Portland Virtual - Substance Use Disorders Bonus Sessions

Chronic Pain and SUD: When Worlds Collide

W. Clay Jackson, MD, DipTh and Arwen Podesta, MD, DFASAM, DFAPA, ABIHM

The poor accessibility of access to both comprehensive integrative care for chronic pain and mental illness often results in patients who have relied on opioids for symptom relief but may be at increased risk of adverse outcomes related to aberrant behaviors related to controlled substances. The mindful clinician must balance the therapeutic imperative with the patient’s comorbid condition(s), keeping in mind the reality of available clinical resources. This session will explore protocols that offer clear-cut pathways for rational care in complex cases.

Comorbid PTSD and Substance Use Disorders: Case-Based Interactive Learning

Karen Hartwell, MD and Mark Hamner, MD

Substance use disorders (SUDs) commonly co-occurs among patients with posttraumatic stress disorder (PTSD) complicating accurate diagnosis and adversely affecting treatment outcomes. Likewise, patients seeking treatment for SUDs regularly report a history of trauma and frequently meet the criteria for lifetime PTSD. An interactive 4-case series of PTSD with a comorbid SUD (alcohol, opioid, cannabis, and stimulant) will be presented, and will focus on accurate diagnosis of both disorders, neurobiological commonalities, evidence-based medication, and psychotherapy options.

What are the key elements holding medical practitioners back from taking ownership of the treatment of Opioid Use Disorder?

Arwen Podesta, MD, DFASAM, DFAPA, ABIHM and Crystal Walker, DMSc, MPAS, PA-C

Less than 6% of physicians and less than 2% of advanced practice providers are DEA waivered to prescribe buprenorphine in the United States. This session will explore providers’ barriers to obtaining their waiver and incorporating buprenorphine prescribing in outpatient settings. Ms. Walker and Dr. Podesta will discuss action items to motivate providers into taking ownership of the treatment of opioid use disorder as well as ways to increase access to this vital care. How to decrease barriers for both providers and patients will also be discussed.