Substance abuse and addiction affects persons in all walks of life, from every cultural and economic group. In your practice as a PMHNP, you will encounter patients with substance abuse and dependence. Some of the people who present for treatment are at a low point in their lives and want to turn things around. They may present for other conditions, such as depression or bipolar disorder, anxiety, PTSD, or personality disorders. One of the most common ways of self-medicating a mental disorder is with alcohol and illicit drugs. Marijuana is a common substance patients use to treat various symptoms. To effectively treat patients with addictive disorders and substance use disorders, the provider needs to examine their own values and thoughts about the use of substances.
This week, as you review the Learning Resources on substance-related and addictive disorders, try to note the effectiveness of therapeutic approaches for patients diagnosed with these disorders. No Assignment is due this week. Use this quiet week to work on your practicum assignment if you are taking both courses concurrently.
American Psychiatric Association. (2010). Practice guideline for the treatment of patients with substance use disorders. https://psychiatryonline.org/pb/assets/raw/sitewide/practice_guidelines/guidelines/substanceuse.pdfAmerican Society of Addiction Medicine. (2020). ASAM criteria. https://www.asam.org/asam-criteria/aboutAmerican Society of Addiction Medicine. (2020). ASAM clinical practice guideline on alcohol withdrawal management. https://www.asam.org/docs/default-source/quality-science/awg-3-20-20.pdfAmerican Society of Addiction Medicine. (2020). The ASAM national practice guideline for the treatment of opioid use disorder – 2020 focused update. https://www.asam.org/docs/default-source/quality-science/npg-jam-supplement.pdf?sfvrsn=a00a52c2_2American Society of Addiction Medicine. (2020). Supporting access to telehealth for addiction services: Regulatory overview and general practice considerations. https://www.asam.org/Quality-Science/covid-19-coronavirus/supporting-access-to-telehealth-for-addiction-services
Sadock, B. J., Sadock, V. A., & Ruiz, P. (2015). Kaplan & Sadock’s synopsis of psychiatry (11th ed.). Wolters Kluwer. (For review as needed)
Thapar, A., Pine, D. S., Leckman, J. F., Scott, S., Snowling, M. J., & Taylor, E. A. (Eds.). (2015). Rutter’s child and adolescent psychiatry (6th ed.). Wiley Blackwell.
Zakhari, R. (2021). The psychiatric-mental health nurse practitioner certification review manual. Springer Publishing Company.
Required Media (click to expand/reduce)UW-Department of Family Medicine and Community Health. (2020, January 27). Substance misuse & disorders in older adults [Video]. YouTube. https://www.youtube.com/watch?v=lSFY79061tA
Review the FDA-approved use of the following medicines related to treating substance-related and addictive disorders:
| Alcohol abstinence | Alcohol dependence | Alcohol withdrawal | Nicotine addiction | Opioid dependence | Reversal of benzodiazepine effects |
|---|---|---|---|---|---|
| acamprosate disulfiram | nalmefene naltrexone | chlordiazepoxide clonidine clorazepate diazepam lorazepam oxazepam | bupropin varenicline | buprenorphine naltrexone | flumazenil |
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