Explorez tous les épisodes du podcast The Addiction Files: An Addiction Medicine Podcast

In this episode of The Addiction Files, we break down a March 2025 Journal of Medicina study "Novel Insights into Addiction Management: A Meta-Analysis on Intervention for Relapse Prevention" on relapse prevention and translate the evidence into clinical practice. We cover high-yield interventions, risk stratification, and real-world “clinical pearls” for managing return to use across settings. Designed for clinicians, this episode offers concise, actionable strategies to stabilize patients and sustain recovery trajectories.  Hosted by Paula Donnelly Cook, MD FASAM and Darlene Petersen, MD FAAFP.

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 discusses the abuse and treatment of legal and illegal drugs and may not be appropriate for all listeners.

Disclaimer: Content of this website and podcast are for entertainment and educational purposes only. Hosts and guests are not responsible for any harm caused by information obtained from these sources. As each person is unique you are advised to seek the advice of your own healthcare professional to treat any medical conditions you may be having. Opinions expressed on this show are those of The Addiction Files and not of our respective employers.

This episode of The Addiction Files breaks down kratom’s pharmacology with a focus on 7-hydroxymitragynine (7-OH), a potent opioid-active compound driving many of its effects. It highlights the growing risks of high-potency products, including dependence and toxicity. A concise, clinically relevant overview for recognizing and managing kratom-related presentations. Hosted by Darlene Petersen, MD FAAFP and Paula Donnelly Cook, MD FASAM.

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 discusses the abuse and treatment of legal and illegal drugs and may not be appropriate for all listeners.

Disclaimer: Content of this website and podcast are for entertainment and educational purposes only. Hosts and guests are not responsible for any harm caused by information obtained from these sources. As each person is unique you are advised to seek the advice of your own healthcare professional to treat any medical conditions you may be having. Opinions expressed on this show are those of The Addiction Files and not of our respective employers.

As fentanyl reshapes opioid use disorder treatment, long-standing buprenorphine induction practices are being challenged. In this episode, we examine emerging evidence supporting rapid, same-day initiation of long-acting injectable buprenorphine, alongside the growing role of high-dose transmucosal buprenorphine for fentanyl use disorder. We discuss why traditional multi-day inductions may increase dropout without improving safety—and how rapid initiation can improve early retention, including among patients actively using fentanyl.

We also explore when and why higher buprenorphine doses may be necessary to adequately suppress withdrawal and cravings in the fentanyl era. We cover common misconceptions about precipitated withdrawal, and key contraindications and protocol caveats.

Designed for addiction fellows and frontline clinicians, this episode emphasizes a shift from withdrawal-centric rituals to retention-focused care—getting effective treatment started when it matters most. 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 discusses the abuse and treatment of legal and illegal drugs and may not be appropriate for all listeners.

Disclaimer: Content of this website and podcast are for entertainment and educational purposes only. Hosts and guests are not responsible for any harm caused by information obtained from these sources. As each person is unique you are advised to seek the advice of your own healthcare professional to treat any medical conditions you may be having. Opinions expressed on this show are those of The Addiction Files and not of our respective employers.

Back by popular demand, Dr. Mason Turner will be presenting an insightful episode on the fundamentals of personality disorders, their prevalence in substance use disorders, and the available treatment options. We invite you to join us for this captivating discussion. Hosted by Darlene Petersen, MD and Paula Donnelly Cook, 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 discusses the abuse and treatment of legal and illegal drugs and may not be appropriate for all listeners.

In this episode we review ASAM's newly released stimulant guidelines. The ASAM Clinical Treatment Guidelines " focus on the identification, diagnosis, treatment, and promotion of recovery for patients with Stimulant use disorders, stimulant intoxication, and stimulant withdrawal.

It also includes recommendations related to screening for risky stimulant use and secondary and tertiary prevention of Stimulant use disorder. This includes treatment of acute intoxication, withdrawal and medical consequences of use." Hosted by Darlene Petersen, MD and Paula Donnelly Cook, MD.

https://www.asam.org/quality-care/clinical-guidelines/stimulant-use-disorders

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 discusses the abuse and treatment of legal and illegal drugs and may not be appropriate for all listeners.

In this episode, we examine the influence of alcohol culture and advertising—including non-alcoholic beverages (NABs)—on individuals in recovery and those who are sober-curious. We discuss how alcohol marketing shapes perceptions, triggers cravings, and blurs the boundaries between abstinence and consumption, with important implications for patients navigating sobriety. 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 discusses the abuse and treatment of legal and illegal drugs and may not be appropriate for all listeners. Disclaimer: Content of this website and podcast are for entertainment and educational purposes only. Hosts and guests are not responsible for any harm caused by information obtained from these sources. As each person is unique you are advised to seek the advice of your own healthcare professional to treat any medical conditions you may be having. Opinions expressed on this show are those of The Addiction Files and not of our respective employers.

Christine Minhee, JD, founder of OpioidSettlementTracker.com, joins us for an insightful discussion on the distribution of opioid settlement funds. In this episode, Christine delves into the complexities of how these funds are allocated at the state and local levels, providing a clear explanation of key concepts such as "Exhibit E" and the issue of supplantation—where settlement funds may be used to replace, rather than supplement, existing state funding. This conversation provides valuable insights for policymakers, community leaders, and advocates seeking to ensure that settlement funds are used effectively to combat the opioid crisis. Hosted by Darlene Petersen, MD and Paula Donnelly Cook, MD. 

Christine Minhee, JD Tracking Opioid Settlements & Spending Plans Since 2019

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 discusses the abuse and treatment of legal and illegal drugs and may not be appropriate for all listeners. Disclaimer: Content of this website and podcast are for entertainment and educational purposes only. Hosts and guests are not responsible for any harm caused by information obtained from these sources. As each person is unique you are advised to seek the advice of your own healthcare professional to treat any medical conditions you may be having. Opinions expressed on this show are those of The Addiction Files and not of our respective employers.

In this episode, Dr. Mason Turner returns to delve into the complexities of ADHD and substance use disorders. He shares valuable insights on obtaining an accurate diagnosis, exploring effective treatment options, and emphasizes the critical role of compliance monitoring in achieving positive outcomes. 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 discusses the abuse and treatment of legal and illegal drugs and may not be appropriate for all listeners. Disclaimer: Content of this website and podcast are for entertainment and educational purposes only. Hosts and guests are not responsible for any harm caused by information obtained from these sources. As each person is unique you are advised to seek the advice of your own healthcare professional to treat any medical conditions you may be having. Opinions expressed on this show are those of The Addiction Files and not of our respective employers.

Brett Heselpoth, RN and case manager joins us to discuss patient engagement. What does that initial encounter look for patients and how do we link them to care. Join us for this fascinating episode 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 discusses the abuse and treatment of legal and illegal drugs and may not be appropriate for all listeners. Disclaimer: Content of this website and podcast are for entertainment and educational purposes only. Hosts and guests are not responsible for any harm caused by information obtained from these sources. As each person is unique you are advised to seek the advice of your own healthcare professional to treat any medical conditions you may be having. Opinions expressed on this show are those of The Addiction Files and not of our respective employers.

Dr. Spencer Hansen joins us in an amazing episode. He teaches us essential listening skills that form the basis of life-saving safety planning—two critical therapeutic techniques we can all apply in bedside and clinic settings.

 Hosted by Darlene Petersen, MD and Paula Donnelly Cook, 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 discusses the abuse and treatment of legal and illegal drugs and may not be appropriate for all listeners.

Disclaimer: Content of this website and podcast are for entertainment and educational purposes only. Hosts and guests are not responsible for any harm caused by information obtained from these sources. As each person is unique you are advised to seek the advice of your own healthcare professional to treat any medical conditions you may be having. Opinions expressed on this show are those of The Addiction Files and not of our respective employers.

In the 1980s and 1990s, crack cocaine dominated the drug scene in the United States. It had devastating effects, destroying lives and communities while fueling mass incarceration. However, the story goes beyond mere addiction and criminality. In this episode we review the history of Crack, consequences of use and treatment. Hosted by Darlene Petersen, MD and Paula Donnelly Cook, 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 discusses the abuse and treatment of legal and illegal drugs and may not be appropriate for all listeners.

Disclaimer: Content of this website and podcast are for entertainment and educational purposes only. Hosts and guests are not responsible for any harm caused by information obtained from these sources. As each person is unique you are advised to seek the advice of your own healthcare professional to treat any medical conditions you may be having. Opinions expressed on this show are those of The Addiction Files and not of our respective employers.

Today, we're tackling a growing concern: the misuse of caffeine and the booming popularity of energy drinks. Join us as we unpack the latest trends in caffeine consumption, from the skyrocketing sales of energy drinks to the ritualistic coffee culture that defines many societies. We’ll explore the fascinating science behind caffeine’s effects on the body and mind, from its role in boosting alertness to its potential downsides when consumed in excess.

But it’s not all about the science - we’ll also discuss the real-world impacts on health, including the risks associated with overconsumption and addiction. How do we recognize when caffeine becomes a problem rather than a perk? And more importantly, how can healthcare professionals like you engage patients in meaningful conversations about moderation and healthy choices? Hosted by Darlene Petersen, MD and Paula Donnelly Cook, 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 discusses the abuse and treatment of legal and illegal drugs and may not be appropriate for all listeners.

Disclaimer: Content of this website and podcast are for entertainment and educational purposes only. Hosts and guests are not responsible for any harm caused by information obtained from these sources. As each person is unique you are advised to seek the advice of your own healthcare professional to treat any medical conditions you may be having. Opinions expressed on this show are those of The Addiction Files and not of our respective employers.

Join us as Dr. Mason Turner returns to educate on the fundamentals of psychotic disorders, with a focus on distinguishing Substance or Medication Induced Psychotic Disorder from primary psychotic disorders. We also cover treatment considerations, including delusional disorder and postpartum psychosis. Hosted by Darlene Petersen, MD, and Paula Donnelly Cook, 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 discusses the abuse and treatment of legal and illegal drugs and may not be appropriate for all listeners.

Disclaimer: Content of this website and podcast are for entertainment and educational purposes only. Hosts and guests are not responsible for any harm caused by information obtained from these sources. As each person is unique you are advised to seek the advice of your own healthcare professional to treat any medical conditions you may be having. Opinions expressed on this show are those of The Addiction Files and not of our respective employers.

Ray Sweet, MS joins us to discuss the devasting epidemic of suicide that disproportionately affects those with substance use disorders. Ray teaches us about risk and protective factors and community based coping strategies and more. 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 discusses the abuse and treatment of legal and illegal drugs and may not be appropriate for all listeners.

We review Delta 8 THC, mechanism of actions, legal issues surrounding this drug and current trends surrounding use. 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 discusses the abuse and treatment of legal and illegal drugs and may not be appropriate for all listeners.

Our very own Dr. Paula Cook and Lanette Denton join us to discuss their recent study on employing harm reduction in rural county jail. Hosted by 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 discusses the abuse and treatment of legal and illegal drugs and may not be appropriate for all listeners.

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 theaddictionfiles@gmail.com

No explicit language but this podcast discusses the abuse and treatment of legal and illegal drugs and may not be appropriate for all listeners.

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 Nation" and "Drugdealer, 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 discusses the abuse and treatment of legal and illegal drugs and may not be appropriate for all listeners.

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 podcast discusses the abuse and treatment of legal and illegal drugs and may not be appropriate for all listeners.

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 Donnelly and Cook, 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 discusses the abuse and treatment of legal and illegal drugs and may not be appropriate for all listeners.

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 discusses the abuse and treatment of legal and illegal drugs and may not be appropriate for all listeners.

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.nih.gov/link-To-Us.aspx

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 discusses the abuse and treatment of legal and illegal drugs and may not be appropriate for all listeners.

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 or twitter @THEADDICTIONFI1 or Instagram Theaddictionfiles or email us at theaddictionfiles@gmail.com

No explicit language but this podcast discusses the abuse and treatment of legal and illegal drugs and may not be appropriate for all listeners.

 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 Instagram  Theaddictionfiles or email us at theaddictionfiles@gmail.com

No explicit language but this podcast discusses the abuse and treatment of legal and illegal drugs and may not be appropriate for all listeners.

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 or email us at theaddictionfiles@gmail.com

No explicit language but this podcast discusses the abuse and treatment of legal and illegal drugs and may not be appropriate for all listeners.

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 cooccurring disorders. 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 this podcast discusses the abuse and treatment of legal and illegal drugs and may not be appropriate for all listeners.

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 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 discusses the abuse and treatment of legal and illegal drugs and may not be appropriate for all listeners.

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 in the Era of Fentanyl" Chambers LC, Hallowell BD, Zullo AR, et al.  JAMA Netw Open. 2023;6(9):e2334540

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 discusses the abuse and treatment of legal and illegal drugs and may not be appropriate for all listeners.

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/ GRASP is Grief Recovery After Substance Abuse Passing, a national resource founded to provide sources of help, compassion and understanding for those whose loved one died from substance abuse or addiction. They also provide online and in person support groups throughout the country.

http://www.overdoseday.com/ International Overdose Awareness Day is an annual global event to raise awareness of overdose and reduce the stigma of drug related deaths. Acknowledging the grief felt by families and friends, Overdose Day spreads the message that the tragedy of overdose is preventable.

http://www.survivorresources.org/ Restoring Hope, Reclaiming Life is their focus. Survivors Resources is a non-profit organization that offers support groups, crisis response, grief counseling and other services for families of victims of death due to homicide, suicide, accidental overdose or violent deaths.

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 discusses the abuse and treatment of legal and illegal drugs and may not be appropriate for all listeners.

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  Theaddictionfiles or email us at theaddictionfiles@gmail.com

No explicit language but this podcast discusses the abuse and treatment of legal and illegal drugs and may not be appropriate for all listeners.

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 professional struggling with a substance use disorder or have a colleague who needs help and do not know where to begin contact: The Federation of State Physician Health Programs at https://www.fsphp.org/

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 discusses the abuse and treatment of legal and illegal drugs and may not be appropriate for all listeners.

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 twitter @THEADDICTIONFI1 or Instagram  Theaddictionfiles or email us at theaddictionfiles@gmail.com

No explicit language but this podcast discusses the abuse and treatment of legal and illegal drugs and may not be appropriate for all listeners.

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 share their insights into the advocacy initiatives and the specific populations that greatly benefit from this therapeutic approach. Hosted by Darlene Petersen, MD, and Paula Cook, 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 discusses the abuse and treatment of legal and illegal drugs and may not be appropriate for all listeners.

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 explicit language but this podcast discusses the abuse and treatment of legal and illegal drugs and may not be appropriate for all listeners.

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 @THEADDICTIONFI1 or Instagram  Theaddictionfiles or email us at theaddictionfiles@gmail.com

No explicit language but this podcast discusses the abuse and treatment of legal and illegal drugs and may not be appropriate for all listeners.

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 and Paula Cook, 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 discusses the abuse and treatment of legal and illegal drugs and may not be appropriate for all listeners.

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 or twitter @THEADDICTIONFI1 or Instagram  Theaddictionfiles or email us at theaddictionfiles@gmail.com

No explicit language but this podcast discusses the abuse and treatment of legal and illegal drugs and may not be appropriate for all listeners.

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 @Theaddictionfiles or twitter @THEADDICTIONFI1 or Instagram  Theaddictionfiles or email us at theaddictionfiles@gmail.com

No explicit language but this podcast discusses the abuse and treatment of legal and illegal drugs and may not be appropriate for all listeners.

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 Admission to an Inpatient Psychiatric Unit. Case Rep Psychiatry. 2021 Nov 8;2021:6371953. doi: 10.1155/2021/6371953

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 discusses the abuse and treatment of legal and illegal drugs and may not be appropriate for all listeners.

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 @Theaddictionfiles or twitter @THEADDICTIONFI1 or Instagram  Theaddictionfiles or email us at theaddictionfiles@gmail.com

This podcast discusses the abuse and treatment of legal and illegal drugs and may not be appropriate for all listeners.

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 OTP? Hosted by Paula Cook, MD and Darlene Petersen, MD. 

Resources:

Federal Guidelines for Opioid Treatment Programs 2015

https://store.samhsa.gov/sites/default/files/d7/priv/pep15-fedguideotp.pdf

Methadone Take-Home Flexibilities Extension Guidance

https://www.samhsa.gov/medications-substance-use-disorders/statutes-regulations-guidelines/methadone-guidance

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 discusses the abuse and treatment of legal and illegal drugs and may not be appropriate for all listeners.

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 this podcast discusses the abuse and treatment of legal and illegal drugs and may not be appropriate for all listeners.

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 or Instagram  Theaddictionfiles or email us at theaddictionfiles@gmail.com

No explicit language but this podcast discusses the abuse and treatment of legal and illegal drugs and may not be appropriate for all listeners.

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 or email us at theaddictionfiles@gmail.com

No explicit language but this podcast discusses the abuse and treatment of legal and illegal drugs and may not be appropriate for all listeners.

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 language but this podcast discusses the abuse and treatment of legal and illegal drugs and may not be appropriate for all listeners.

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 abuse and treatment of legal and illegal drugs and may not be appropriate for all listeners.

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 @Theaddictionfiles or twitter @THEADDICTIONFI1 or Instagram  Theaddictionfiles

No explicit language but this podcast discusses the abuse and treatment of legal and illegal drugs and may not be appropriate for all listeners.

 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 podcast discusses the abuse and treatment of legal and illegal drugs and may not be appropriate for all listeners.

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 twitter @THEADDICTIONFI1 or Instagram  Theaddictionfiles

No explicit language but this podcast discusses the abuse and treatment of legal and illegal drugs and may not be appropriate for all listeners.

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 including Sex Addiction As Affect Dysregulation: A Neurobiologically Informed Holistic Treatment, the multiple award-winning Mirror of Intimacy: Daily Reflections on Emotional and Erotic Intelligence, Sexual Reflections, and Erotic Intelligence.

You can find Dr. Katehakis at: 

http://www.centerforhealthysex.com/

Instagram: @alexkatehakis 

Twitter: @alexkatehakis

Check us out on facebook @Theaddictionfiles or twitter @THEADDICTIONFI1 or Instagram  Theaddictionfiles

No explicit language but this podcast discusses the abuse and treatment of legal and illegal drugs and may not be appropriate for all listeners.