Psychiatry Boot Camp 2.5 Substance Use Disorders
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Dec 11, 2023 Dr. Steve Delisi, Chief Medical Officer at YourPath Inc., Co-Associate Director at UC-Irvine School of Medicine's 'Train New Trainers' Primary Care - Training and Education in Addiction Medicine Fellowship, Adjunct Professor at Hazelden Betty Ford Graduate School of Addiction Studies, discusses the fundamentals of substance use disorder, the neurobiology and clinical use of translational neuroscience, the relationship between trauma and substance use, best practices for building a therapeutic alliance, and future research on substance use disorders.
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Substance Use Disorder as a Primary Diagnosis
- Substance use disorder should be a primary psychiatric diagnosis, not relegated to social history.
- Putting it in social history implies it's a social behavior, not a disease.
Substance Use Disorders: Not a Monolith
- While similar, substance use disorders shouldn't be treated as a monolith.
- Treatment should become more specialized, like cancer treatment evolved from general "cancer" to specific types.
Defining the Line Between Use and Disorder
- The line between normal use, misuse, and disorder is currently defined by DSM-5 criteria, but not by hard science.
- Future research on dopamine transmission speed and prefrontal cortex function may offer more objective markers.