Substance Abuse


Cannabis and the Endocannabinoid System

Considering the increased efforts to legalize marijuana in many states, greater public awareness of marijuana and its potential medicinal uses, and new research on cannabis and its constituents, it is essential that psychiatrists understand some of its proposed benefits—and fundamental risks.

ADHD and Stimulant Abuse

Prescription medication abuse is the among the biggest health issues facing the United States, but prescription medications have an important place in responsible medical treatment.

Suboxone: What’s New

Substance Abuse, The Carlat Psychiatry Report

In 2010, TCPR published an overview of Suboxone (buprenorphine/naloxone) (TCPR, May 2010). Lots has happened in the three years since then.

Research Update

Marijuana May Hurt Cognitive Function, Worse with Heavier Use

Does marijuana affect cognitive function? There seems to be no shortage of opinions on this question, but no prospective, longitudinal study has ever been published. Until now, that is.

Does Counseling Add to Suboxone’s Efficacy?

The combination of buprenorphine and naloxone (Suboxone) has become a popular replacement therapy for heroin dependence. However, it’s not yet clear how effective it is for prescription opioid dependence, or whether adjunctive counseling provides any additional benefit over the drug alone.

Expert QA

Alcoholism in DSM-IV and DSM-5

Over 20 years ago, at the time of planning for DSM-IV, alcohol abuse was thought to be a milder form of alcohol dependence, or perhaps even something separate involving more episodic, as opposed to daily or near daily, drinking. However, new research has proven this is not so.

Free Article

The Vast Landscape of Services that is “Rehab” [Free Article]

If a patient comes in and says, “doc, I think I need to go to rehab,” what should you do? Most people think of rehabs as residential facilities, but these days, the term “rehab” includes a broad spectrum of treatment settings, most of which, in fact, are not residential—only 10% of people receiving specialized addiction services go to residential rehab. 

Suboxone: An Overview

Substance Abuse

Opioid drugs represent one of the great triumphs of medicine, because they are extremely effective at relieving pain. Since the 1960s, multiple forms of synthetic opioids have been introduced, including such wellknown drugs as hydrocodone (Vicodin) and oxycodone (Percocet, Oxycontin).

FDA-Approved Medications to Treat Addiction [Free Article]

Alcoholism - The Carlat Behavioral Health Report (TCRBH)

As with other mental disorders, treatment of addiction is a “both/and” rather than “either/or” proposition. In other words, clients can benefit from both psychological therapies and pharmacotherapies.

Treating Anxiety in Alcoholics


Alcoholism and anxiety go hand in hand. The extent of this comorbidity is clear from the numbers: as many as 45% of patients with alcohol disorders meet diagnostic criteria for a co-occurring anxiety disorder.

A Primer on Drug Testing

Substance Abuse

If you are a typical psychiatrist practicing in a setting other than a substance abuse clinic, chances are good that you rarely order drug testing on most of your patients. But should you be doing this more?