The Addiction Files: An Addiction Medicine Podcast

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...

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 @The...

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 B...

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 Passin...

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 theaddictionfiles@...

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...

We just got back from CSAM’s (California Society of Addiction Medicine) Annual Conference 2023 and we have the highlights for you. We discuss topics surrounding fentanyl, harm reduction, neurobiology of addiction, alcohol use disorders and more. Hosted by Paula Cook, MD and Darlene Petersen, MD.  Check us out on facebook @Theaddictionfiles or twitter @THEADDICTIONFI1 or Instagram  Theaddictionfile...

In this episode, we are delighted to be joined by Nobi and Charles "Chuck" Pyle, who engage in a comprehensive conversation on the fascinating world of 5NP, or five needle acupuncture. Together, we delve into the rich historical background of 5NP, exploring its prominent applications such as addressing addiction and trauma. Furthermore, our guests share their insights into the advocacy initiatives...

Last week of August is Overdose Prevention Awareness week. We review overdose statistics, risk factors, vulnerable populations and prevention. 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 theaddictionfiles@gmail.com No explicit language but this podcast discusses the abuse...

In this episode we discuss the emerging trend of Phenobarbital for inpatient alcohol withdrawal management. We review the history, mechanism of action, dosing, side effects and medication interactions associated with Phenobarbital. Hosted by Darlene Petersen, MD and Paula Cook, MD.  Check us out on facebook @Theaddictionfiles or twitter @THEADDICTIONFI1 or Instagram  Theaddictionfiles or email us...

We discuss one of the most frequent listener questions. How do you manage acute and chronic non cancer pain including perioperative pain in patients maintained on buprenorphine? We review the SAMHSA guidelines, Tip 54, and review of the literature and case reports discussing patient outcomes and suggested protocols. Hosted by Darlene Petersen, MD and Paula Cook, MD. Check us out on facebook @Thead...

Daria Montgomery, MS joins us to discuss the ASAM criteria and dimensions of care. How do you vet treatment programs and how do we assist patients and families in choosing the right level of care to to support them along the continuum of their recovery. Hosted by Paula Cook, MD and Darlene Petersen, MD.  Check us out on facebook @Theaddictionfiles or twitter @THEADDICTIONFI1 or Instagram  Theaddic...

In this episode we review weekly injectable buprenorphine, and several studies on novel treatments for alcohol use disorders. Will GLP 1's and spironolactone be helpful to reduce drinking days and can naltrexone be used PRN for alcohol use disorder? Tune in to find out. Hosted by Darlene Petersen, MD and Paula Cook, MD. Check us out on facebook @Theaddictionfiles or twitter @THEADDICTIONFI1 or Ins...

We discuss two commonly prescribed medications, who is at risk of misuse, rates of use and history. Mechanism of action withdrawal symptoms and treatment. Hosted by Darlene Petersen, MD and Paula Cook, MD. Information cited in this episode: Rodulfo A, Augsten A, Wainwright E, Abramovici G. A Case of Severe Fioricet Withdrawal Presenting During Admission to an Inpatient Psychiatric Unit. Case Rep P...

Mindy Vincent MSW, LCSW, MPA joins us for an insightful conversation on harm reduction, how to build a program, meet patients where they are and goals for future legislation to assist patients in their recovery. Hosted by Paula Cook, MD and Darlene Petersen, MD.  You can learn more about Mindy at: utahharmreduction.org Check us out on facebook @Theaddictionfiles or twitter @THEADDICTIONFI1 or Inst...

Everything you need to know about methadone OTP policy changes including a discussion on what is coming down the pipeline. Bonus we discuss listener questions on methadone use with benzodiazepines/gabapentin, management of patients on methadone with stimulant use disorder and answer the question is therapy a federal requirement for treatment in an OTP? Hosted by Paula Cook, MD and Darlene Petersen...

Prescription stimulant misuse is on the rise and in this episode, we explore the epidemiology, who is diverting and prevention. 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 theaddictionfiles@gmail.com No explicit language but this podcast discusses the abuse and treatment o...

In this episode we discuss the definition, risks of binge drinking, epidemiology, and what measures colleges and institutions can take to reduce this disturbing trend. Hosted by Paula Cook, MD and Darlene Petersen, MD. Resources: CollegeAIM NIAAA's Alcohol Intervention Matrix Check us out on facebook @Theaddictionfiles or twitter @THEADDICTIONFI1 or Instagram  Theaddictionfiles or email us at thea...

Laura Petracek, PhD teaches us all about Dialectical behavior therapy (DBT) and how we can best support our patients in their recovery. Hosted by Darlene Petersen, MD.  Find out more about Dr. Petracek at: laurapetracekphd.com or @laurapetracekphd Check us out on facebook @Theaddictionfiles or twitter @THEADDICTIONFI1 or Instagram  Theaddictionfiles or email us at theaddictionfiles@gmail.com No ex...

Eric Collins, PhD assistant professor in the school of health studies at Western University in Ontario, Canada. Joins us to discuss his lived experience through addiction and recovery.  Hosted by Darlene Petersen, MD and Paula Cook, MD. Check us out on facebook @Theaddictionfiles or twitter @THEADDICTIONFI1 or Instagram  Theaddictionfiles No explicit language but this podcast discusses the abuse a...

In this episode we discuss the removal of the X-waiver and its implications, the latest statistics in adolescent and geriatric OUD treatment. Hosted by Darlene Petersen, MD and Paula Cook, MD.  Check us out on facebook @Theaddictionfiles or twitter @THEADDICTIONFI1 or Instagram  Theaddictionfiles No explicit language but this podcast discusses the abuse and treatment of legal and illegal drugs and...

Dr. Ballester is back! In this episode Javier Ballester, MD talks us through the reward pathway and neurochemical and biological changes that take place in the addiction cycle. This is a great primer for students and residents and refresher for seasoned practitioners. Hosted by Paula Cook, MD and Darlene Petersen, MD.   Check us out on facebook @Theaddictionfiles or twitter @THEADDICTIONFI1 or Ins...

 Xylazine what is it, where is it and what is a Physician to do? In this episode we discuss this emerging epidemic, trends, treatment considerations and precautions. Hosted by Darlene Petersen, MD and Paula Cook, MD.  Check us out on facebook @Theaddictionfiles or twitter @THEADDICTIONFI1 or Instagram  Theaddictionfiles No explicit language but this podcast discusses the abuse and treatment of leg...

In this episode we discuss the history of Psilocybin, effects, and mechanism of action. We review the latests studies showing the effects of Psilocybin on alcohol and tobacco use disorders and the research on depression. This is a fascinating episode hosted by Paula Cook, MD and Darlene Petersen, MD.  Check us out on facebook @Theaddictionfiles or twitter @THEADDICTIONFI1 or Instagram  Theaddictio...

Alexandra Katehakis, Ph. D. is the Founder/Clinical Director of Center for Healthy Sex in Los Angeles.  This is a can't miss episode where Dr. Katehakis teaches us the origins of sex addiction, screening and co-occurring disorders and treatment options. Hosted by Darlene Petersen, MD and Paula Cook, MD.  Dr. Katehakis is the author of several books including Sex Addiction As Affect Dysregulation:...