Reclaiming Balance in a Dopamine Saturated World
Anna Lembke, MD
As the opioid crisis grows, Dr. Anna Lembke is exploring a deeper problem - the neurobiology of living in a dopamine-saturated world. The brain's reward systems - while so necessary to survive from an evolutionary standpoint - may leave individuals susceptible to addiction in this modern world of plenty. With information coming at us from every direction, impacting the brain's pleasure-pain balance, learning how to live in the world is one of the greatest challenges facing humans in next century. We all must learn to practice moderation, restraint and self-discipline in order to survive.
Dr. Lembke proposes that current day recovering addicts are already learning these skills. Is their experience in conquering addiction something we can all learn from?
Also join us for the evening keynote on Drug Dealer, MD, addressing the opioid crisis in America. Details.
- Leaners will be able to describe how the brain's pleasure-pain balance works, and how it is unsuited for today’s world of plenty.
Medical and mental health professionals and clergy who do not understand the brains reward systems may be less able to meet their ethical obligation to help their patients, clients and congregations manage particularly modern challenges.
Anna Lembke, MD, received her undergraduate degree in Humanities from Yale University and her medical degree from Stanford University School of Medicine. She completed a residency in Psychiatry, and a fellowship in mood disorders, both at Stanford, and is currently Associate Professor and Chief of the Stanford Addiction Medicine Dual Diagnosis Clinic. She has published over 50 peer-reviewed articles, chapters, and commentaries, and is author of the book: Drug Dealer, MD: How Doctors Were Duped, Patients Got Hooked, and Why It’s So Hard to Stop (Johns Hopkins University Press, November 2016).
For both the luncheon keynote and evening keynote:
CME: The UT Health San Antonio School of Medicine is accredited by the Accreditation Council for Continuing Medical Education to provide continuing medical education for physicians.
The UT Health San Antonio School of Medicine designates this live activity for a maximum of 3.0 AMA PRA Category 1 Credit™. Physicians should claim only the credit commensurate with the extent of their participation in the activity.
American Academy of Physician Assistants (AAPA), American Academy of Nurse Practitioners (AANP) and the American Nurses Credentialing Center (ANCC) accepts certificates of attendance for educational activities certified for AMA PRA Category 1 Credit™ from organizations accredited by the ACCME.
Healthcare professionals receiving a certificate of attendance should consult with their licensing board for information on applicability and acceptance.
†This activity is pending approval of Ethics credit.
CEU: The Ecumenical Center is an approved provider of continuing education by the State of Texas for the following: LPC, LMFT, LCDC and Social Workers. The lunchtime seminar provides 2 Ethics Continuing Education Unit, and the evening keynote provides 1 Ethics Continuing Education Unit.
This resource list brings together websites, videos, audio recordings, books, and articles to supplement the workshop and lecture.
Anna Lembke, MD
This Stanford University profile of Dr. Anna Lembke includes her academic and professional education, her faculty appointments, her current courses, and her publications.
Drug Dealer, MD
Psychiatrist Anna Lembke explores the causes of the worst opioid epidemic in United States history in this 2017 TEDx Stanford video presentation.
Drug Dealer, MD: A Look at the Opioid Epidemic
The November 28, 2016 Stanford Medicine podcast with Anna Lembke, MD considers the biology of addiction, the financial incentive of disability payments, and the presence of Big Pharma in the opioid crisis.
Drug Dealer, MD: How Doctors were Duped, Patients Got Hooked, and Why It's So Hard to Stop
This 2016 monograph by Dr. Anna Lembke uses patient cases, vital statistics, and scientific studies of addiction to examine the significance of prescriptions in the opioid epidemic.
San Antonio Public Library lib.tx.us
Drug Dealer, MD: Misunderstandings And Good Intentions Fueled Opioid Epidemic
In this NPR interview, Anna Lembke, MD discusses changing attitudes towards pain and increasing prescriptions for opioid painkillers and their roles in the opioid epidemic.
Qualitative Study of Treatment-Seeking Heroin Users in Contemporary China
A 2015 article in Addiction Science & Clinical Practice analyzes interviews of heroin users in a non-government treatment facility in Beijing within the context of the registration of drug addicts by the Chinese government.
Time to Abandon the Self-Medication Hypothesis in Patients with Psychiatric Disorders
In the November 2012 American Journal of Drug and Alcohol Abuse, Anna Lembke, MD challenges the popular claim that people with mental disorders use controlled substances to self-treat their psychiatric symptoms.
San Antonio Public Library lib.tx.us
Briscoe Library libproxy.uthscsa.edu
Use of Opioid Agonist Therapy for Medicare Patients in 2013
Drs. Anna Lembke and Jonathan Chen utilize Medicare data on buprenorphine-naloxone to determine whether treatment levels are meeting patients' needs in the September 2016 JAMA Psychiatry.
Weighing the Risks and Benefits of Chronic Opioid Therapy
The June 15, 2016 American Family Physician emphasizes the need for primary care doctors to evaluate and to reevaluate regularly the possible risks and benefits of prescribing opioids for chronic pain.
Why Doctors Prescribe Opioids to Known Opioid Abusers
An October 25, 2015 New England Journal of Medicine Perspectives explains how cultural attitudes towards pain, patient satisfaction surveys, and financial incentives can motivate physicians to prescribe opioids to known addicts.
Babies Fall Victim to the Opioid Crisis
In the September 2017 National Geographic Magazine, Fran Smith addresses the complications for babies born to opioid-addicted mothers, such as drug withdrawal and the potential need for medicinal intervention.
Discussing Opioid Risks With Patients to Reduce Misuse and Abuse: Evidence From Two Surveys
Researchers analyze two population-based surveys to evaluate the effectiveness of patient education programs on the risk of opioid painkiller addiction in the November/December 2016 Annals of Family Medicine.
More Teens Show Up in ERs Addicted to Opioids
An NBC Today Show segment from September 15, 2017 examines the increase in teenagers in hospital emergency rooms seeking treatment for others disorders but also being addicted to opioids.
This website from the American Academy of Family Physicians provides basic facts about opioids, signs of opioid addiction and overdose, and possible causes and treatment programs.
Opioid Addiction Facts & Figures
The American Society of Addiction Medicine datasheet on opioid addiction presents vital statistics on substance abuse disorders, drug overdose death rates, and resulting effects, especially on adolescents and women.
A National Institute of Drug Abuse webpage on the opioid crisis includes causes of opioid addiction and overdose and the priorities of the Department of Health and Human Services and the National Institutes of Health.
This World Health Organization information sheet on opioid overdose emphasizes risk factors, emergency responses to opioid overdose, and enhanced access to preventive measures.
Stretching the Scope: Becoming Frontline Addiction-Medicine Providers
In this Perspectives from the August 24, 2017 New England Journal of Medicine, Drs. Rapoport and Rowley encourage infectious disease services to treat a patient's addiction, as well as the infectious complications of injective drug use.
What Science Says To Do If Your Loved One Has An Opioid Addiction
At FiveThirtyEight.com, Maia Szalavitz, author of Unbroken Brain, suggests the steps to follow when assisting an opioid addict: proper assessment, gentle intervention, and informed treatment selection.
Addicts Next Door
The June 5 & 12, 2017 issues of the New Yorker examine the elevated rates of overdose deaths in West Virginia, a state with high poverty and joblessness and scarce mental health resources.
America's Opioid Epidemic and its Effect on the Nation's Commercially-Insured Population
This June 29, 2017 Blue Cross Blue Shield: Health of America Report analyzes medical claims for opioid prescriptions and opioid use disorder from insured members of BCBS to ascertain trends.
Americans are Hoarding a Massive Black Market Supply of Opioids
CNBC's special feature from September 13, 2017 reveals that Americans fail to use completely or to dispose properly opioid prescriptions, creating a source for illicit use.
How to Win a War on Drugs: Portugal Treats Addiction as a Disease, Not a Crime
In the September 22, 2017 New York Times, Nicholas Kristof explores the positive results of the decriminalized of drug use in Portugal coupled with a public health campaign that treats addiction as a disease.
Inside a Killer Drug Epidemic: A Look at America's Opioid Crisis
A series of personal stories of people from seven different states suffering from addiction or witnessing its harrowing effects sheds light on the opioid epidemic in the January 6, 2017 New York Times.
North American Opioid Epidemic: Current Challenges and a Call for Treatment as Prevention
This commentary in the May 12, 2017 Harm Reduction Journal supports increased funding for medication-assisted treatment and policies of decriminalization of opioid misuse across North America.
Prescription Opioid Addiction Treatment Study: What Have We Learned
In the April 1, 2017 Drug and Alcohol Dependence, Drs. Weiss and Rao summarize the results of the Prescription Opioid Addiction Treatment Study, the largest clinical trial of prescription opioid dependence.
Prescription Opioid Poisoning Across Urban and Rural Areas: Identifying Vulnerable Groups and Geographic Areas
A January 2017 research report in Addiction matches prescription opioid-related hospital discharges to patient postal codes in California over a ten-year period to study their growth and spread across space and time.
Recommendations for the Prevention, Detection, Treatment and Management of Prescription Opioid Analgesic Dependence: Outcomes From the Opioid Analgesic Dependence Education Nexus Meeting
The 2016 International Journal of Mental Health and Addiction describes the efforts of a global panel of experts to develop best practices in the treatment of opioid analgesic dependence in Europe.
Safer and More Appropriate Opioid Prescribing: A Large Healthcare System's Comprehensive Approach
This July 14, 2017 article in the Journal of Evaluation in Clinical Practice assesses the impact of a set of comprehensive system-wide policies, processes, and health record coordination on the rates of prescription of high-dose opioids.
Annual Surveillance Report of Drug-Related Risks and Outcomes: United States, 2017
In this 2017 National Center for Injury Prevention and Control Report, the Centers for Disease Control summarizes major issues related to the epidemic of drug overdoses in the United States, such as health outcomes, behaviors, and prescribing patterns.
Opioid Overdose: Preventing and Reducing Opioid Overdose Mortality
The United Nations Office on Drugs and Crime and the World Health Organization consider the risk factors for opioid overdose and recommend effective measures to prevent and to reduce opioid overdose deaths worldwide.
Opioid Use Disorders
This chapter in the July 2016 Child and Adolescent Psychiatric Clinics of North America presents an overview of opioid use disorders in adolescents and young adults, including etiology, epidemiology, diagnosis, detoxification, and treatment.
Prescription Opioid Abuse in Chronic Pain: An Updated Review of Opioid Abuse Predictors and Strategies to Curb Opioid Abuse: Part 1
Part 1 of this comprehensive review in the February 2017 special issue of Pain Management addresses the scope and significance of the opioid crisis and identifies the risk factors for opioid misuse and abuse.
Prescription Opioid Abuse in Chronic Pain: An Updated Review of Opioid Abuse Predictors and Strategies to Curb Opioid Abuse: Part 2
Part 2 of this comprehensive review in the February 2017 special issue of Pain Management discusses screening and monitoring for opioid use and abuse and provides a ten-step process for long-term opioid therapy in chronic pain.
Prescription Opioid Use Among Adults with Mental Health Disorders in the United States
The July-August 2017 Journal of the American Board of Family Practice utilizes a cross-sectional study of non-institutionalized adults to explore the relationship between mood and anxiety disorders and the use of prescription opioids.
Risk Factors for Opioid Overdose and Awareness of Overdose Risk Among Veterans Prescribed Chronic Opioids for Addiction or Pain
In the January-March 2016 Journal of Addictive Diseases, the questionnaires of ninety United States veterans who are on chronic opioid medication are examined to assess their awareness of the risk of opioid overdose.
Shifting Blame: Buprenorphine Prescribers, Addiction Treatment, and Prescription Monitoring in Middle-Class America
This August 2016 article in Transcultural Psychiatry claims that a change in focus from the addicts to the prescribers of opioids has resulted in decreased access to treatment for opioid abuse and physician rejection of opioid-addicted patients.
Treatment Utilization Among Persons with Opioid Use Disorder in the United States
Research in the December 1, 2016 Drug and Alcohol Dependence analyzes demographic data of diverse ethnic groups with opioid use disorder to determine levels of access to treatment and to inform decisions about how to expand care.
You Present like a Drug Addict: Patient and Clinician Perspectives on Trust and Trustworthiness in Chronic Pain Management
Drs. Daniel Buchman, Anita Ho, and Judy Illes investigate relationships of trust and trustworthiness between sufferers of chronic pain and their health care providers in the August 2016 Pain Management.