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Home » Topics » Addiction Treatment

Addiction Treatment
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Research Update

Deep Brain Stimulation for Severe Alcohol Use Disorder

February 1, 2024
Maryam Soltani, MD, PhD.
From The Carlat Addiction Treatment Report
Issue Links: Editorial Information | PDF of Issue

Maryam Soltani, MD, PhD. Dr. Soltani has no financial relationships with companies related to this material.

Despite its high prevalence, morbidity, and mortality, our treatment options for alcohol use disorder are limited. Severe alcohol use disorder can be especially challenging to treat. Here, researchers demonstrate the efficacy and feasibility of a novel treatment option: deep brain stimulation.


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Expert Q&A

Evaluating and Treating Patients With Problematic Sexual Behaviors

February 1, 2024
Amos Turner, MD.
From The Carlat Addiction Treatment Report
Issue Links: Editorial Information | PDF of Issue

QA2_Amos Turner Photo.jpegAmos Turner, MD.

Assistant professor of clinical psychiatry, Yale School of Medicine, New Haven, CT.

Dr. Turner has no financial relationships with companies related to this material.

Sexual addictions are rarely discussed with patients, even among addiction specialists. Societal taboos, social norms, and stigma can make it difficult for patients to discuss sexual issues with their providers. In this interview, Dr. Turner gives us tips in history gathering and covers what you need to know about diagnosis and treatment.


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Expert Q&A

Diagnosis and Treatment of Gambling Addiction

February 1, 2024
Timothy Fong, MD.
From The Carlat Addiction Treatment Report
Issue Links: Editorial Information | PDF of Issue

QA1_Timothy Fong headshot.pngTimothy Fong, MD. 

Clinical Professor of Psychiatry and Biobehavioral Sciences; Co-Director, Gambling Studies Program; David Geffen School of Medicine at UCLA, Los Angeles, CA.

Dr. Fong receives research support from Connections in Recovery. Relevant financial relationships listed for the author have been mitigated.

Gambling disorder is much more prevalent than many providers realize, and it is a condition that is rarely screened for, let alone treated, by mental health professionals. Here, Dr. Fong reviews the topic, walks us through how to take a good gambling history, make a diagnosis, and how to provide the best treatment.


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shutterstock_2101295323_Kmpzzz.png
Clinical Update

Food Addiction and Related Disorders

February 1, 2024
Heidi Moawad, MD and Noah Capurso, MD, MHS
From The Carlat Addiction Treatment Report
Issue Links: Editorial Information | PDF of Issue

Heidi Moawad, MD. Clinical assistant professor, Case Western Reserve School of Medicine, Cleveland, OH.

Noah Capurso, MD, MHS. Assistant professor of psychiatry, Yale University, New Haven, CT; Editor-in-Chief, The Carlat Addiction Treatment Report.

Dr. Moawad and Dr. Capurso have no financial relationships with companies related to this material.

Often lumped in with binge-eating disorder, food addiction is an emerging concept in the field of behavioral addictions.


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CME Post-Test, Benzodiazepines, CATR, October/November/December 2023

October 31, 2023
From The Carlat Addiction Treatment Report
Issue Links: Editorial Information | PDF of Issue

By successfully completing the test you will be awarded a certificate for 2 CME credit.


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Research Update

Perinatal MOUD Use and Infant Discharge to Biological Parents

October 31, 2023
Destiny Pegram, MD
From The Carlat Addiction Treatment Report
Issue Links: Editorial Information | PDF of Issue

Destiny Pegram, MD. Dr. Pegram has no financial relationships with companies related to this material.

Pregnant patients with OUD may be reluctant to reveal their substance use for fear of losing their baby if reported to Child Protective Services. But this recent study shows that pregnant patients receiving medication treatment for OUD were more likely to leave the hospital with their baby than patients not receiving treatment.


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Research Update

Can Psilocybin Treat Alcohol Use Disorder?

October 31, 2023
Aniruddha Deka, MD
From The Carlat Addiction Treatment Report
Issue Links: Editorial Information | PDF of Issue

Aniruddha Deka, MD. Dr. Deka has no financial relationships with companies related to this material. 

Recent preliminary research reveals that psilocybin helped participants with alcohol use disorder cut back on drinking. Dive in to discover how this psychedelic compound might offer hope for patients who have found other current treatments ineffective.


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Clinical Update

Xylazine: An Emerging Threat in the Opioid Overdose Epidemic

October 31, 2023
Roberto Sanchez, MD and Noah Capurso, MD
From The Carlat Addiction Treatment Report
Issue Links: Editorial Information | PDF of Issue

Roberto Sanchez, MD. Addiction psychiatry fellow, Yale University School of Medicine, New Haven, CT.

Noah Capurso, MD, MHS. Assistant professor of psychiatry, Yale University, New Haven, CT; Editor-in-Chief, The Carlat Addiction Treatment Report.

Dr. Sanchez and Dr. Capurso have no financial relationships with companies related to this material.

Xylazine is the latest contaminant being found in the American illicit drug supply. A non-opioid itself, xylazine is usually combined with fentanyl, with which it has synergistic sedative effects. Patients using xylazine can have profound levels of sedation and develop severe peripheral wounds. In this article, we discuss xylazine essentials and cover harm reduction strategies to help keep your patients safe.


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Expert Q&A

When and How Should We Prescribe Benzos?

October 31, 2023
Tae Woo (Ted) Park, MD
From The Carlat Addiction Treatment Report
Issue Links: Editorial Information | PDF of Issue

QA_Benzo-Prescribing_TaeWooPark.JPGTae Woo (Ted) Park, MD. Assistant professor, Department of Psychiatry, University of Pittsburgh School of Medicine, Pittsburgh, PA.

Dr. Park has no financial relationships with companies related to this material. 

Despite their risks, benzodiazepines remain a widely prescribed class of medication. In the prescriber right hands, benzodiazepines can help many patients cope with a variety of psychiatric issues. Here, Dr. Park reviews how to evaluate patients prior to starting benzodiazepines and reviews strategies to ensure that prescriptions are done safely.


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Expert Q&A

Deprescribing Benzos: A How-To Guide

October 31, 2023
Audrey Abelleira, PharmD, BCPP
From The Carlat Addiction Treatment Report
Issue Links: Editorial Information | PDF of Issue

QA_Addiction--Prescriptions_Abelleira.jpgAudrey Abelleira, PharmD, BCPP. Clinical pharmacist practitioner, VA Connecticut Healthcare System; clinical instructor, Yale School of Medicine, New Haven, CT.

Dr. Abelleira has no financial relationships with companies related to this material.


Benzodiazepines are widely prescribed but carry significant risks. The best course of action for many patients is to have their benzodiazepine prescription discontinued, but physiologic dependence can make stopping benzodiazepines a big challenge. Dr. Abeillera teaches us how to identify those who might benefit from a taper and covers all the details on how to do it as safely and effectively as possible. 


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