Addiction Psychiatry

Questions discussed in this category

What are your preferred non-benzodiazepine therapies for the hyperactive/agitated phase of methamphetamine withdrawal, both in the hospital and in the office?

Assume QTc is not prolonged, electrolytes are reasonably normal, and the patient is not already on heavy psychotropic polypharmacy.

1 Answer available

How do you manage nicotine withdrawal and smoking cessation in teens?

4 Answers available

How do you approach the use of stimulants in patients with ADHD with previous or current substance use disorders?

3 Answers available

What strategies do you find most effective at managing opioid withdrawal in hospitalized patients who are not interested in MAT?

2 Answers available

How do you approach the use of benzodiazepines in patients with chronic medical illnesses that may be susceptible to respiratory compromise (e.g., CHF, COPD, ILD)?

Should you work to wean patients of benzodiazepines? Is your approach different for patients who have been on benzodiazepines for years? What would yo...

4 Answers available

How do you approach weaning patients off of buprenorphine?

6 Answers available

How do you approach pain management needs for patients well-established on buprenorphine/naloxone?

1 Answer available

How do you approach switching from methadone to buprenorphine/naloxone for patients who want to change medication management for opioid use disorder?

6 Answers available

In what cases do you use baclofen for alcohol use disorder?

3 Answers available

How do you approach the use of buprenorphine/naloxone in pregnant and breastfeeding patients?

In light of Straub et al's comparative study of combination vs buprenorphine alone

2 Answers available

What recommendations do you have regarding the use of dronabinol to prevent cannabis withdrawal in an inpatient medical or psychiatric setting?

2 Answers available

What are your perspectives on using GLP-1 agonists as a primary or adjunctive treatment in psychiatric care?

1 Answer available

Do you use any alternative or non-FDA-approved treatments for smoking cessation?

Are any effective options available beyond nicotine replacement therapy, varenicline, or bupropion?

4 Answers available

When do you recommend acamprosate vs. naltrexone for medication-assisted therapy in alcohol use disorder?

10 Answers available

How do you treat withdrawal symptoms from kratom addiction?

1 Answer available

In what cases do you recommend the use of gabapentin for off-label use in alcohol use disorder?

5 Answers available

What medications have you found helpful in the treatment of stimulant use disorder?

2 Answers available

What precautions should be taken when discharging a patient from the medical setting on new medication assisted therapy for alcohol use disorder?

This is based on the recent publication by Bernstein et al., PMID 38551564 which investigated the increased rate of initiation of MAUD in the hospital...

5 Answers available

What is your approach for managing persistent psychotic symptoms of a hallucinogen-induced persisting psychotic disorder?

For example, related to psilocybin or synthetic THC?

2 Answers available

How do you engage and approach a patient presenting with psychotic symptoms who has demonstrated a pattern of malingering and also has polysubstance use disorder?

1 Answer available

How do you address/manage the recreational use of dextromethorphan (sometimes called "robo-tripping") that has risen to the level of use disorder?

What DSM-5 diagnosis and or diagnostic code do you use when treating this substance use disorder?

1 Answer available

How do you counsel patients on vaping cessation as compared to smoking cessation?

Is there evidence for the use of varenicline, bupropion, or other medication therapies to assist in tobacco vaping cessation?

1 Answer available