George Koob, PhD director of NIAAA teaches us about the addiction cycle, the origins of "Hyperkatefia", review of treatment options during the negative affect cycle and how NIAAA is monitoring current policies and trends regarding alcohol use. Hosted by Paula Cook, MD and Darlene Petersen, MD.   www.niaaa.nih.gov https://www.rethinkingdrinking.niaaa.nih.gov/link-To-Us.aspx Check us out on facebook @Theaddictionfiles or twitter @THEADDICTIONFI1 or Instagram Theaddictionfiles or email us at [email protected] No explicit language but this podcast discusses the abuse and treatment of legal and illegal drugs and may not be appropriate for all listeners.

Lucinda Grande MD, FASAM joins us to discuss her research on low dose ketamine for buprenorphine inductions with emphasis on transitions from fentanyl to buprenorphine. She discusses patient selection, dosing considerations, and safety profile. Hosted by Paula Donnelly Cook, MD and Darlene Petersen, MD. Check us out on facebook @Theaddictionfiles or twitter @THEADDICTIONFI1 or Instagram Theaddictionfiles or email us at [email protected] No explicit language but this podcast discusses the abuse and treatment of legal and illegal drugs and may not be appropriate for all listeners.

Dr. Javier Ballester joins us for our second episode on co-occurring mental health and substance use. We'll cover Bipolar, its prevalence with substance use disorders, diagnosis, and treatment considerations. Hosted by Paula Donnelly Cook, MD and Darlene Petersen, MD. Check us out on facebook @Theaddictionfiles or twitter @THEADDICTIONFI1 or Instagram  Theaddictionfiles or email us at [email protected] No explicit language but this podcast discusses the abuse and treatment of legal and illegal drugs and may not be appropriate for all listeners.

Our year-end review in addiction medicine for 2023, covers key topics, including the 2022 NSDUH data, trends in xylazine and fentanyl, and the impact of social isolation on alcohol use. Hosted by Paula Donnelly Cook, MD and Darlene Petersen, MD. Check us out on facebook @Theaddictionfiles or twitter @THEADDICTIONFI1 or Instagram  Theaddictionfiles or email us at [email protected] No explicit language but this podcast discusses the abuse and treatment of legal and illegal drugs and may not be appropriate for all listeners.

We are excited to launch the first in our series on cooccurring mental health disorders and substance use disorders. Dr. Mason Turner joins us to discuss the prevalence of anxiety disorders in the substance using population. Types of anxiety disorders seen, treatment considerations and common pitfalls to avoid when managing patients with cooccurring disorders. Hosted by Paula Cook, MD and Darlene Petersen, MD.  Check us out on facebook @Theaddictionfiles or twitter @THEADDICTIONFI1 or Instagram  Theaddictionfiles or email us at [email protected] No explicit language but this podcast discusses the abuse and treatment of legal and illegal drugs and may not be appropriate for all listeners.

We are discussing inhalant misuse, epidemiology, diverse routes of administration, the spectrum of substances subjected to misuse, and the ensuing ramifications, spanning both acute and chronic side effects. We review a spectrum of treatment modalities, ranging from emergency interventions and withdrawal management. Hosted by Paula Cook, MD and Darlene Petersen, MD.   Check us out on facebook @Theaddictionfiles or twitter @THEADDICTIONFI1 or Instagram  Theaddictionfiles or email us at [email protected] No explicit language but this podcast discusses the abuse and treatment of legal and illegal drugs and may not be appropriate for all listeners.

This week we review the journal article "Buprenorphine Dose and Time to Discontinuation Among Patients With Opioid Use Disorder in the Era of Fentanyl." how do we manage patients on high dose synthetic opioids. Hosted by Paula Cook, MD and Darlene Petersen, MD.   "Buprenorphine Dose and Time to Discontinuation Among Patients With Opioid Use Disorder in the Era of Fentanyl" Chambers LC, Hallowell BD, Zullo AR, et al.  JAMA Netw Open. 2023;6(9):e2334540 Check us out on facebook @Theaddictionfiles or twitter @THEADDICTIONFI1 or Instagram  Theaddictionfiles or email us at [email protected] No explicit language but this podcast discusses the abuse and treatment of legal and illegal drugs and may not be appropriate for all listeners.

Kathie Supiano, PhD, LCSW, F-GSA, FT, APHSW-C joins us in this poignant episode to discuss the grief of overdose death. We review how loss isolates those involved including healthcare workers. Dr. Supiano expertly walks us through this process. This is a can't miss episode hosted by Paula Cook, MD and Darlene Petersen, MD.  http://grasphelp.org/ GRASP is Grief Recovery After Substance Abuse Passing, a national resource founded to provide sources of help, compassion and understanding for those whose loved one died from substance abuse or addiction. They also provide online and in person support groups throughout the country.   http://www.overdoseday.com/ International Overdose Awareness Day is an annual global event to raise awareness of overdose and reduce the stigma of drug related deaths. Acknowledging the grief felt by families and friends, Overdose Day spreads the message that the tragedy of overdose is preventable. http://www.survivorresources.org/ Restoring Hope, Reclaiming Life is their focus. Survivors Resources is a non-profit organization that offers support groups, crisis response, grief counseling and other services for families of victims of death due to homicide, suicide, accidental overdose or violent deaths. Check us out on facebook @Theaddictionfiles or twitter @THEADDICTIONFI1 or Instagram  Theaddictionfiles or email us at [email protected] No explicit language but this podcast discusses the abuse and treatment of legal and illegal drugs and may not be appropriate for all listeners.

Overamping, what is it, who is most vulnerable, how do you recognize it and what are some of the treatment considerations. Tune in to this fascinating discussion on this emerging trend. Hosted by Paula Cook, MD and Darlene Petersen, MD.  Resources SAMHSA TIP 33  Check us out on facebook @Theaddictionfiles or twitter @THEADDICTIONFI1 or Instagram  Theaddictionfiles or email us at [email protected] No explicit language but this podcast discusses the abuse and treatment of legal and illegal drugs and may not be appropriate for all listeners.

Dr. Robert Simpson and Kelli Jacobsen, LCSW join us for an important discussion regarding professional health programs. We review the common myths surrounding PHP's (professional health programs), who qualifies, benefits and some of the barriers that still exist. Hosted by Paula Cook, MD and Darlene Petersen, MD.  Resources: If you are a health professional struggling with a substance use disorder or have a colleague who needs help and do not know where to begin contact: The Federation of State Physician Health Programs at https://www.fsphp.org/ Check us out on facebook @Theaddictionfiles or twitter @THEADDICTIONFI1 or Instagram  Theaddictionfiles or email us at [email protected] No explicit language but this podcast discusses the abuse and treatment of legal and illegal drugs and may not be appropriate for all listeners.