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.

Multiple programs claim to improve executive function and cognitive processing. Although the evidence for the efficacy of reading programs is generally scant, we discuss to how to talk with families in a manner that is clear and factual yet allows for collaboration if families choose to pursue these options.