The Addiction Files: An Addiction Medicine Podcast

It's a wrap, in this episode we discuss the hot topics in addiction medicine including fentanyl, cannabis, harm reduction, health inequities and bonus how psychedelic use has increased. In this episode we review the latest trends in the monitoring the future study.   Check us out on facebook @Theaddictionfiles or twitter @THEADDICTIONFI1 or Instagram  Theaddictionfiles No explicit language but thi...

The fantastic Dr. Mitika Kanabar teaches us all about Process Addictions. We discuss gambling, compulsive internet use and gaming addiction. Dr. Kanabar guides us through diagnosis, treatment options and even harm reduction strategies. Hosted by Paula Cook, MD and Darlene Petersen, MD.  For more information on Dr. Kanabar: www.mitikakanabar.com Intstagram kanabarmd or twitter @KanabarMd Check us o...

Dr. David Crabtree joins us to discuss managing PREP/PEP in patients with substance use disorders. In this episode we discuss patient selection, initial evaluation, medication options and follow up testing. Bonus Dr. Crabtree discuss medication coverage options. Hosted by Paula Cook, MD and Darlene Petersen, MD.  Dr. David Crabtree  https://www.linkedin.com/in/drcrabtreemdmph/ https://davidcrabtre...

Peg O’Connor PhD, joins us to discuss the history of AA and the roots of the “higher power”. In this very poignant episode we learn how to approach patients who might be put off by the 12-step dogma plus Dr. O’Connor gives us so much more wisdom in how to reach our patients with alcohol use disorders. This is a can’t miss episode. Hosted by Paula Cook, MD and Darlene Petersen, MD. Find out more ab...

Join us for this fascinating discussion on the emerging trend of Gabapentin abuse. We discuss the history, uses and particular interactions with opioids and disturbing trends of misuse. Hosted by Paula Cook, MD and Darlene Petersen, MD.  Check us out on facebook @Theaddictionfiles or twitter @THEADDICTIONFI1 or Instagram  Theaddictionfiles No explicit language but this podcast discusses the abuse...

We are back with listener questions. What do you do with patients on benzodiazepines and MOUD? Tune in for a fantastic discussion on the latest recommendations on co-use of benzodiazepines and buprenorphine (and methadone), practice pearls and tips for engagement of patients in benzodiazepine taper. Hosted by Darlene Petersen, MD and Paula Cook, MD.  Check us out on facebook @Theaddictionfiles or...

In this episode we review the monitoring future study (released 8/22/22) and the trends in alcohol use, cannabis and nicotine particularly vaping.  We discuss a fascinating longitudinal study on long term cannabis and the cognitive effects.  Hosted by Darlene Petersen, MD and Paula Cook, MD.  “What is long-term cannabis use doing to our brains?”American Journal of psychiatry. 8 Mar 22.  Meier et A...

Catherine Van Tassell PA-C, LCSW, joins us on this episode to discuss Yale Food Addiction Scale (YFAS), how to determine when a patient has disordered eating, food triggers in our food industry and treatment options. Hosted by Paula Cook, MD and Darlene Petersen, MD.  Check us out on facebook @Theaddictionfiles or twitter @THEADDICTIONFI1 or Instagram  Theaddictionfiles No explicit language but th...

SEASON 3 IS HERE! Javier Ballester, MD board certified addiction psychiatrist, president of Utah chapter of ASAM, joins us to discuss this most dangerous epidemic.  Dr. Ballester gives us a primer on the neurobiology of methamphetamine, discussion on the devasting effects of this disturbing trend of methamphetamine laced with fentanyl. Treatment of methamphetamine psychosis, harm reduction strateg...

 Identifying Alcohol Use Disorders by Paula Cook, MD and Darlene Petersen, MD.  Identify risky drinking, components of the AUDIT-C, CRAFFT and AUDIT and how these tie into DSM-V diagnosis of Alcohol Use Disorder.  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 a...

Ana Holtey, D.O. board certified addiction medicine and family medicine physician and MRO joins us to discuss the basics of drug testing.  Learn about why we test, interpreting results, and cross containments. Understand how drug screening is a tool but not a decision and how we can use this to help our patients in recovery. Hosted by Paula Cook, MD and Darlene Petersen, MD.   Check us out on face...

In this episode we cover the history of methadone, regulations, metabolism, dosing, side effects and so much more! This is a great introduction if you are not familiar with Opioid Treatment Programs.  Hosted by Paula Cook, MD and Darlene Petersen, MD.   Check us out on facebook @Theaddictionfiles or twitter @THEADDICTIONFI1 or Instagram  Theaddictionfiles No explicit language but this podcast disc...

We are back with another fascinating episode, joined by Dr. David Serota board certified infectious disease and addiction medicine specialist. We discuss the management of infections in people who use drugs. Dr. Serota walks us through types and sources of infection, prevention and management.  In this episode we review the data surrounding oral antibiotic therapy when IV antibiotics are just not...

Dr. Kyle Moore joins us for a fascinating look at the practice of addiction medicine in rural United States. He discusses the many joys of small-town living along with the challenges including limited referral resources, lack of inpatient options, and delayed EMS response.  Hosted by Darlene Petersen, MD and Paula Cook, MD.   Check us out on facebook @Theaddictionfiles or twitter @THEADDICTIONFI1...

Elizabeth Howell, MD is back for an extraordinary episode on managing patients in long term recovery. Dr. Howell guides us through the many pitfalls where physicians can contribute to a patient's relapse and leaves us with practice changing wisdom to help our patients today and in the future.  This is a can't miss episode.   Hosted by Paula Cook, MD and Darlene Petersen, MD.  Check us out on faceb...

Is there a difference between buprenorphine/naloxone vs buprenorphine monotherapy when treating opioid use disorder. Join us as we discuss this controversial topic, review the latest evidence, and prescribing guidelines. Hosted by Paula Cook, MD and Darlene Petersen, MD. Check us out on facebook @Theaddictionfiles or twitter @THEADDICTIONFI1 or Instagram  Theaddictionfiles No explicit language but...

Best selling author, host of the podcast "Overcoming Emotional Overeating" and food psychology expert Wendi Francis, RD, MS, CPC joins us on this episode to discuss emotional overeating, food addiction, cross addiction and everything in between.  In this episode Wendi teaches us to beware of putting labels on patients and how healing starts by addressing trauma.  Hosted by Darlene Petersen, MD and...

Dr. Richard Andrews joins us for this informative episode on the management of hepatitis C in our patient's who struggle with addiction. In this episode he guides us through the recognition, testing and management of hepatitis C.  Hosted by Darlene Petersen, MD and Paula Cook, MD.   Check us out on facebook @Theaddictionfiles or twitter @THEADDICTIONFI1 or Instagram  Theaddictionfiles No explicit...

In this episode we delve into the often overlooked abuse of anabolic steroids. We discuss the types of steroids abused, epidemiology, mental and physical effects of abuse and treatment.  Hosted by Paula Cook, MD and Darlene Petersen, MD. Check us out on facebook @Theaddictionfiles or twitter @THEADDICTIONFI1 or Instagram  Theaddictionfiles No explicit language but this podcast discusses the abuse...

April is National Alcohol Awareness Month. In this episode we discuss the prevalence of Alcohol Use Disorders in our population.   We discuss the trends among women, teens, binge drinking among college students and yes even physicians.   We also discuss the impact of the COVID-19 pandemic on alcohol use disorders and what we can do about it.  Hosted by Darlene Petersen, MD and Paula Cook, MD.   Ch...

 In an depth discussion on the history, neurobiology and hidden dangers of Ayahausca, Mescaline and Ibogaine.  Hosted by Paula Cook, MD and Darlene Petersen, 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 may not be appropriate for all...

In this episode we interview occupational medicine and addiction medicine board certified Melissa Cheng, MD. It is a fascinating look at substance use in the workplace- identifying the data on the 9.5% of U.S. full time (12% part time) employed people with a substance use disorder and where they are working. How the pandemic has changed substance use in the explosive ways and what employers and me...

"When all the wheels fall off the bus" as Dr. Cook says, what do you do with angry, disruptive and noncompliant patients?  In this episode we review three interesting cases with published solutions on how we can respond while maintaining the doctor patient therapeutic relationship while preserving staff morale.   Hosted by Darlene Petersen, MD and Paula Cook, MD.   Check us out on facebook @Theadd...

With addictive like properties similar to anxiolytics, Phenibut, is increasing in is popularity with dire consequences.   In this episode we discuss the history, pharmacology, dependence and withdrawal syndrome associated with this emerging drug of abuse.  Hosted by Darlene Petersen, MD and Paula Cook, MD.    Check us out on facebook @Theaddictionfiles or twitter @THEADDICTIONFI1 or Instagram  The...

Microdosing, ultrarapid induction, Bernese Method.  What is it, when do you use it and how does this method provide an alternative for starting buprenorphine without a traditional withdrawal period?    Tune in for a refresher on buprenorphine induction and how to microdose.    Hosted by Paula Cook, MD and Darlene Petersen, MD. Check us out on facebook @Theaddictionfiles or twitter @THEADDICTIONFI1...