Addiction Psychiatry: Challenges and Recent Advances, An Issue of Psychiatric Clinics of North America

Cover image

Title page

Table of Contents

Copyright

Contributors

Forthcoming Issues

Preface

Neuropsychiatric Model of Addiction Simplified

Key points

Introduction

Onset and natural history of substance use disorders

Neuroplastic changes in addiction and the addiction cycle

Future directions

Summary

Clinics care points

Disclosure

Pharmacotherapy of Opioid Use Disorder—Update and Current Challenges

Key points

Introduction

Discussion

Summary

Clinics care points

Financial disclosures

Policy Ahead of the Science: Medical Cannabis Laws Versus Scientific Evidence

Key points

Introduction

Methods

Results

Discussion

Conclusion

Summary

Clinics care points

Medical Cannabis Qualifying Medical Conditions by Jurisdiction

Medical Cannabis Qualifying Psychiatric Conditions by Jurisdiction

Practical Considerations for Treating Comorbid Posttraumatic Stress Disorder in the Addictions Clinic: Approaches to Clinical Care, Leadership, and Alleviating Shame

Key points

Introduction

Clinical case: patients, clinicians, and shame reactions

The link between addiction and trauma

Clinical approach: screening, diagnosis, summary of existing trauma + addictions models

Clinical approach: common-sense interventions that any clinician or clinical staff member can use

Approaches to clinical leadership: taking care of one’s staff

Concluding remarks

Clinics care points

Kratom: Substance of Abuse or Therapeutic Plant?

Key points

Introduction

Epidemiology

Preclinical pharmacology

Clinical pharmacology

Abuse potential

Adverse effects

Therapeutic potential

Legal status

Management of kratom-related disorders

Discussion

Clinics care points

Disclosure

Important Drug-Drug Interactions for the Addiction Psychiatrist

Key points

Pharmacokinetics basics

Clinics care points

Nicotine Addiction: A Burning Issue in Addiction Psychiatry

Key points

Introduction

Selected aspects of nicotine addiction

What is already being done

Addressing obstacles to change

More that can be done clinically

More that can be done in the mutual help community

Electronic cigarettes

Summary

Clinics care points

Disclosure

Substance Use Disorders in Postacute and Long-Term Care Settings

Key points

Introduction

Summary

Clinics care points

Update on Gambling Disorder

Key points

Introduction

Potential risk factors for gambling disorder

Vulnerable populations

Screening instruments

Intervention and treatment

Responsible gambling initiatives

Future considerations

Summary

Clinics care points

Attention-Deficit Hyperactivity Disorder and Therapeutic Cannabis Use Motives

Key points

Introduction

Discussion

Clinics care points

Practical Technology for Expanding and Improving Substance Use Disorder Treatment: Telehealth, Remote Monitoring, and Digital Health Interventions

Key points

Introduction

Telehealth

Remote monitoring

Digital health interventions

Discussion

Summary

Clinics care points

Harm Reduction: Not Dirty Words Any More

Key points

Definitions/principles

Clinics care points

Disclosure

Individual Paths to Recovery from Substance Use Disorder (SUD): What Are the Implications of the Emerging Recovery Evidence Base for Addiction Psychiatry and Practice?

Key points

Introduction/history/definitions/background

Key concepts

Discussion

Summary

Clinics care points

The Protective Wall of Human Community: The New Evidence on the Clinical and Public Health Utility of Twelve-Step Mutual-Help Organizations and Related Treatments

Key points

Introduction

Clinics care points

Summary

Technological Addictions

Key points

Introduction

Internet gaming disorder/Gaming disorder

Cybersex and online porn

Social media addiction

Online shopping

Summary

Clinics care points

Disclosure

Thirty Years of The ASAM Criteria: A Report Card

Key points

Introduction

History

Evaluation

Summary

Clinics care points