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Since 1984, Nova Scotia has had a programme to bring a small number of senior trainees in psychiatry from Britain or Ireland to undertake one year of clinical work plus continuing medical education here. This programme is sponsored by the Nova Scotia Provincial Department of Health in collaboration with the Dalhousie University Department of Psychiatry.
The use of a technique of Declining-dose Drug Desensitization (DDDD) in phobic patients is described. An anti-anxiety drug is used (diazepam), the blood level declining during each treatment session and the starting dose for each treatment session being gradually reduced. Some relevant animal work on state-dependent learaing in the drugged-state is briefly reviewed. Despite the multiplicity of other treatments available this method would appear to have some advantages.
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