Abstract
Pharmaceuticals and psychotherapy are commonly used in the management of impulsivity. The National Acupuncture Detoxification Association (NADA) protocol is an adjunctive therapy that involves the bilateral insertion of 1 to 5 predetermined ear needle points. One of the main benefits reported by patients, providers, and programs utilizing NADA is the sense of stillness, centering, and well-being. The induction of this attitude is seen as contributing to improved clinical outcomes including engagement and retention. The attitude of stillness is also suggestive of a pathway to mitigating impulsivity. Impulsivity is associated with substance use disorders and other DSM 5 diagnoses. Impulsivity has characteristics that are manifested clinically in behaviors such as disinhibition, poor self-control, lack of deliberation, thrill seeking, risk-taking. NADA holds promise as a useful treatment adjunct in the comprehensive management of disorders for which impulsivity is a prominent component.
Highlights
DSM 5 is the standard classification used by mental health professionals and contains a listing of diagnostic criteria of every psychiatric disorder recognized by the US healthcare system
Borderline personality disorder is characterized by impulsivity and emotional lability; patients borderline personality disorder (BPD) have consistently been associated with dropout from substance abuse treatment [41]
Impulsivity is a central problem in the management of substance use disorders and is shared by many other DSM 5 disorders
Summary
DSM 5 is the standard classification used by mental health professionals and contains a listing of diagnostic criteria of every psychiatric disorder recognized by the US healthcare system. It is widely recognized that treatment modalities are not diagnosis specific and may be effective across diagnostic categories. Recent research has begun to focus on the putative relationship that exists across diagnostic categories, common behaviors, and shared neurobiologic substrates. This paper will explore the use of NADA (National Acupuncture Detoxification Association) protocol along with pharmaceutical and psychotherapy treatment modalities in the management of impulsivity. NADA is identified as a best practice in the acute and chronic management of substance use disorders since 2006 [1]. There is growing evidence that NADA is useful across diagnostic categories where impulsivity is an important behavioral consideration
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