Psychosis During Stimulant Withdrawal
Cracking Addiction27 Joulu 2023

Psychosis During Stimulant Withdrawal

In this episode of Cracking Addiction, Dr. Ferghal Armstrong and Dr. Manu Bhatnagar delve into the complex issue of psychosis in the context of withdrawal treatment or when withdrawing from stimulants such as methamphetamine. They explore the challenges of distinguishing between drug-induced psychosis and primary psychotic disorders, and discuss the intricacies of treatment options, including the use of benzodiazepines and antipsychotics. With valuable insights and clinical expertise, this episode provides a deep understanding of the management of psychosis in the context of substance withdrawal.

Key Points:

- Differentiating between drug-induced psychosis and primary psychotic disorders is a challenging yet crucial aspect of patient care in the context of substance withdrawal.

- Understanding the neurochemical impact of stimulants on the brain and the implications for treatment is essential for managing psychotic symptoms effectively.

- The role of benzodiazepines and antipsychotics in controlling agitation and psychotic symptoms during withdrawal and the potential transition to more long-term antipsychotic therapy in cases of persistent symptoms.

- The importance of comprehensive and integrated psychosocial support alongside medication in ensuring long-term recovery and abstinence.

Insightful Quote:

"The best amount of medication is the least effective dose. My role is to say, how much support can we put around you? So I can bring this dose down to a level where it's causing the least amount of side effects, but it's just enough to prevent the next episode happening." - Dr. Manu Bhatnagar

Learning Outcomes:

1. Gain insights into the complexities of distinguishing between drug-induced psychosis and primary psychotic disorders, and the implications for treatment decisions.

2. Understand the neurochemical basis of stimulant-induced psychosis and the role of medications such as benzodiazepines and antipsychotics in managing psychotic symptoms during withdrawal.

3. Appreciate the significance of longitudinal assessment and psychosocial support in the overall management of psychosis in the context of substance withdrawal.

4. Explore the potential transition to long-term antipsychotic therapy and the importance of holistic approaches to supporting recovery and abstinence.

Actionable Takeaways:

1. When managing patients undergoing withdrawal from stimulants, establish a timeline of substance use and psychotic symptoms to differentiate between drug-induced psychosis and primary psychotic disorders.

2. Consider the neurochemical impact of stimulants and the mechanisms of action of benzodiazepines and antipsychotics to tailor treatment for psychotic symptoms during withdrawal.

3. Emphasize the role of comprehensive psychosocial support and longitudinal assessment in ensuring successful recovery and abstinence post-withdrawal.

4. Strive for a balanced approach to medication, aiming for the least effective dose while providing adequate support to prevent future episodes of psychosis.

Jaksot(218)

Special circumstances in OST Part 2

Special circumstances in OST Part 2

In episode 34 of Cracking Addiction we discuss how to manage some of the special circumstances in opioid substation therapy including OST in renal and hepatic impairment, managing polypharmacy complications with OST and managing acute pain whilst a patient is on OST.Discussions and comments in our videos are for informational purposes only and should not replace the advice of your medical professional. Please consult with your doctor before making any changes to your medical treatment or lifestyle.Latest Blogshttps://www.meducate.com.au/blogAbout Meducate ®Meducate provides online education for doctors, clinicians, health professionals and the public.See the website to browse the many different talks and courses available https://www.meducate.com.au

6 Huhti 202218min

Special circumstances in OST Part 1

Special circumstances in OST Part 1

In episode 33 of Cracking Addiction we discuss how to manage some of the special circumstances in opioid substation therapy including vomiting of doses of OST, dealing with intoxicated patients, overdoses of OST and transitioning between Methadone and Suboxone and vice versa.Discussions and comments in our videos are for informational purposes only and should not replace the advice of your medical professional. Please consult with your doctor before making any changes to your medical treatment or lifestyle.Latest Blogshttps://www.meducate.com.au/blogAbout Meducate ®Meducate provides online education for doctors, clinicians, health professionals and the public.See the website to browse the many different talks and courses available https://www.meducate.com.au

30 Maalis 202224min

Naloxone

Naloxone

In episode 32 of Cracking Addiction we discuss the harm reduction intervention of Naloxone and when to consider prescribing this medication, the benefits of take home naloxone and how it saves lives!Discussions and comments in our videos are for informational purposes only and should not replace the advice of your medical professional. Please consult with your doctor before making any changes to your medical treatment or lifestyle.Latest Blogshttps://www.meducate.com.au/blogAbout Meducate ®Meducate provides online education for doctors, clinicians, health professionals and the public.See the website to browse the many different talks and courses available https://www.meducate.com.au

23 Maalis 202221min

Harm Reduction

Harm Reduction

In episode 31 of Cracking Addiction we discuss the harm reduction interventions that we can implement for people who inject drugs to decrease the risks of morbidity and mortality.Discussions and comments in our videos are for informational purposes only and should not replace the advice of your medical professional. Please consult with your doctor before making any changes to your medical treatment or lifestyle.Latest Blogshttps://www.meducate.com.au/blogAbout Meducate ®Meducate provides online education for doctors, clinicians, health professionals and the public.See the website to browse the many different talks and courses available https://www.meducate.com.au

16 Maalis 202226min

Suboxone Part 2

Suboxone Part 2

In episode 30 of Cracking Addiction we discuss the different opioid receptors buprenorphine acts upon and the nature of these effects, the difference between agonists and antagonists, how to start a patient on Suboxone and how to monitor patients on Suboxone and adjust doses.Discussions and comments in our videos are for informational purposes only and should not replace the advice of your medical professional. Please consult with your doctor before making any changes to your medical treatment or lifestyle.Latest Blogshttps://www.meducate.com.au/blogAbout Meducate ®Meducate provides online education for doctors, clinicians, health professionals and the public.See the website to browse the many different talks and courses available https://www.meducate.com.au

9 Maalis 202222min

Suboxone Part 1

Suboxone Part 1

In episode 29 of Cracking Addiction we discuss Suboxone and talk about the components of Suboxone as well as the pharmacology and pharmacokinetics of Suboxone.Discussions and comments in our videos are for informational purposes only and should not replace the advice of your medical professional. Please consult with your doctor before making any changes to your medical treatment or lifestyle.Latest Blogshttps://www.meducate.com.au/blogAbout Meducate ®Meducate provides online education for doctors, clinicians, health professionals and the public.See the website to browse the many different talks and courses available https://www.meducate.com.au

2 Maalis 202218min

LAIB - Top Tips

LAIB - Top Tips

In episode 28 of Cracking Addiction we discuss our practical tips, advice and experience in managing patients on LAIB and share what we have learned.Discussions and comments in our videos are for informational purposes only and should not replace the advice of your medical professional. Please consult with your doctor before making any changes to your medical treatment or lifestyle.Latest Blogshttps://www.meducate.com.au/blogAbout Meducate ®Meducate provides online education for doctors, clinicians, health professionals and the public.See the website to browse the many different talks and courses available https://www.meducate.com.au

23 Helmi 202219min

LAIB The Patient Arc

LAIB The Patient Arc

Episode 27 of Cracking Addiction discusses the patient journey on LAIB and how to adequately deal with and manage adjusting doses of LAIB, commencing and ceasing LAIB and ensuring that patients are maintained on LAIB therapyDiscussions and comments in our videos are for informational purposes only and should not replace the advice of your medical professional. Please consult with your doctor before making any changes to your medical treatment or lifestyle.Latest Blogshttps://www.meducate.com.au/blogAbout Meducate ®Meducate provides online education for doctors, clinicians, health professionals and the public.See the website to browse the many different talks and courses available https://www.meducate.com.au

16 Helmi 202215min

Suosittua kategoriassa Terveys ja hyvinvointi

unicast
tiedenaiset-podcast
voi-hyvin-meditaatiot-2
psykopodiaa-podcast
rss-pitaisko-erota
vakeva-elama-viisaampi-mieli-vahvempi-keho
meditaatiot-suomeksi
selvin-pain
rss-kuumilla-aalloilla
rss-uplevel-by-sonja-hannus
rss-nautinto
terapiassa
junnut-pelissa
rss-en-saa-unta
rss-rentoudu-podcast-rentoutumiseen-hanna-viljanmaa
paritellen
selviytyjat-tarinoita-elamasta
fitnessvastaanotto
rss-pt-paahtio
rss-duodecim-lehti