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Kratom: A Primer

With opioid-like properties, kratom’s recreational use is increasingly reported among those seeking pain relief or a high. This primer reviews what’s known about this unregulated substance, how to talk about it in the clinic, and early evidence on how to treat its withdrawal syndrome. Read More

Supporting Patients With Pain and Addiction

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. Read More

Medical Marijuana for Chronic Pain: The Cart Before the Horse?

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. Read More

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. Read More

Do We Need to Be Face-to-Face to Treat Alcohol Use Disorder?

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. Read More

(PRE-ORDER) Treating Alcohol Use Disorder—A Fact Book (2023)
All the tools and information needed to assess and treat your patients who are struggling with...
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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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