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Medication Treatment of Anxiety Disorders in Substance Abusers

While benzodiazepines are effective anti-anxiety workhorses for many patients, most guidelines tell us to avoid prescribing them to substance abusers. The concern is that the benzo high will remind patients of their substances of choice, and that benzo withdrawal symptoms will lead to old substance abuse habits. Read More

Benzodiazepines: Dependence, Tolerance, and Addiction

One good way to think of benzodiazepines is that they are literally, physiologically anyway, alcohol in a pill. Especially the fast-onset/fast-offset benzodiazepines like alprazolam (Xanax) have a very similar pharmacologic profile to alcohol. This discussion with Dr. Alex Stalcum covers strategies of using benzodiazepines as anxiety treatments for substance-abusing patients. Read More

Synthetic THC and Antihypertensive Provide Little Benefit for Cannabis Dependence

Second only to alcohol, marijuana is the most common reason people enter substance abuse treatment. And unlike alcohol dependence, there are virtually no effective medications available for those addicted to it. It’s not from a lack of trying. A recent review of 14 drug studies for cannabis dependence revealed little benefit from antidepressants, anticonvulsants, or anxiolytics. Read More

When Physicians Become Addicted: How Well Do Treatment Programs Work?

When physicians are diagnosed with opioid or other drug dependence, they are required to receive treatment from special physician health programs (PHP) if they want to keep their medical licenses. Unlike treatment programs for the general population, PHPs do not use opiate agonists, such as methadone or buprenorphine. Read More

Psychiatry Practice Boosters, Second Edition (2018)
Teaches you the key points of 42 of the most clinically relevant studies in psychiatry published...
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General Psychiatry
Using SAMe In Clinical Practice with Garrett Rossi, MD
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Addiction Treatment
Supervised Drug Consumption Sites
Once controversial, research clearly shows the benefit of these sites, and they have started opening in the United States.
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