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Assessing Traumatic Brain Injury in Patients with Substance Use Disorders

February 27, 2019
John D. Corrigan, Ph.D, ABPP
John D. Corrigan, Ph.D, ABPPJohn D. Corrigan, Ph.D, ABPP

Professor at Ohio State University and Director of the Ohio Valley Center for Brain Injury Prevention and Rehabilitation. Editor-in-Chief, Journal of Head Trauma Rehabilitation. Dr. Corrigan has disclosed that he has no relevant financial or other interests in any commercial companies pertaining to this educational or other activity other interests in any commercial companies pertaining to this educational activity.

We don’t have definitive general population rates, but several statewide surveys suggest that perhaps 20% of adults have had at least one TBI with loss of consciousness in their lifetime. In studies done in addiction treatment settings, that number is more like 50%. And the prevalence is greater among clients in higher levels of care.
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The FDA Campaigns Against Flavored Tobacco Products

February 27, 2019
Thomas Jordan, MD and Talia Puzantian, Pharm.D.
Thomas Jordan, MD Talia Puzantian, Pharm.D. Drs. Jordan and Puzantian have disclosed that they have no relevant financial or other interests in any commercial companies pertaining to this educational activity.
Electronic cigarette use, or vaping, is becoming increasingly common. Companies manufacturing e-cigarettes advertise them as alternatives to conventional cigarettes and even a pathway to smoking cessation. However, the popularity of vaping has sky-rocketed in high schools across the country with adolescents becoming addicted to nicotine daily.
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Does Augmenting Varenicline with Bupropion Work Better than Varenicline Alone?

February 27, 2019
Jessica Goren, PharmD.
Jessica Goren, PharmD. Dr. Goren has disclosed that she has no relevant financial or other interests in any commercial companies pertaining to this educational activity.
We have a good array of smoking cessation treatments to choose from, including nicotine replacement therapy (NRT), bupropion, and varenicline. Varenicline is the most effective monotherapy agent, somewhat better than bupropion and single-product NRT, and comparable to combination NRT.
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Switching from Buprenorphine to Extended-Release Naltrexone: Does it Work?

February 27, 2019
Extended-release naltrexone (Vivitrol) has had some good data, yet getting patients on it remains a challenge, because an opioid-free period is required before starting it. Understandably, practitioners get nervous when patients stabilized on buprenorphine ask to be transitioned to extended-release (XR) naltrexone.
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Introducing CRAFT: A Non-Confrontational Intervention We Can Recommend to Families

January 1, 2019
Thomas Jordan, MD, MPH.
Thomas Jordan, MD, MPH. Contributing writer to the Carlat newsletters. Dr. Jordan has disclosed that he has no relevant financial or other interests in any commercial companies pertaining to this educational activity.
How should families help their loved ones who are struggling with addiction? Should they be accommodating, firm, or confrontational? The Community Reinforcement and Family Training (CRAFT) approach is a good strategy that you should become familiar with. Before we describe CRAFT, though, you should know about two other frequently used approaches to helping family members intervene: The Johnson Institute intervention and Al-Anon.
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Becoming a Board-Certified Addiction Clinician

January 1, 2019
Michael Weaver, MD, FASAM
Michael Weaver, MD, FASAM Michael Weaver, MD, FASAM

Professor and medical director at the Center for Neurobehavioral Research on Addictions at the University of Texas Medical School. Author of Addiction Treatment (Carlat Publishing, 2017). Dr. Weaver has disclosed that he has no relevant financial or other interests in any commercial companies pertaining to this educational activity.

Patients with addiction are common in psychiatric or any other practice. You’re going to see patients who have these issues, so it’s good to be prepared and able to focus on treating addiction, as well as to be part of a growing group of specialists.
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Coffee: Healthy Study Aid or the Addiction We Hate to Acknowledge?

January 1, 2019
Rehan Aziz, MD.
Rehan Aziz, MD. Associate professor of psychiatry and neurology, Rutgers Robert Wood Johnson School of Medicine. Dr. Aziz has disclosed that he has no relevant financial or other interests in any commercial companies pertaining to this educational activity.
Caffeine permeates our society. It comes in many forms, including coffee and increasingly popular energy drinks. We consume it, and so do our patients. So, is it a harmless habit or a potentially harmful addiction? Let’s take a sip and find out.
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