Addiction - Articles - Page 13

Managing Pain: A Cognitive Behavioral Therapist’s Approach

September 28, 2016

John D. Otis, PhD

As a clinical psychologist with a specialty in chronic pain management, I am often referred patients with both chronic pain and psychiatric issues. Many of these patients see a psychiatrist and a therapist, and are taking with both psychotropic and pain medications. The referral is often made because there is...

Substance Abuse in Health Care Professionals

September 1, 2016

Peter Grinspoon, MD

Ideally, an SUD in a health care provider can be recognized as early as possible, before irreparable harm comes to the provider’s career, patients, or family. Overdose and suicide are not uncommon outcomes, and efforts must be focused on preventing these as well as protecting patients.

Probuphine: Promises and Problems

September 1, 2016

Joshua Sonkiss, MD

Ever wish you could improve treatment compliance among your patients who receive buprenorphine? Ever wish you could offer them the benefit of sublingual buprenorphine while avoiding the risk of diversion and abuse? Well, now you can—maybe.

Treating Addiction in Health Care Professionals

September 1, 2016

What changes when addressing addiction when the patient is a doctor? When you’re dealing with health care professionals, the defenses common among people struggling with substance abuse are much more sophisticated. Many times a doctor or other highly trained health professional can talk circles around substance abuse counselors. Dr. Ziegler shares her insight on treating health care professionals.

Tales from the History of Psychiatry: Opium, an Ancient Psychotropic

September 1, 2016

Marcia Zuckerman, MD

Marcia Zuckerman, MD Director of psychiatric services at Walden Behavioral Care in Waltham, MA Dr. Zuckerman has disclosed that she has no relevant financial or other interests in any commercial companies pertaining to this educational activity.

These days, opiates are primarily prescribed to treat pain. But there is a long history of using opiates to treat depression and other mental illness.

Evaluating and Treating Pain in Psychiatric Patients

September 1, 2016

Michael Robert Clark, MD

Michael Robert Clark, MD Associate professor & director of the Chronic Pain Treatment Program at The Johns Hopkins Hospital in Baltimore, MD Dr. Clark discloses that he has been a paid consultant to Collegium Pharmaceutical Inc. and Depomed, Inc. Dr. Carlat has reviewed this article and has found no evidence of bias in this educational activity.

Many chronic pain patients are dealing with psychiatric problems. Pain patients have tremendously high rates of major depressive disorder which is undertreated and underdiagnosed. It's easy to assume that the depression is a reaction to living with chronic pain, but in fact it’s often the other way around. Dr. Michael Robert Clark describes evaluations and treatment methods clinicians can use to address pain management with their patients.

Vilazodone Not Effective for Cannabis Dependence

September 1, 2016

Bret A. Moore, PsyD, ABPP

Effective pharmacological treatments for cannabis dependence have eluded the field of addiction psychiatry. It’s not, however, due to a lack of trying. Theoretical connections between cannabinoids and the serotonin system have spurred a number of studies looking at the usefulness of SSRIs and buspirone.

Combining Alcohol With Caffeinated Energy Drinks Leads to Increased Alcohol Consumption

September 1, 2016

Bret A. Moore, PsyD, ABPP

Combining caffeine-based energy drinks and alcohol has become a popular practice among social drinkers over the past decade. Users say that the caffeine enhances their buzz and allows them to drink for longer periods of time.

Dialectical Behavior Therapy for Substance Use Disorders: A Primer

August 1, 2016

Yevgeny Botanov, PhD and Chelsey Wilks, MS

Yevgeny Botanov, PhD University of Washington Department of Psychology, Seattle, WA Dr. Botanov has disclosed that he is employed by Behavioral Tech, LLC. Dr. Carlat has reviewed this article and has found no evidence of bias in this educational activity. Chelsey Wilks, MS University of Washington Department of Psychology, Seattle, WA Ms. Wilks has disclosed that she has no relevant financial or other interests in any commercial companies pertaining to this educational activity.

Dialectical behavior therapy (DBT) is well-known as an effective treatment for individuals with personality disorders and for reducing suicidal behavior. But it’s also quite effective for addictions. In this article, we’ll discuss DBT concepts in a bit more detail and help you apply these concepts to patients with substance abuse issues.

Applying Dialectical Behavior Therapy to Addiction

August 1, 2016

Dialectical behavior therapy (DBT) is well-known for treating borderline personality disorder (BPD) and individuals at high risk for suicide. Two studies have shown that DBT has really good outcomes in terms of reducing substance use. In this interview, Dr. Linehan shares her knowledge of DBT as a treatment method for addiction.