Pharmacotherapy for Complex Substance Use Disorders

A Practical Guide

Thanh Thuy Truong (Baylor College of Medicine), Benjamin Li, Daryl Shorter, MD , Nidal Moukaddam

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English

American Psychiatric Association Publishing
16 October 2023

Psychiatry

In 2020, the National Survey on Drug Use and Health estimated that 40.3 million Americans met the criteria for a substance use disorder (SUD) in the past year. Yet few FDA-approved treatments exist for SUDs—and no explicit treatment guidelines. When it comes to multi-SUDs in particular, the dearth of literature is notable.

This is where Pharmacotherapy for Complex Substance Use Disorders: A Practical Guide comes in. Fifteen addiction psychiatrists have contributed to this volume, bringing their clinical experience to bear for readers that include mental health and primary care clinicians.

Introductory chapters provide a necessary framework, offering an overview of SUDs; general guidelines for taking a history, making a medical and a psychiatric evaluation, and forming a diagnosis; and a discussion of the neurobiology of addiction.

In the subsequent chapters, the volume delves into maintenance pharmacological treatment for co-occurring substances that include

• Alcohol • Opioids • Psychostimulants • Novel psychoactive substances

Uniquely, this guide also discusses psychopharmacological approaches to working with special patient populations—adolescents, LGBTQ+ individuals, and pregnant people among them.

Filled with tables for ease of reference both when diagnosing and treating patients, and bolstered by evidence-based, actionable information, Pharmacotherapy for Complex Substance Use Disorders: A Practical Guide sets itself apart as an indispensable resource for all providers aiding individuals on their journeys of recovery.

Edited by: Thanh Thuy Truong (Baylor College of Medicine), Benjamin Li, Daryl Shorter, MD, Nidal Moukaddam, Thomas R. Kosten, MD (Waggoner Professor of Addictions, Psychiatry and Neuroscience, Michael E. DeBakey VAMC, Baylor College of Medicine)
Imprint: American Psychiatric Association Publishing
Country of Publication: United States
Dimensions: Height: 229mm, Width: 152mm,
ISBN: 9781615374953
ISBN 10: 1615374957
Pages: 386
Publication Date: 16 October 2023
Audience: Professional and scholarly , Undergraduate
Format: Paperback
Publisher's Status: Active

Author Contribution Preface Chapter 1. Overview of Substance Use Disorders Chapter 2. General Approach to Patients with Multi-substance Use Disorders Chapter 3. The Neurobiology of Addiction and Principles of Pharmacology Chapter 4. Laboratory Testing Chapter 5. Alcohol and Co-Occurring Substance Use Chapter 6. Stimulants and Co-Occurring Substance Use Chapter 7. Opiods and Co-Occuring Substance Chapter 8. Trinity Combinations Chapter 9. Novel Psychoactive Substances Chapter 10. Co-Occuring and Substance Use Disorders Chapter 11. HIV and Substance Use Disorders Chapter 12. Substance Use Disorders in Pregnancy Chapter 13. Adolescents With Substance Use Disorders Chapter 14. Substance Use Disorders in the LGBTQ Population Chapter 15. Pain and Sbstance Abuse Disorders Conclusion

Thanh Thuy Truong, M.D., is Assistant Professor in the Menninger Department of Psychiatry and Behavioral Sciences at Baylor College of Medicine, Houston, Texas. Benjamin T. Li, M.D., is Associate Professor in the Menninger Department of Psychiatry and Behavioral Sciences at Baylor College of Medicine, Houston, Texas. Daryl Shorter, M.D., is Medical Director of Addiction Services at The Menninger Clinic, and Associate Professor in the Menninger Department of Psychiatry and Behavioral Sciences at Baylor College of Medicine in Houston, Texas. Nidal Moukaddam, M.D., Ph.D., is Associate Professor in the Menninger Department of Psychiatry and Behavioral Sciences at Baylor College of Medicine in Houston, Texas. Thomas R. Kosten, M.D., is Jay H. Waggoner Endowed Chair, Director of the Division of Alcohol and Addiction Psychiatry, and Professor of Psychiatry, Neuroscience, Pharmacology, and Immunology and Rheumatology at the Baylor College of Medicine in Houston, Texas.

Reviews for Pharmacotherapy for Complex Substance Use Disorders: A Practical Guide

This is a clinically oriented book. Although there is little new information here for physicians experienced in treating addiction, it puts a review of all this information, as well as clinical recommendations under one cover. The approach to treating individuals with multiple substance abuse disorders is unique and although frequent, it is rarely addressed in the literature. -- Michael Easton, MD * Doody *