Addictions: Old Group Psychotherapies (GP) and New Patients

Abstract

The psychiatric comorbidity and the variability and frequency of polyconsumption of drugs has increased (75% of the sample), which makes it difficult to use classical approaches and instruments such as GT and, we, as professionals, are trying to adapt them to these new realities. But this adaptation is possible and positive, and involves: i) making the indications for GT more flexible by means of a more individualized assessment, possibly in a day hospital device, of patients with PD, cognitive disorders or with active consumption of some secondary drug, ii) adequate psychotherapeutic control of these patients with a higher risk of relapse and of negatively affecting group dynamics, iii) greater training of therapists to manage these patients, iv) creation, in some cases, of specific groups for patients with specific characteristics and objectives, such as patients who maintain active alcohol consumption (because they want to drink or cannot avoid it), or those over 60 years of age, many with cognitive impairment.