Addiction Medicine
Evidence-Based Reviews
Why aren’t more psychiatrists prescribing buprenorphine?
‘Bup’ is safe and effective, but few opiate-dependent patients are getting it
Cases That Test Your Skills
Chemical ‘warfare’ in Philadelphia
Mr. R hears ‘whispers from terrorists’ plotting an attack. He presents severely agitated with vomiting, psychosis, and paranoia. What is your...
Pearls
Use, abuse, or misuse? Knowing when to stop benzodiazepines
Evidence-Based Reviews
5 keys to improve counseling for dual-diagnosis patients
An empathic approach can be effective when treating psychiatric patients with substance use disorders
Evidence-Based Reviews
Crossing the line: When does teen substance use become abuse or dependence?
Many adolescents are ‘diagnostic orphans,’ whose behavior falls short of DSM-IV criteria but clearly shows substance use patterns.
Evidence-Based Reviews
Getting to the bottom of problem drinking: The case for routine screening
More-accurate screening tests and biochemical measures make it easier to recognize alcohol problems, motivate change in drinking, and reinforce...
Evidence-Based Reviews
Benzodiazepines for substance abusers
Do addiction worries outweigh the need for effective anxiety treatment? A sobriety-based algorithm addresses both concerns.
Cases That Test Your Skills
Steroid abuse: a ‘hidden’ health hazard
Excessive anabolic steroid use has been a hard habit to break for Mr. A, despite resultant legal, physical, and mental problems. Keeping such...
Cases That Test Your Skills
Steroid abuse: a ‘hidden’ health hazard
Excessive anabolic steroid use has been a hard habit to break for Mr. A, despite resultant legal, physical, and mental problems. Keeping such...
Evidence-Based Reviews
Sport psychiatry: How to keep athletes in the game of life, on or off the field
Some athletes’ toughest opponents are depression, addictions, and eating disorders. Managing these patients’ mental illnesses is a new niche for...
Evidence-Based Reviews
Teachable moments: Turning alcohol and drug emergencies into catalysts for change
Some say the addict must ‘hit bottom’ before making the changes necessary for sobriety. You can help the addict define where that bottom will be...