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Category: Addiction and Treatment

Adderall Addiction in the Workplace

By Britt Gottlich, Psy.D. At Fifth Avenue Psychiatry, we often get new clients seeking stimulant medications for ADHD. These individuals are usually surprised with how cautious we tend to be with these medications, as our NYC psychiatrists require new or recent neuropsychological testing to confirm this diagnosis rather than just handing out medications based on reported symptoms. The reason we are more conservative with stimulant medications is because of the high rate of stimulant addiction that we see as a result of these controlled substances being prescribed too readily. What are Prescription Stimulants? The National Institute on Drug Abuse defines stimulants as “medications generally used to treat attention-deficit hyperactivity disorder (ADHD) and narcolepsy- uncontrollable episodes of deep sleep. They increase alertness, attention,

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How To Choose the Right Psychiatrist for Addiction Treatment

By Samuel Glazer, MD Addiction is understood as a brain disease that is multidimensional, and, to this point, there are still very few effective treatments. What we also know is that addiction responds best to a combination of both medicine and psychotherapy for the addiction, as well as its underlying causes (only once the substance use stops). Unfortunately, though, there is still a great deal about addiction and its treatment that is misconstrued by both patients suffering with addiction and many psychiatrists and therapists treating them. Though there are many excellent therapists and skilled psychiatrists with variable levels of training, the following are some suggestions by our New York City addiction psychiatrist on how to find a psychiatrist who can

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What is Kratom? | NYC Kratom Addiction Psychiatrists

Kratom: Harmful or Helpful?

By Dr. Ronnit Nazarian There is little information on Kratom, and there is much misinformation out there. Some people believe Kratom is a safe drug to use because it is legal, easy to obtain, natural, advertised heavily, and has “claimed” to treat many illnesses from anxiety to diabetes to opioid withdrawal symptoms. However, the consequences of Kratom use have shown that the drug can create dependence and addiction similar to the effects of opioids (e.g., pain relief and euphoria) and stimulant properties. In some cases, Kratom can actually create Opioid withdrawal symptoms and lead to opiate use disorders or even mimic them.2 Our New York City addiction psychiatrists are here to help provide the following information: What is Kratom? Why

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Understanding the Harm Reduction Model (Controlled Drinking)

By Dr. Britt Gottlich, Psy.D. According to the National Survey on Drug Use and Health performed by the NSDUH, “[A]bout 7.3 percent of adults ages 18 and older who had Alcohol Use Disorder in the past year received any treatment in the past year… People with Alcohol Use Disorder were more likely to seek care from a primary care physician for an alcohol-related medical problem, rather than specifically for drinking too much alcohol” (NIAAA). Why? Seeking help for substance abuse can be overwhelming and scary. Often, clients report that coming in for the initial appointment is the hardest part due to the unknown of this type of treatment program. What clients often do not expect, is that substance abuse treatment

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Cannabis: A New Drug Epidemic?

By Dr. Olga Megwinoff During the late 1990’s when I was a psychiatry resident at NYU Langone Medical Center, the opiate epidemic was just beginning. We were taught that if a patient had pain, you had to give them prescription painkillers. At the time, “research” showed that they were necessary to control pain and did not have addiction potential when used to treat people for pain. This didn’t make sense to me, but who was I to question my teachers or “the research?” I was but a lowly resident. The mood about marijuana reminds me of the early days of opioid painkiller use. Though I don’t believe marijuana will ever be understood to be as dangerous as prescription painkillers have

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Alcohol and Anxiety | Manhattan Alcohol Addiction Treatment

Anxiety and Alcohol Use

By Ronnit Nazarian, Psy. D A common theme that I have found while speaking with patients who overdrink has been that they also experience an underlying anxiety disorder. Moreover, they have mentioned having difficulty finding something that helps them disconnect from their stress and anxiety that works as well as having a drink. To most people looking in from the outside, a person who experiences anxiety and a person who experiences drinking problems are often viewed as two separate individuals. Contrary to common belief, however, research shows that approximately 50% of individuals who experience alcohol problems also meet the criteria for one or more anxiety disorders.1 Alcohol use and anxiety are strongly linked and often called co-morbid disorders that interact

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What is an Addiction Therapist | Manhattan Addiction Therapist

What is an Addiction Therapist?

By Tracey Bassett Psy.D. Deciding to take the step to seek addiction treatment is a very important and often difficult step. It can be complicated by the overwhelming amount of treatment centers, treatment modalities, and types of professionals that say they specialize in addiction. Today, our Manhattan addiction therapists will explore the different types of addiction treatment professionals and how to decide what is best for you. Types of Addiction Treatment Professionals Addiction Psychiatrist (MD) A psychiatrist is a doctor who went to medical school and then specialized in mental health. Psychiatrists conduct evaluations for treatment planning and diagnosis, prescribe medication, and sometimes, but not always, conduct therapy as part of their practice. There are general psychiatrists who treat a

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The Importance of In-Person Addiction and Alcoholism Treatment During the COVID 19 Pandemic

There have been many mental health challenges during the COVID-19 pandemic, including increased depression, anxiety and exacerbations of PTSD as a result of isolation, changes in lifestyle and fear. Along with increases in suicidality and domestic abuse, one of the most dangerous mental health effects of the pandemic has been increased substance abuse.1Along with all the dangerous effects of substance abuse there have been “an increasing number of reports from national state and local media,” including New York, of “an increase in opioid and other drug related mortality.”2 What is the Cause of Increased Substance Abuse During the Pandemic? The cause of increased substance abuse is many. More people are using illicit drugs and alcohol to cope with their symptoms

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Treatment Approaches Designed for Women with Addiction and Alcoholism

By Britt Gottlich, Psy.D. Through years of training and practice in the field of substance abuse, I have noticed some interesting gender differences. First, I have found that more men tend to seek substance abuse treatment than women. Second, I have noticed that often the core of what began the substance abuse problem is often different between men and women. Third, it has become evident that men and women do not always gain the same benefits from the same treatment approach. This month, my blog explores these interplaying factors and introduces addiction treatment approaches that may better fit the needs of female clients. Women May Be Less Likely to Seek Substance Abuse Treatment According to research, “Surveys in the early

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Group Therapy for Executives with Addiction

Group Therapy for Executives with Addiction

By Dr. Tracey Bassett In deciding what to write about this month, I drew from Dr. Glazer’s most recent post in which he said, “I now understand that my most important role as a physician and therapist for alcoholism and addiction is to help provide a safe space, a trusting, mutually respectful relationship where I can help guide a person through their own recovery process.” I could not agree more. One of the things that I think makes our practice so unique is that when we meet with a client for the first time, we conduct an assessment for what the client really needs. Which therapist will they work best with? Which modality of treatment will they respond the best

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