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Clinical Challenges

Although many treatment centers are under-resourced, Jamie Marich, PhD, LPCC-S, LICDC-CS, REAT, RYT-200, said in her NCAD session that trauma must be addressed as a root cause of many addiction disorders.
Mark McMillan, LMSW, CAADC, discusses some of the unique ethical dilemmas practitioners face when working with LGBTQ+ patients.
To be effective and ethical in taking care of patients, practitioners also must take care of themselves. Making organizational culture changes that prioritize self-care for staff starts with changing the conversation, says Tara Matthews, PhD, LPC, MAC.
A Millennium Health analysis of urine drug test results for non-prescribed fentanyl, cocaine, heroin and methamphetamine before and after COVID-19 was declared a national emergency found all four substances have had double-digit percentage increases in positivity.
Changing business practices among cartels and the impact of COVID-19 on the supply chain of illicit substances are among the topics practitioners treating substance use disorders should be aware of, says Derek Osborn, CPS, CPM, of DrugUniversity.org.
In this video, Robert Rymowicz, DO, of the Rutgers New Jersey Medical School, discusses food addiction, how highly processed foods affect the brain, and treatment strategies.
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