Workshop: Stimulant Use Disorder Treatment: Updates from the ASAM/AAAP National Practice Guideline-Stimulant Use Disorder Treatment: Updates from the ASAM/AAAP National Practice Guideline

Video Transcription

Video Summary

This workshop focused on stimulant use disorder and the newly published AAAP-ASAM clinical practice guideline available online. Three speakers, Dr. Larissa Mooney, Dr. Brian Hurley, and Dr. Severino, all contributed to the guideline. The workshop aims to foster discussion and provide clinicians with a comprehensive approach to managing stimulant use disorder through a detailed review of guideline recommendations.<br /><br />The guidelines address various aspects, including screening, behavioral and pharmacotherapy interventions, and managing co-occurring disorders. The emphasis is placed on a holistic approach rather than a one-size-fits-all solution. Contingency management is highlighted as a key behavioral intervention due to its strong evidence base in reducing stimulant use. Other recommended therapies include cognitive-behavioral therapy and community reinforcement approaches.<br /><br />Pharmacotherapy options for methamphetamine and cocaine use disorders are discussed, albeit with caution due to limited evidence. Options include bupropion, naltrexone in combination with bupropion, mirtazapine, and methylphenidate, among others. The guideline urges prescribers to carefully monitor patients, especially when using controlled substances, and recommendations strongly caution against use without board-certified addiction specialists due to the weak evidence and potential risks.<br /><br />The presentation also covered specific populations like adolescents, pregnant patients, and those in the carceral system and highlighted the importance of integrating care for those with co-occurring psychiatric disorders. The workshop concluded with a discussion of case studies to apply guideline principles and address audience questions.

Keywords

AAAP-ASAM guideline

stimulant use disorder

Dr. Larissa Mooney

Dr. Brian Hurley

Dr. Severino

screening and assessment

contingency management

Community Reinforcement Approach

Cognitive Behavioral Therapy

Matrix Model

pharmacotherapy

co-occurring disorders

harm reduction

patient engagement

clinical practice

cognitive-behavioral therapy

methamphetamine

cocaine use disorder

behavioral interventions

addiction specialists

case studies

holistic approach

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