Episode 1 "Hey Doc Your Patient Might Be Drinking Too Much" Identifying Alcohol Use Disorders by Drs. Paula Cook and Darlene Petersen
Episode 2 "To Admit or Not to Admit" Management of Alcohol Withdrawal with Drs. Paula Cook and Darlene Petersen
Episode 3 "Naltrexone, Acamprosate, and Disulfiram Oh My!" Medications for Alcohol Use Disorder by Drs. Paula Cook and Darlene Petersen
Episode 4 "Time to Address the Big Purple Gorilla in the Room" Managing Opioid Use Disorder In the Middle of Pandemic by Drs. Paula Cook and Darlene Petersen
Episode 5 "We Need to Talk About Meth" Diagnosis and Treatment of Methamphetamine Use Disorder by Drs. Paula Cook and Darlene Petersen
Episode 6 "The Other Pandemic" First in our four part series. Opioid Use disorder, how to diagnosis it, how to talk to your patients about it, how you do you begin an initial outpatient intake for Opioid Use Disorder.
Episode 7 "Opioid Induction" Navigating outpatient and inpatient induction onto buprenorphine/naloxone.
Episode 8 "Monitoring Opioid Use Disorder" Maintenance, preventing diversion, and coping with difficult behaviors.
Episode 9 "To Taper or Not To Taper" and lots more answers. Tune in for a great discussion on when and how to taper buprenorphine/naloxone.
Episode 10 "Benzophobia" Recognize and Treat Benzodiazepine Dependence. Recognize and treat benzodiazepine dependence and withdrawal. Tune in to learn the mechanism of action, withdrawal symptoms and treatment options.
Episode 11 "Kratom" You can buy what... at your local smoke shop? Tune in for a fascinating discussion about origins of Kratom, use and abuse and current policy.
Episode 12 "Updates in Addiction Medicine #1" Review of John Kelly's paper "AA and 12 Step Facilitation Treatments for AUD: A Distillation of a 2020 Cochrane Review for Clinicians and Policy Makers." In this episode we discuss the history of AA and basic principles and science supporting use of AA and 12 step facilitation.
Episode 13 "Cannabis" Not Your Mother's Marijuana. Dr. Elizabeth Howell, Addiction Psychiatrist, from the University of Utah. Joins us to discuss the phytobiology of cannabis, epidemiology of cannabis use in the US, effects of cannabis in the brain and benefits and risks of use. Part 1 of 2 episodes on Cannabis.
Episode 14 "Yes, Virginia, Cannabis Use Disorder is Real" Dr. Elizabeth Howell returns for another insightful discussion on recognizing cannabis withdrawal, cannabis use disorder, and treatment options. Hosted by Dr. Paula Cook and Dr. Darlene Petersen.
Episode 15 "Updates in Addiction Medicine #2" Naltrexone and Bupropion for Meth Use Disorder. Join us as we discuss "Bupropion and Naltrexone in Methamphetamine Use Disorder" by Madhukar H. Trivedi, M.D. et al from the January 2021 NEJM. Hosted by Dr. Paula Cook and Dr. Darlene Petersen.
Episode 16 "Nicotine" No smoke screens here, just the facts. Why we need to help our patients with addiction quit smoking and best practices on how to quit. Hosted by Dr. Darlene Petersen and Dr. Paula Cook.
Episode 17 "Harm Reduction" Building the Bridge. Meet your patients where they are but don't leave them there. Time to start the conversation on how do we apply harm reduction strategies in addiction medicine. This episode discusses syringe exchange programs, naloxone, safe injection sites and more hosted by Dr. Darlene Petersen and Dr. Paula Cook.
Episode 42 Managing Infections in Patients who Use Drugs 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 possible. Hosted by Paula Cook, MD and Darlene Petersen, MD.
Episode 43 Methadone Primer “Everything You Need to Know About Methadone” 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.
Episode 44 Drug Testing: What, When and How to Test 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.
Episode 45 The Methamphetamine/Fentanyl Epidemic 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 strategies for methamphetamine/fentanyl use. Hosted by Darlene Petersen, MD and Paula Cook, MD.
Episode 46 Food...” The Most Addictive Substance in Your Home?” 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.
Episode 47 Addiction Update #3 “Weed Fever: Effects of Cannabis on IQ and Youth” 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.
Episode 48 Bupe and Benzos: What is a doctor to do? 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.
Episode 49 AA common myths dispelled 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.
Episode 50 PREP/PEP 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.
Episode 51 ”How to Unglue from Your Phone” Gaming, Gambling and Internet Addiction 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.