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Home » Newsletters » The Carlat Addiction Treatment Report
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The Carlat Addiction Treatment Report

Outpatient Treatment of Substance Use Disorder (January/February/March) | 2026

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Learning Objectives, Outpatient Treatment of Substance Use Disorder, CATR, January/February/March 2026

January 1, 2026

After reading these articles, you should be able to…

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Understanding 12-Step Programs: A Guide for Clinicians

January 1, 2026
Khaled Draghmeh, MD and Brian Fuehrlein, MD, PhD

Twelve-step programs remain widely used yet poorly understood in clinical practice. This article outlines the twelve steps, demystifies what happens in meetings, how sponsorship and “90 in 90” support recovery, and how clinicians can address common reservations to make referrals more effective and patient-centered.

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Lessons From Street Psychiatry

January 1, 2026
Emma Lo, MD

Street psychiatry brings mental health and addiction care directly to unhoused individuals through proactive outreach and long-term trust-building. Dr. Lo describes the importance of collaborating with other providers, applying harm reduction principles, engagement strategies, and how reversing traditional power dynamics helps reach vulnerable “non-utilizers” who rarely access clinics or hospitals.

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Ambulatory Alcohol Withdrawal: A Practical How-To

January 1, 2026
Stephen R. Holt, MD

Most patients with alcohol withdrawal can be safely managed outside the hospital. Dr. Holt outlines how to assess risk, choose between gabapentin and benzodiazepines, implement his “4-3-2-1” outpatient taper, and navigate real-world barriers such as comorbidities, unstable housing, and patient preference.

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Dextromethorphan Misuse

January 1, 2026
Noah Capurso, MD, MHS

Dextromethorphan misuse is common, especially among young people, yet can easily be overlooked by family and healthcare providers alike. This article reviews recognition of toxicity across the four “plateaus,” psychiatric and medical complications, and supportive management strategies—including when to consider benzodiazepines, antipsychotics, or naloxone.

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E-Cigarettes for Smoking Cessation: Efficacy and Safety

January 1, 2026
Crystal Obiozor, MD

Compared with counseling alone, e-cigarettes significantly improved six-month smoking abstinence, though many participants continued vaping and did not achieve full nicotine cessation. This study supports e-cigarettes as a valuable tool for smokers who struggle with standard cessation medications.

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Does Take-Home Naloxone Lead to Riskier Drug Use?

January 1, 2026
Crystal Obiozor, MD

A large prospective cohort study finds no evidence that take-home naloxone increases risky drug use behaviors. Injection frequency, opioid use, benzodiazepine use, and using alone remained unchanged—reinforcing naloxone’s role as a lifesaving harm-reduction tool without unintended risk compensation.

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CME Post-Test, Outpatient Treatment of Substance Use Disorder, CATR, January/February/March 2026

January 1, 2026

By successfully completing the test you will be awarded a certificate for 2 CME credits.

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Editor-in-Chief
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Noah Capurso, MD, MHS

Dr. Capurso is the Assistant Director of Addiction Services at Connecticut Valley Hospital and an associate clinical professor of psychiatry at the Yale University School of Medicine. Prior to joining Connecticut Valley Hospital, he was the medical director of the Detoxification & Addiction Stabilization Service and the Psychosocial Residential Rehabilitation Program at the West Haven Veterans Administration Hospital. He completed medical school, psychiatry residency, and addiction psychiatry fellowship at Yale.

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