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Supporting Patients With Pain and Addiction

February 3, 2021
Ajay Manhapra, MD
Ajay Manhapra, MDAjay Manhapra, MD

Section Chief, Pain Medicine, Department of Physical Medicine & Rehabilitation Services, Hampton VA Medical Center. Assistant Professor, Departments of Physical Medicine & Rehabilitation and Psychiatry, Eastern Virginia Medical School, Norfolk, VA; Lecturer in Psychiatry, Yale School of Medicine, New Haven, CT. Dr. Manhapra has disclosed that he has no relevant financial or other interests in any commercial companies pertaining to this educational activity.

Dr. Manhapra works with patients with disabling chronic pain, many of whom meet criteria for substance use disorders. He describes his approach to these intersecting phenomena, the biology of pain and its relationship to the reward system, and outlines an approach to improving function among patients with addiction and severe pain.
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Medical Marijuana for Chronic Pain: The Cart Before the Horse?

February 3, 2021
Alison Knopf
Alison Knopf Editor, Alcoholism & Drug Abuse Weekly. Ms. Knopf has disclosed that she has no relevant financial or other interests in any commercial companies pertaining to this educational activity.
As more states legalize cannabis for medical or recreational use, it’s becoming more common for our patients to add medical marijuana to their medication regimen for various purported indications. In this primer, we will synthesize the debate surrounding the use of medical marijuana for a variety of syndromes, with a focus on pain.
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Medical Cannabis for Chronic Pain and Quality of Life

February 3, 2021
Pavan Madan, MD.
Pavan Madan, MD. Dr. Madan has disclosed that he has no relevant financial or other interests in any commercial companies pertaining to this educational activity.
Does marijuana use reduce pain and improve quality of life over time? This observational, uncontrolled trial suggests it might, but also identifies the need for more rigorous future studies.
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Do We Need to Be Face-to-Face to Treat Alcohol Use Disorder?

February 3, 2021
Deepti Anbarasan, MD.
Deepti Anbarasan, MD. Dr. Anbarasan has disclosed that he has no relevant financial or other interests in any commercial companies pertaining to this educational activity.
We are getting more comfortable with telemedicine-based platforms to provide care. But do they improve the quality of care for unhealthy alcohol use? This randomized, controlled trial compares in-person care with asynchronous, module-based care for people with alcohol use disorder.
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Note From the Editor-in-Chief

December 10, 2020
Our patients—and we—are spending more time in front of screens, using apps, and reading content in the lay press about treatment options. “Should I use an app to help reduce substance use?” or “I read somewhere that this herb can help; what are your thoughts?” or “Have you read your...
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Smartphone Apps as Adjuncts for Substance Use Treatment

December 10, 2020
Rehan Aziz, MD.
Rehan Aziz, MD. Associate Professor of Psychiatry and Neurology, Rutgers Robert Wood Johnson Medical School. Dr. Aziz has disclosed that he has no relevant financial or other interests in any commercial companies pertaining to this educational activity.
Smartphone apps are a useful, patient-centered resource for continued substance use treatment. We’ll explore the two current FDA-cleared SUD treatment apps as well as other popular ones on the market to help you determine the best approach for discussing these apps with your patients.
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EXPERT Q&A

Alternative Therapies for SUDs

December 10, 2020
Steven Novella, MD

Steven Novella, MD
Assistant Professor of Neurology, Yale School of Medicine. Dr. Novella has disclosed that he has no relevant financial or other interests in any commercial companies pertaining to this educational activity.

Not all alternative therapies are created equal. In this interview with Dr. Steven Novella, we discuss the prevalence of alternative therapies among patients with substance use disorders (SUDs) as well as the state of evidence for (or against) commonly utilized forms of complementary and alternative treatments for SUDs.
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When to Stop Addiction Treatment: How Long Is Enough?

December 10, 2020
Michael Weaver, MD, FASAM.
Michael Weaver, MD, FASAM. Professor and medical director at the Center for Neurobehavioral Research on Addictions, University of Texas Medical School. Dr. Weaver has disclosed that he has no relevant financial or other interests in any commercial companies pertaining to this educational activity.
Addiction is often lifelong phenomenon, but many patients may still wish to end treatment. We discuss the reasons why a patient might ask to “complete” their treatment and provide you with strategies for talking with patients about ceasing therapeutic treatments for substance use disorders.
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