Co-occurring disorders Carlat Reports

Expert Q&A

Treating Co-Occurring Psychiatric Disorders

From The Carlat Addiction Treatment Report, Dual Diagnosis in Addiction Medicine

Topics: Co-occurring disorders | Diagnosis | Substance Use Disorder

CATR: Why do you think clinicians should pay attention to psychiatric disorders co-occurring with addiction? Dr. Ross: The reason is that they’re very common. For example, about 80% of people with schizophrenia have nicotine use disorder, and 50% have a non-nicotine substance use disorder (SUD) (Miller SC, Fiellin DA, Rosenthal RN, Saitz R, eds. ASAM

Expert Q&A

Co-Occurring Addiction and PTSD

From The Carlat Addiction Treatment Report, Dual Diagnosis in Addiction Medicine

Topics: Addiction Treatment | Co-occurring disorders | PTSD | Substance Use Disorder | Trauma

CATR: We know PTSD often co-occurs with addiction. What should clinicians pay attention to? Dr. Vojvoda: Individuals who have PTSD have a high risk of developing other disorders, including substance use disorders (SUDs). Studies have shown that both in the veteran and non-veteran populations, these numbers are high. For example, one study of the genera

Research Update

Exposure Therapy Efficacious for PTSD Co-Occurring With Alcohol Use Disorder

From The Carlat Addiction Treatment Report, Medical Issues in Addiction Practice

Review of: Norman SB et al, Efficacy 2019;76(8):791–799 Patients with co-occurring posttraumatic stress disorder (PTSD) and alcohol use disorder (AUD) have worse outcomes compared to patients with either diagnosis alone. Integrated approaches, in which both diagnoses are simultaneously addressed, are viewed as best practice. Providers, however, are

Research Update

Varenicline and Bupropion: Soaring Again With EAGLES?

From The Carlat Addiction Treatment Report, Medical Issues in Addiction Practice

Topics: | | | | | | | | | | | | | | | | | | | | Addiction Addiction Treatment Bupropion Chantix Co-occurring disorders Dual diagnosis FDA Warnings Medication Pharmacology Research Research Update Side Effects Smoking Cessation Smoking Cessation Agents Substance Use Substance use disorders Suicidality Suicide Tobacco Varenicline Wellbutrin

Review of: Anthenelli RM et al, Lancet 2016;387(10037):2507–2520 Varenicline (Chantix) and bupropion (Zyban and others) are effective treatments for tobacco use disorder, but their use (and sales) took a big hit in 2009 when the FDA slapped both with black box warnings linking them to psychiatric complications, including suicidal ideation. Although

Expert Q&A 2

Opioid Use Disorders and Serious Mental Illness

From The Carlat Addiction Treatment Report, Alternative Treatment in Addiction

CATR: Please tell us about your clinical focus. Dr. Gomez-Luna: My principal role is within an organization called Behavioral Health Care, a behavioral health organization in Connecticut that serves a wide array of populations, from children and adolescents all the way to late adulthood (www.bhcare.org). We provide clinical services to communities for

Research Update

Can Buprenorphine Improve PTSD Symptoms?

From The Carlat Addiction Treatment Report, Legal Issues in Addiction Medicine

Review of: Lake EP et al, Am J Addict 2019;28(2):86–91 For many years, the mainstay of treatment for PTSD has been the SSRI class of medications, but many of our patients still suffer crippling symptoms despite optimal antidepressant medication dosing. PTSD is often accompanied by opioid misuse, sometimes in an effort to self-treat the hyperarousal

Research Update

Quetiapine in Bipolar With OCD

From The Carlat Psychiatry Report, The Difficult Patient

REVIEW OF: Sahraian A et al, CNS Spectr 2021;1–5 TYPE OF STUDY: Randomized, double-blind, placebo-controlled clinical trial SSRIs are first-line meds for obsessive-compulsive disorder (OCD), but they may pose risks of mania and rapid cycling when the patient also has bipolar disorder (BD). These conditions overlap more often than expected by chance,