Case Conference: Integrative Approaches to Adolescent Addiction Psychiatry: A Case Study on Treating a 16-Year-Old with Buprenorphine for Addiction Recovery-Case Conference: Integrative Approaches to Adolescent Addiction Psychiatry: A Case Study on Treating a 16-Year-Old with Buprenorphine for Addiction Recovery

Case Conference: Integrative Approaches to Adolescent Addiction Psychiatry: A Case Study on Treating a 16-Year-Old with Buprenorphine for Addiction Recovery

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Video Summary

In this clinical case conference, experts in adolescent addiction psychiatry convened to discuss the treatment of a 16-year-old with substance use disorder, focusing on buprenorphine for addiction recovery. The conference, led by Dr. Ellen Edens from the VA in Connecticut, featured Dr. Lorelei Sorollo-Rivera and Dr. Zulemae Vallier presenting the case. The patient, with a history of opioid, alcohol, cannabis, and benzodiazepine use, showed poor insight and serious addiction challenges following a traumatic gunshot incident. The discussants included Dr. Amy Ewell, Dr. Mark Fishman, and Dr. Brady Heward, each offering insights into different aspects of managing adolescent addiction and co-occurring disorders. <br /><br />Dr. Ewell emphasized the importance of engaging adolescents by aligning treatment plans with their goals and employing harm reduction strategies. Dr. Fishman advocated for using medication-assisted treatment, like buprenorphine, while highlighting the significance of parental involvement and addressing developmental needs. Dr. Heward discussed trauma-focused therapies, stressing the necessity of family engagement and understanding broader adverse childhood experiences.<br /><br />The conference also touched on systemic challenges such as the need for more adolescent-specific addiction services, the role of extended-release medications, and incorporating contingency management into treatment. Participants emphasized the value of ensuring that treatment accommodates the long-term recovery trajectory, focusing not just on symptom management but also on functional outcomes for the patient.

Keywords

adolescent addiction

substance use disorder

buprenorphine

opioid use

trauma-focused therapy

harm reduction

medication-assisted treatment

family engagement

adolescent-specific services

contingency management

long-term recovery

functional outcomes

co-occurring disorders

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