Dr. Casey Grover interviews fellow addiction medicine physician Dr. Jason Giles to explore how addiction specialists approach treatment using long-acting injectable medications as tools for recovery.
We discuss:
• Dr. Giles shares his personal journey from anesthesiology to addiction medicine after developing his own dependency on fentanyl
• Addiction as a disease of executive functioning that impairs decision-making ability
• Recovery requires building new neural pathways - learning to manage emotions without substances
• Long-acting injectable medications (Sublocade, Brixadi, Vivitrol) , and how these medications reduce cravings and provide protection while patients develop new coping skills
• The process of stopping buprenorphine
• Individualized tapering approaches help patients transition from daily medications to occasional use
• Creating a safe environment where patients can be honest is essential for successful treatment
To contact Dr. Grover - ammadeeasy@fastmail.com