2024 Addiction Medicine Board Certification Review Course-2024 - Stimulant Use Disorder: Clinical & Practice Implications

Video Transcription

Video Summary

In the video, Dr. Antoine Ndwehi, a professor and addiction psychiatrist, discusses stimulant use disorder, including the clinical implications and historical context. He outlines the different types of stimulants like cocaine, amphetamines, and MDMA, highlighting their neurobiological mechanisms and effects on the brain. Dr. Ndwehi also touches on the prevalence of substance use disorder and the challenges of identifying and treating stimulant intoxication and withdrawal. He reviews the pharmacological and psychosocial interventions for treating stimulant use disorder, emphasizing the importance of comprehensive treatment approaches and addressing co-occurring disorders. The video underscores the lack of FDA-approved medications for treating stimulant use disorder, focusing on psychotherapies and behavioral interventions as primary treatment modalities. Dr. Ndwehi delves into the challenges of establishing a diagnosis, discussing effective psychosocial interventions and pharmacotherapeutic approaches. He ends with the importance of careful risk-benefit assessments, monitoring, and close collaboration in managing stimulant use disorder while referring to recent clinical practice guidelines for further reference.

Keywords

stimulant use disorder

Dr. Antoine Ndwehi

cocaine

amphetamines

MDMA

neurobiological mechanisms

substance use disorder

pharmacological interventions

psychosocial interventions

FDA-approved medications