Addiction Psychiatry

Questions discussed in this category

What is your approach for managing persistent psychotic symptoms hallucinogenic-induced persisting psychotic disorder (for example related to SUD involving psilocybin or synthetic THC)?

In particular how do you address primarily positive symptoms of somatic delusions, auditory hallucinations and paranoid ideation in patients how do no...

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?

1 Answer 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

Would you use bupropion for mood disorder or substance use in an adult patient with previous childhood seizures that resolved?

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?

3 Answers 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

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...

4 Answers available

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

2 Answers available

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

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

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

1 Answer available

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