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The Addiction Files: An Addiction Medicine Podcast

Darlene Petersen, MD and Paula Cook, MD

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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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show series
 
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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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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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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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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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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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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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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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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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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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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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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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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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 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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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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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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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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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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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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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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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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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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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 …
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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 podcas…
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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…
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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 Theaddictionfi…
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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 ant…
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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 …
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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 a…
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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 Ins…
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