Darlene Petersen, MD and Paula Donnelly Cook, MD are board certified addiction medicine and family medicine physicians providing evidence based education, clinical pearls and resources to physicians, residents and students while striving to destigmatize the treatment of addiction in our medical culture and save lives. Tune in to learn about the latest treatments for all things addiction. Join us as we conduct expert interviews, review clinical pearls and best practices and discuss the latest ...
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This podcast is designed to teach COACHES how to SELL their HIGH TICKET COACHING using my SIGNATURE PSYCHOLOGY BASED SALES METHOD. Join my FREE Coaching community for more tips & coaching to SELL OUT your coaching offers. Click here for access to my private FB community; https://www.facebook.com/groups/salesattractionsecretsforcoaches
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Unscripted & raw conversations on navigating dating, sex & relationships after the wrath of divorce. DATING OVER 40 -Dating apps -Red and green flags -The first date -When to run -Reading your date -Your first back seat make out -Ghosting, Bread-crumbing, Catfishing, & avoiding the avoidant RELATIONSHIPS -Energetics of dating (masculine/feminine poles) -Communicating for connection -Healing, transformation & becoming the best version of you Rebuilding - rebuilding life as a single parent -na ...
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Therapeutic Tools Essential in Addiction Medicine
1:03:49
1:03:49
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Dr. Spencer Hansen joins us in an amazing episode. He teaches us essential listening skills that form the basis of life-saving safety planning—two critical therapeutic techniques we can all apply in bedside and clinic settings. Hosted by Darlene Petersen, MD and Paula Donnelly Cook, MD. Check us out on facebook @Theaddictionfiles or twitter @THEADD…
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Crack/Cocaine "The History Behind this Devasting Epidemic"
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In the 1980s and 1990s, crack cocaine dominated the drug scene in the United States. It had devastating effects, destroying lives and communities while fueling mass incarceration. However, the story goes beyond mere addiction and criminality. In this episode we review the history of Crack, consequences of use and treatment. Hosted by Darlene Peters…
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Today, we're tackling a growing concern: the misuse of caffeine and the booming popularity of energy drinks. Join us as we unpack the latest trends in caffeine consumption, from the skyrocketing sales of energy drinks to the ritualistic coffee culture that defines many societies. We’ll explore the fascinating science behind caffeine’s effects on th…
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Join us as Dr. Mason Turner returns to educate on the fundamentals of psychotic disorders, with a focus on distinguishing Substance or Medication Induced Psychotic Disorder from primary psychotic disorders. We also cover treatment considerations, including delusional disorder and postpartum psychosis. Hosted by Darlene Petersen, MD, and Paula Donne…
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Ray Sweet, MS joins us to discuss the devasting epidemic of suicide that disproportionately affects those with substance use disorders. Ray teaches us about risk and protective factors and community based coping strategies and more. Hosted by Paula Donnelly Cook, MD and Darlene Petersen, MD. Check us out on facebook @Theaddictionfiles or twitter @T…
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We review Delta 8 THC, mechanism of actions, legal issues surrounding this drug and current trends surrounding use. Hosted by Paula Donnelly 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 thi…
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Addiction Treatment in Correctional Settings
52:34
52:34
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Our very own Dr. Paula Cook and Lanette Denton join us to discuss their recent study on employing harm reduction in rural county jail. Hosted by 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…
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Dating After Divorce: 4 Essential Steps Before You Start Dating Again
1:02:51
1:02:51
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Welcome to OUR TAKE with Michael & Darlene! In this episode, we delve into the crucial steps to ensure you're truly READY to re-enter the dating scene post-divorce. We share key insights and personal stories from our own experiences with online dating, providing a comprehensive guide for anyone looking to start dating after divorce. Michael brings …
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April is alcohol awareness month. In this episode we review the stages of alcohol associated liver disease, signs and symptoms and laboratory abnormalities. Hosted by Paula Donnelly Cook, MD and Darlene Petersen, MD. Check us out on facebook @Theaddictionfiles or twitter @THEADDICTIONFI1 or Instagram Theaddictionfiles or email us at theaddictionfil…
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Anna Lembke, MD joins us to discuss the Dopamine reward system in our brains and how the pleasure/pain balance affects addiction and recovery. This is a fascinating discussion. Hosted by Paula Donnelly Cook, MD and Darlene Petersen, MD. For more information on Dr. Lembke: www.annalembke.com Check out her New York Times best seller books "Dopamine N…
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Does varenicline reduce alcohol cravings? Tune in as we review the evidence, mechanism of action of varenicline. Hosted by Paula Donnelly Cook, MD and Darlene Petersen, MD. Check us out on facebook @Theaddictionfiles; X @THEADDICTIONFI1, TikTok, or Instagram @Theaddictionfiles or email us at theaddictionfiles@gmail.com No explicit language but this…
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Mason Turner, MD returns to discuss depression and substance use disorders as part of our mental health and substance use disorders series. Dr. Turner gives us a primer on the types of depression, epidemiology of depression in substance using populations, treatment considerations and lifestyle interventions. Hosted by Darlene Petersen, MD and Paula…
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Strengthening Neuroplasticity in Substance Use Recovery
46:45
46:45
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Steve Sugden, MD joins us to discuss lifestyle medicine and neuroplasticity in the recovery process. Hosted by Paula Donnelly 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 discu…
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The State of Alcohol Use Disorders in the US with Dr. George Koob and the NIAAA
45:31
45:31
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George Koob, PhD director of NIAAA teaches us about the addiction cycle, the origins of "Hyperkatefia", review of treatment options during the negative affect cycle and how NIAAA is monitoring current policies and trends regarding alcohol use. Hosted by Paula Cook, MD and Darlene Petersen, MD. www.niaaa.nih.gov https://www.rethinkingdrinking.niaaa.…
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Ketamine-Assisted Buprenorphine Initiation
52:04
52:04
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Lucinda Grande MD, FASAM joins us to discuss her research on low dose ketamine for buprenorphine inductions with emphasis on transitions from fentanyl to buprenorphine. She discusses patient selection, dosing considerations, and safety profile. Hosted by Paula Donnelly Cook, MD and Darlene Petersen, MD. Check us out on facebook @Theaddictionfiles o…
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Dr. Javier Ballester joins us for our second episode on co-occurring mental health and substance use. We'll cover Bipolar, its prevalence with substance use disorders, diagnosis, and treatment considerations. Hosted by Paula Donnelly Cook, MD and Darlene Petersen, MD. Check us out on facebook @Theaddictionfiles or twitter @THEADDICTIONFI1 or Instag…
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Our year-end review in addiction medicine for 2023, covers key topics, including the 2022 NSDUH data, trends in xylazine and fentanyl, and the impact of social isolation on alcohol use. Hosted by Paula Donnelly Cook, MD and Darlene Petersen, MD. Check us out on facebook @Theaddictionfiles or twitter @THEADDICTIONFI1 or Instagram Theaddictionfiles o…
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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 cooccurrin…
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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 Dar…
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Higher Dose Buprenorphine in Treatment Retention: Fentanyl Considerations
33:25
33:25
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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 …
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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/ GRA…
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”Overamped” Management of Stimulant Toxicity and Overdose
27:29
27:29
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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 Thea…
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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 prof…
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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 twitte…
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Auricular Acupuncture for Substance Use Disorder
50:50
50:50
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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 …
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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 explici…
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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 @THEADDICTIO…
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”To Stop or Not to Stop” Acute and Chronic Pain Management Considerations for Patients Maintained on Buprenorphine.
58:08
58:08
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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 a…
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Accessing the best level of care: How do you know and where do you go?
55:16
55:16
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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 o…
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A Tale of Two Pills and a Shot : Emerging Meds for SUD
29:42
29:42
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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 @Th…
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Butalbital and Promethazine Misuse ”Do not fall into the Daily Fiorcet and Phenergan Trap”
34:36
34:36
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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 Admi…
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Harm Reduction ”Creating Connection Through Compassion”
47:32
47:32
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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 @Thea…
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Methadone Policy Updates: Get with the (OT) Program
48:40
48:40
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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 …
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Prescription Stimulant Misuse ”Friends Don’t Share with Friends”
34:09
34:09
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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 …
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Binge Drinking in College and Adolescent Students
26:31
26:31
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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 o…
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DBT for Alcohol and Substance Use Disorders
31:37
31:37
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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 …
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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…
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Addiction Updates ”Adolescents and Elderly with OUD”
49:36
49:36
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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 ab…
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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 @Thea…
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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 p…
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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 t…
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Sex Addiction ”A Syndrome What it is and What it is Not”
44:39
44:39
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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 in…
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Hot Topics in Addiction Medicine for 2022
32:34
32:34
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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…
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”How to Unglue from Your Phone” Gaming, Gambling and Internet Addiction
44:56
44:56
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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 Ints…
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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.linke…
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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 C…
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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 explici…
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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…
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Addiction Update #3 “Weed Fever: Effects of Cannabis on IQ and Youth”
27:59
27:59
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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?”Americ…
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Food...” The Most Addictive Substance in Your Home?”
53:35
53:35
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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 Instagr…
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