On Demand Grand Rounds: ADHD and Substance Use Disorders: Diagnostic and Treatment Quandaries
This presentation was originally reviewed on July 20, 2020, and broadcast live online on July 22, 2020 from 12:00 PM- 1:00 PM ET.
The views and opinions expressed by this presenter in this lecture are their own, and do not represent the views of Sheppard Pratt.
Attention-Deficit Hyperactivity Disorder (ADHD) is a common neuropsychiatric disorder that frequently manifest symptoms into adulthood. While it is important to determine if psychiatric symptoms may better explain the observed ADHD symptoms, other psychiatric disorders may coexist. Substance Use Disorders (SUDs) are particularly common among adults with ADHD and often complicate treatment. While early studies suggest that pharmacologic treatments targeting ADHD symptoms combined with psychotherapeutic approaches have modest effects on ADHD and ineffective in treating the SUD, more recent studies and secondary analyses suggest that there are promising approaches which will be discussed. Several clinical concerns arise in using stimulants to treat ADHD and SUD population; but these can be clinical managed and do not preclude the use of them when administered in a judicious fashion. Strategies of implementing pharmacotherapies and psychotherapeutic approaches will be presented.
This activity is intended for physicians, nurses, psychologists, social workers, counselors, therapists and other mental health professionals.
At the conclusion of this activity, attendees will be able to:
1. Recognize the factors complicating the diagnosis of Attention-deficit hyperactivity disorder (ADHD).
2. Describe barriers that reduce the likelihood of providing treatment in substance users.
3. Appraise the current treatment literature regarding Attention-Deficit Hyperactivity Disorder (ADHD) and Substance Use Disorders (SUD).
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Sheppard Pratt regularly hosts renowned speakers from across the country at our headquarters in Towson. We provide educational opportunities on subjects including psychiatric disorders, issues of behavioral health, systems-based change, mental and somatic co-morbidities, psychiatric effects on health and health outcomes, advances in neurobiology, and clinical developments in concepts underlying drug treatment of psychiatric disorders. We are accredited by the Accreditation Council of Continuing Medical Education, the Maryland Nurses’ Association, the Maryland Board of Psychology, the Maryland Board of Social Work, and the National Board of Certified Counselors.
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About This Speaker
Frances Rudnick Levin, MD is the Kennedy-Leavy Professor of Psychiatry at Columbia University and the Chief of the Division on Substance Use Disorders at NYSPI/Columbia University. For over twenty years, she served as the Director of the Addiction Psychiatry Fellowship Program at New York Presbyterian Hospital and for the past sixteen years, she has been the PI of a T32 NIDA funded Substance Abuse Research Fellowship which has been continuously funded since 1994. Dr. Levin graduated from Cornell University Medical College and completed her psychiatric residency at the New York Hospital-Payne Whitney Clinic. Subsequently, she graduated from a 2-year combined clinical and research fellowship at the University of Maryland and the Addiction Research Center, the intramural branch of the National Institute on Drug Abuse (NIDA).
Sheppard Pratt holds the standard that its continuing medical education programs should be free of commercial bias and conflict of interest. In accord with Sheppard Pratt's Disclosure Policy, as well as standards of the Accreditation Council for Continuing Medical Education (ACCME) and the American Medical Association (AMA), all planners, reviewers, speakers and persons in control of content have been asked to disclose any relationship he /she (or a partner or spouse) has with any entity producing, marketing, re-selling, or distributing health care goods or services consumed by, or used on, patients, during the past 12 months. All planners, reviewers and speakers have also been asked to disclose any payments accepted for this lecture from any entity besides Sheppard Pratt Health System, and if there will be discussion of any products, services or off-label uses of product(s) during this presentation.
Frances Rudnick Levin, MD reports having grant support as a principal investigator for US World Meds, during the past 12 months. She will not discuss products, services or off label uses in this presentation.
Event Planners/Reviewers Disclosures: The following event planners and/or reviewers are reported as having no financial interest, arrangement or affiliation with any entity producing, marketing, re-selling, or distributing health care goods or services consumed by, or used on, patients, during the past 12 months: Todd Peters, MD, Deepak Prabhakar, MD, Briana Riemer, MD, Louis Marino, MD, Ehsan Syed, MD, Devi Bhuyan, PhD, Faith Dickerson, PhD, Carrie Etheridge, LCSW-C, Tom Flis, LCPC, Laura Webb, RN-BC, MSN, Bruce Boxer, PhD, MBA, MA, MSN, RN, NPD-BC, NEA-BC, MCHES, CPHQ, Stacey Garnett, RN, MSN, Heather Billings, RN, and Jennifer Tornabene.
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Nurse Statement: Sheppard Pratt is approved as a provider of nursing continuing professional development by the Maryland Nurses Association, an accredited approver by the American Nurses Credentialing Center’s Commission on Accreditation. Sheppard Pratt takes responsibility for the content, quality, and scientific integrity of this CME activity. This activity provides 1.0 contact hours for nurses.
Psychologist Statement: Sheppard Pratt is authorized by the State Board of Examiners of Psychologists as a sponsor of continuing education. Sheppard Pratt takes responsibility for the content, quality, and scientific integrity of this CE activity. Sheppard Pratt designates this educational activity for a maximum of 1.0 contact hours for Psychologists.
Social Worker Statement: Sheppard Pratt is authorized by the Board of Social Work Examiners of Maryland to offer continuing education for Social Workers. Sheppard Pratt takes responsibility for the content, quality, and scientific integrity of this CE activity. This activity is approved for 1.0 contact hours in Category II credits for Social Workers.
Counselor Statement: Sheppard Pratt has been approved by NBCC as an Approved Continuing Education Provider, ACEP No. 5098. Programs that do not qualify for NBCC credit are clearly identified. Sheppard Pratt is solely responsible for all aspects of the program. This activity is available for 1.0 NBCC clock hours.
- 1.00 ACEP NBCC clock hours
- 1.00 AMA PRA Category 1 Credit™
- 1.00 Category II credits for Social Workers
- 1.00 Psychologists
- 1.00 MNA Contact Hours for Nurses
- 1.00 Participation
Sidney Zisook, MD,
Distinguished Professor of Psychiatry and Director, UCSD Healer Education
Assessment and Referral (HEAR) Program, UC San Diego
San Diego, California
ON DEMAND WEBINAR: FOR BEST RESULTS WATCH USING GOOGLE CHROME
Grand Rounds: ADHD and Substance Use Disorders: Diagnostic and Treatment Quandaries.
Frances Rudnick Levin, MD
Kennedy-Leavy Professor of Psychiatry at Columbia University
and the Chief of the Division on Substance Use Disorders at NYSPI/Columbia University
New York, New York
Originally reviewed July 20, 2020.
Originally broadcast live July 22, 2020, from 12:00 noon - 1:00 pm ET
Enduring Activity Credit Expiration Date: April 16, 2024
Activity Time: One hour recorded webinar lecture with a 15-minute evaluation process. Total Time: 1:15
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