Alcohol and Substance Abuse Treatment

Roger Weiss, MD

August 20 – 24, 2018 • Monday – Friday

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Substance use disorders are common in both general psychiatric and medical practice. Because clinicians often do not have the knowledge about how to treat these disorders, it is common for clinicians to not screen for them. This often leads to poor outcomes for these patients. This course will review key issues that clinicians need to know about the diagnosis and treatment of patients with alcohol and drug abuse problems. The course will consist of lecture and frequent audience interaction, including discussion of cases. The course will review diagnosis, pharmacologic and behavioral treatment strategies, treatment of patients with co-occurring psychiatric illness, a review of the common drugs of abuse, including prescription drug abuse, recent trends in drug abuse, and strategies to help family members of those with substance use disorders.

 

Upons completion of this seminar, participants will be able to:

 

  • Diagnose substance use disorders;
  • Determine options for abstinence vs. cutting down;
  • Evaluate indications for and use of common substance use disorder medications;
  • Distinguish substance-induced disorders vs. independent psychiatric illness;
  • Refer patients knowledgeably to mutual-help groups such as AA or SMART Recovery;
  • Evaluate key properties of the common drugs of abuse;
  • Develop helpful strategies for family members of those with substance use disorders;
  • Develop helpful strategies for patients who want to cut down but whom you think should abstain;
  • Analyze models of both psychopharmacological and psychotherapeutic treatments for patients with substance use disorders and co-occurring psychiatric illness.

 

SCHEDULE

 

Monday August 20, 2018

8:30-9:00 am

Registration

9:00-10:00 am

Making a diagnosis: changes from DSM-IV to DSM-5;

10:00-10:15 am

Q & A

10:15-10:30 am

Coffee Break

10:30am-12:15 pm

Screening, diagnosing, and beginning treatment at the same time: key things to know for an effective initial interview; Recommend abstinence or cutting down? What to do when the patient wants to cut down and you think that abstinence is the best course?

 

Tuesday August 21, 2018

9:00-10:00 am

The unmotivated patient: techniques to deal with denial, ambivalence, and reluctance to change. How to use motivate, persuade, and confront effectively;

Key facts you need to know about the major substances of abuse: alcohol, heroin, prescription opioids, cocaine and other stimulants, hallucinogens, and marijuana

10:00-10:15 am

Q & A

10:15-10:30 am

Coffee Break

10:30am-12:15 pm

Key facts you need to know about the major substances of abuse: alcohol, heroin, prescription opioids, cocaine and other stimulants, hallucinogens, and marijuana; how to use medications for substance use disorders: naltrexone, disulfiram, acamprosate, buprenorphine, methadone.

 

Wednesday August 22, 2018

9:00-10:00 am

How to use medications for alcohol use disorders: Naltrexone, Disulfiram, and Acamprosate.

10:00-10:15 am

Q & A

10:15-10:30 am

Coffee Break

10:30am-12:15 pm

How to use medications for opioid use disorders: Naltrexone, Buprenorphine, and Methadone. Psychotherapy of substance use disorders: what works best?

 

Thursday August 23, 2018

9:00-10:00 am

The “dually diagnosed” patient with co-occurring psychiatric illness;distinguishing substance-induced disorders vs. independent psychiatric disorders

10:00-10:15 am

Q & A

10:15-10:30 am

Coffee Break

10:30am-12:15 pm

Integrating treatment for patients with co-occurring psychiatric illness and substance use problems: psychotherapeutic and pharmacological strategies;

 

Friday August 24, 2018

9:00-10:00 am

Referring patients to 12-step (e.g., AA) and non-12-step (e.g., SMART Recovery) mutual-help support groups: what you need to know.

10:00-10:15 am

Q & A

10:15-10:30 am

Coffee Break

10:30am-12:15 pm

Helping family members of patients with substance use disorders. Interventions: new models.

12:15 pm

Adjourn