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EXPERT Q&A

Opioid Use Disorders and Serious Mental Illness

December 10, 2020
Sandra Gomez-Luna, MD

Sandra Gomez-Luna, MD
Clinical Assistant Professor at Yale University. Adult, adolescent, and child psychiatrist in Darien, CT. Dr. Gomez-Luna has disclosed that she has no relevant financial or other interests in any commercial companies pertaining to this educational activity.

Those with serious mental illness and unhealthy opioid use have special treatment considerations due to polypharmacy and overlapping stigma. Dr. Gomez-Luna walks us through these nuances and explains microdosing of buprenorphine—a helpful technique for starting treatment in patients who may have other opioids on board.
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Can Assertive Treatment Improve Treatment Adherence in Young Adults With Opioid Use Disorder?

December 10, 2020
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.
Adherence may often limit effectiveness of medications for opioid use disorder among youth. In this randomized controlled trial, young adults with opioid use disorder were randomized to either youth opioid recovery support (an assertive intervention designed to increase adherence) or treatment as usual, both involving extended-release naltrexone.
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Does Low to Moderate Alcohol Drinking Help or Hurt Cognition?

December 10, 2020
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’re often presented with mixed messages regarding mild or moderate alcohol consumption and its effect on brain and/or cardiovascular health. This current study tracks alcohol consumption and its effects on cognition performance among middle-aged and older adults in the U.S.
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Patient Reviews of Substance Use Services

December 10, 2020
Thomas Jordan, MD.
Thomas Jordan, MD. Dr. Jordan has disclosed that he has no relevant financial or other interests in any commercial companies pertaining to this educational activity.
What is important to patients as they choose a treatment setting? This retrospective analysis examines online ratings and reviews that patients in specific Pennsylvania drug treatment facilities completed from 2010-2018 to assist in identifying quality metrics.
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How Does Adding CBT Help People With SUD?

December 10, 2020
Thomas Jordan, MD.
Thomas Jordan, MD. Dr. Jordan has disclosed that he has no relevant financial or other interests in any commercial companies pertaining to this educational activity.
How helpful is adding a particular psychotherapy like cognitive behavioral therapy (CBT) to medications for substance use disorder (SUD)?
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EXPERT Q&A

Gambling and Impulsive Buying: Behavior or Addiction?

October 21, 2020
Marc N. Potenza, MD, PhD

Marc N. Potenza, MD, PhD
Professor of Psychiatry, Yale School of Medicine.

Dr. Potenza has disclosed that he has no relevant financial or other interests in any commercial companies pertaining to this educational activity.

Dr. Potenza, an expert in behavioral addictions, defines gambling disorder and compulsive shopping. We explore how the COVID-19 pandemic has impacted gambling and shopping behaviors, and how to approach these disorders in the clinic.
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Faith and Addiction

October 21, 2020
Jesse Koskey, MD.
Jesse Koskey, MD. Psychiatrist at Kaiser Permanente, CA. Dr. Koskey has disclosed that he has no relevant financial or other interests in any commercial companies pertaining to this educational activity.
Faith may be a protective factor against addiction, and some widely accepted treatments use faith to build recovery capacity. This article reviews the evidence for faith-based treatment and provides suggestions for incorporating faith in the clinic.
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Is AA the Toast of the Town?

October 21, 2020
Edmund S. Higgins, MD.
Edmund Higgins, MD Dr. Higgins has disclosed that he has no relevant financial or other interests in any commercial companies pertaining to this educational activity.
Alcoholics Anonymous is one of the most prevalent treatments for alcohol use disorder, but claims of its effectiveness has been mired by limited evidence. This updated Cochrane meta-analysis tells a fuller story and offers suggestions for supporting patients utilizing this ubiquitous program.
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