Substance Use Disorders & Addictions
Substance Use Disorders & Behavioral Addictions: Complete PMHNP Clinical Guide | Dr. Raymond Zakhari
Join Dr. Raymond Zakhari, DNP, Clinical Professor and triple board-certified Psychiatric Mental Health Nurse Practitioner, for the definitive clinical lecture on Substance Use Disorders (SUDs) and Behavioral Addictions designed specifically for PMHNP students and advanced practice providers.
📚 What You'll Master in This Comprehensive Session:
✅ Neurobiology of Addiction - Deep dive into brain reward pathways (VTA, mesolimbic system, habenula), dopamine dynamics, and Anna Lembke's pleasure-pain seesaw model ✅ DSM-5-TR Diagnostic Criteria - Complete breakdown of SUD criteria, intoxication/withdrawal syndromes, and substance-induced disorders ✅ Lifespan Considerations - Specialized approaches for adolescents, adults, and elderly patients with unique risk factors ✅ Clinical Assessment Mastery - CAGE, AUDIT, CIWA-Ar, COWS, Fagerström scales with practical application ✅ Substance Categories - Alcohol, opioids, stimulants, cannabis, nicotine, hallucinogens, sedatives, inhalants with clinical pearls ✅ Behavioral Addictions - Gambling, gaming, shopping, social media, compulsive sexual behavior assessment and treatment ✅ Case-Based Learning - Real-world scenarios including opioid use disorder, alcohol withdrawal, polysubstance abuse, and elderly polypharmacy ✅ Treatment Interventions - Motivational Interviewing (OARS technique), Stages of Change, CBT, relapse prevention, MAT, neuromodulation
🧠 Key Clinical Concepts Covered: • Six Steps of Psychiatric Diagnosis framework • Biopsychosocial assessment model (5 P's) • Gender differences and telescoping effect in women • Cultural considerations in addiction treatment • Dual diagnosis and comorbidity management (50-75% have concurrent mental health disorders) • Harm reduction vs. abstinence-based approaches • Trauma-informed and culturally responsive care
💡 Clinical Pearls & Red Flags: • Delirium tremens recognition and management • Adolescent cannabis-induced psychosis risks • EVALI (e-cigarette/vaping lung injury) identification • Elderly atypical presentation patterns • Sudden sniffing death syndrome with inhalants • High-risk situations for relapse prevention
🎯 Perfect For: • PMHNP students preparing for clinical rotations • Nurse practitioners seeking addiction certification • Mental health professionals updating SUD knowledge • Healthcare providers managing dual diagnosis patients • Clinicians preparing for board certification exams
⭐ About Dr. Raymond Zakhari: Clinical Professor at Hunter College CUNY, Combat Veteran (US Air Force Captain), and founder of Metro Medical Direct concierge practice. Author of certification review manuals (Springer Publishing) with expertise in psychiatric mental health, primary care, and executive health optimization.
📖 Resources & Tools Mentioned: • Evidence-based assessment instruments • DSM-5-TR diagnostic criteria • Medication-assisted treatment protocols • Motivational interviewing techniques • Relapse prevention strategies
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