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Bisaga Adam - Overcoming opioid addiction: the authoritative medical guide for patients, families, doctors, and therapists

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Every day, over 100 Americans die from opioid abuse. Bisaga and Chernyaev provide a comprehensive medical guide for opioid use disorder (OUD) sufferers, their loved ones, clinicians, and other professionals. He explains why treating OUD is unlike treating other forms of drug dependency, examines the science of the addiction, and discusses the different stages and effective methods of treatment, as well as behavioral therapies.

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About the Authors

Adam Bisaga, MD, is an addiction psychiatrist, clinician, researcher, and professor of psychiatry at Columbia University. He conducts research on new treatments for opioid addiction and oversees a national program that mentors physicians treating opioid addictions. He is a UN expert involved in international addiction training and program development, and he recently co-edited the UN/WHO International Standards for the Treatment of Drug Use Disorders.

Karen Chernyaev is a writer and editor with more than thirty years experience in publishing. She has worked on dozens of books on addic-tion treatment, recovery, and related topics.

Index

A

abstinence-based programs

addiction

addiction treatment

See also opioid addiction treatment

addiction treatment centers

adolescents

B

brain chemistry

See also opioid receptor system

buprenorphine

See also road through addiction to recovery (Erics story)

C

community reinforcement and family

. See also triggers and trigger avoidance

D

detoxification

See also withdrawal

doctors. See medical professionals

E

Erics story. See road through addiction to recovery (Erics story)

F

facilities. See addiction treatment centers

families

fentanyl

G

H

I

J

K

L

M

MAT. See medication-assisted treatment

medical professionals

medication-assisted treatment (MAT)

See also OUD treatment/overdose prevention medications

mental illness

methadone

. See also opioid receptor system

N

naloxone

naltrexone

See also XR-naltrexone

Narcan. See naloxone

O

opiates

opioids

See also cycles of opioid use in America; fentanyl; methadone; opiates

opioid addiction. See opioid use disorder

See also medication-assisted treatment; OUD treatment/overdose prevention medications

. See also social context of addiction crisis

See also recovery

opioid receptor system

See also medication-assisted treatment; OUD treatment/overdose prevention medications; entries beginning with OUD

See also adolescents

, 100, 199

See also buprenorphine; methadone; naltrexone

. See also naloxone

overdose epidemic

See also naloxone; tolerance to opioids

P

. See also chronic pain

personality disorder approach, xxi

psychiatric disorders. See mental illness

R

See also opioid-free by choice

relapse

road through addiction to recovery (Erics story)

S

social context of addiction crisis

overview, x

support groups

T

teenagers. See adolescents

tolerance to opioids

U

United States

V

W

withdrawal

See also detoxification; opioid-free by choice

X

XR-naltrexone

See also naltrexone

Y

NOTES Jane Porter and Hershel Jick Addiction Rare in Patients Treated with - photo 1

NOTES

: Jane Porter and Hershel Jick, Addiction Rare in Patients Treated with Narcotics, New England Journal of Medicine 302, no. 2 (January 1980): 123, ncbi.nlm.nih.gov/pubmed/7350425.

.

.

.

: Center for Behavioral Health Statistics and Quality, Results from the 2014.

.

.

.

.

.

.

: Hedegaard, Drug Overdose Deaths.

: Hedegaard, Drug Overdose Deaths.

.

.

.

: Hedegaard, Drug Overdose Deaths

.

.

.

: Substance Abuse and Mental Health Services Administration, National Survey of Substance Abuse Treatment Services (N-SSATS): 2013. Data on Substance Abuse Treatment Facilities, Substance Abuse and Mental Health Services Administration, 2014.

.

: David T. Courtwright, Dark Paradise: A History of Opiate Addiction in America (Cambridge: Harvard University Press, 1982; President and Fellows of Harvard College, 2001), loc. 1230 of 4538, Kindle.

.

: Richard P. Mattick et al., Buprenorphine Maintenance Versus Placebo or Methadone Maintenance for Opioid Dependence, Cochrane Database of Systematic Reviews (February 2014), doi.org/10.1002/14651858.CD002207.pub4; J. F. Maddux and D. P. Desmond, Methadone Maintenance and Recovery from Opioid Dependence, American Journal of Drug and Alcohol Abuse 18, no. 1 (1992): 6374.

.

.

: Kerr, Growth in Heroin Use.

.

.

.

: Center for Behavioral Health Statistics and Quality, Key substance use and mental health indicators in the United States: Results from the 2015 National Survey on Drug Use and Health, 2016, samhsa.gov/data/; Substance Abuse and Mental Health Services Administration, National Survey

.

.

.

.

.

.

: Adapted from American Psychiatric Association, Diagnostic and Statistical Manual of Mental Disorders (5th ed.) (Arlington, VA: American Psychiatric Publishing, 2013).

.

.

.

.

.

; Yih-Ing Hser, Treatment Retention among Patients; Richard P. Mattick, Buprenorphine Maintenance versus Placebo.

.

: Joshua D. Lee, Comparative Effectiveness of.

: Erin Kelty and G. Hulse, A Retrospective Cohort Study of Obstetric Outcomes in Opioid-Dependent Women Treated with Implant Naltrexone, Oral

.

.

.

.

: William R. Miller and Stephen Rollnick, Motivational Interviewing: Helping People Change, 3rd ed. (New York: Guilford Press, 2012).

.

: Robert J. Meyers and Brenda L. Wolfe, Get Your Loved One Sober: Alternatives to Nagging, Pleading, and Threatening (Center City, MN: Hazelden, 2003).

.

: Adam R. Winstock et al., Should I stay or should I go? Coming off methadone and buprenorphine treatment, International Journal of Drug Policy 22, no. 1 (2011): 7781.

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ADVANCE PRAISE FOR
overcoming opioid addiction

A desperately needed, science-based solution to the nations worst-ever drug crisis.

Herbert D. Kleber, MD , founder of the Drug Dependence Unit, Yale University, and Division of Substance Abuse, Columbia University

A must-read. Compassionate, readable, and scientifically sound, this is the first book Ive seen that covers opioid addiction comprehensively and accurately. Dr. Bisaga masterfully reviews what caused the epidemic, the latest research on how to treat opioid use disorders, and how families and loved ones can effectively support those who are suffering. In the chaotic confusion in the media and elsewhere about how to solve this crisis, Overcoming Opioid Addiction presents both a clear path forward and the evidence to support it.

Omar Manejwala, MD , Chief Medical Officer, Catasys, and author of Craving: Why We Cant Seem to Get Enough

Overcoming Opioid Addiction is an accessible, practical, comprehensive guide for health care providers, patients, and families. A great go-to source of information on all things opioidsIm recommending it to my patients!

Anna Lembke, MD , Chief of Addiction Medicine at Stanford University School of Medicine and author of Drug Dealer, MD: How Doctors Were Duped, Patients Got Hooked, and Why Its So Hard to Stop

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