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Substance Abuse and Dual Diagnosis: New Treatment Approaches

Roger Weiss

July 19 - 23, 2010
Cape Cod, MA

About the Presenter

Roger Weiss, M.D., is Professor of Psychiatry at Harvard Medical School and Chief of the Division of Alcohol and Drug Abuse at McLean Hospital. Through his research, international teaching, and writings, Dr. Weiss has made significant contributions to the field of substance abuse and dual diagnosis treatment. He has directed the McLean Hospital Alcohol and Drug Abuse Treatment Program for 30 years and has been Principal Investigator on numerous NIH-funded grants. He has authored over 300 articles and book chapters and has recently developed a new integrated group therapy for patients with bipolar disorder and substance dependence. Dr. Weiss co-edited the book Integrated Treatment for Mood and Substance Use Disorders and co-authored the book Cocaine, which has received both critical acclaim and popular success.

Symposium Description

Alcohol and drug abuse are among the most common clinical disorders that present clinicians with significant challenges. Moreover, many patients with psychiatric illness have coexisting substance abuse problems, making the treatment of these dually diagnosed patients particularly difficult. The objective of this symposium is for participants to apply new therapeutic approaches based on recent research findings to patients with substance abuse and dual diagnosis problems. Clinical techniques to help engage ambivalent or unmotivated patients early in treatment will be emphasized.

SYMPOSIUM SCHEDULE

Monday

  • Beginning treatment: Where to start?
  • The initial interview
  • Making a diagnosis and beginning treatment at the same time
  • Dealing with the unmotivated patient
  • Techniques to deal with denial and resistance during early treatment

Tuesday

  • What to do when someone doesn't want to quit
  • What should the goal of treatment be? Total abstinence? Cutting down?
  • How to apply and integrate different approaches to treatment: Motivational interviewing,
    cognitive-behavioral treatment, twelve-step oriented treatment
  • Different drugs, different challenges: What you need to know about alcohol, opiates, stimulants, and marijuana
  • Prescription drug dependence: A growing problem

Wednesday

  • Clinical approaches to the “dual diagnosis” patient
  • Solving diagnostic difficulties: Substance-induced psychiatric symptoms vs. a separate psychiatric disorder?
  • Integrated treatment of substance dependent individuals with coexisting conditions
  • Chronic pain and addiction - a common comorbidity
  • Integrated treatment
  • How to respond if the patient says, “depression is my real problem, not alcohol”

Thursday

  • Individual psychotherapy with substance abusers: Are there certain methods that work better than others?
  • What you should know about AA, NA, Al-Anon, Smart Recovery
  • How to encourage your patient to go to self-help meetings
  • Group therapy
  • Relapse prevention techniques
  • Dealing with relapses
  • What causes addiction?

Friday

  • Effective use of medications
  • What you should know about naltrexone, acamprosate, disulfiram, methadone, buprenorphine, and topiramate
  • Substance abuse and the family
  • Enabling and codependence
  • New methods for conducting interventions
 
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