-chto-nuzhno-znat-speczialistam-i-ix-paczientam/)[18](https://xn--80adf9aooh.xn--p1ai/%D0%BE-%D0%BF%D1%80%D0%BE%D1%84%D0%B8%D0%BB%D0%B0%D0%BA%D1%82%D0%B8%D1%87%D0%B5%D1%81%D0%BA%D0%BE%D0%B9-%D1%80%D0%B0%D0%B1%D0%BE%D1%82%D0%B5-%D0%BD%D0%B0%D1%80%D0%BA%D0%BE%D0%B4%D0%B8%D1%81%D0%BF/). 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