ASAM Practice Pearls
ASAM Practice Pearls offers in-depth conversations about addiction prevention, treatment, and recovery. Aimed at healthcare professionals and anyone seeking knowledge, the show highlights evidence-based approaches in addiction medicine. Each episode features interviews with leading experts who discuss critical topics and provide practical tools to enhance patient care and support public health.
Episodes
Addiction Care in Custody: Trust, Treatment, and Advocacy
In this episode of ASAM Practice Pearls, Dr. Stephen Taylor hosts Dr. Justin Berk to discuss addiction care for individuals involved in the criminal justice system, including patients in custody and those transitioning back to the community. The conversation explores practical strategies for building therapeutic alliances with incarcerated patients, advocating for evidence-based treatment in corr
Polysubstance Intoxication: Managing the Unknown
In this episode of ASAM Practice Pearls, Dr. Stephen Taylor welcomes Dr. Itai Danovitch to discuss the descriptive term polysubstance use and methods for evaluating and managing patients with polysubstance intoxication and unknown toxidromes. The conversation covers strategies for assessing altered mental status, maintaining a broad differential diagnosis, safely managing agitation, and providing
Individualizing Buprenorphine: Low-dose Induction to Long-acting Injectables
In this episode of ASAM Practice Pearls, Dr. Stephen Taylor hosts Dr. Stephen Holt in a discussion about practical strategies for initiating and managing patients receiving low-dose buprenorphine and long-acting injectable (LAI) formulations. The conversation explores how to match induction approaches to individual patient needs, guidance on dosing, and ways to support ongoing use, cravings, or w
Enhancing Addiction Care Through Care Touchpoints
In this episode of ASAM Practice Pearls, Dr. Stephen Taylor and Dr. Mike Fingerhood discuss the importance of enhancing addiction care through community support and compassionate touch points. They explore how providing access to basic needs can serve as entry points into treatment for individuals struggling with addiction, the effect of compassionate interventions on clinical outcomes, and the c
Implementing Substance Use Care Across Care Settings: ED to Ongoing Care
In this episode of ASAM Practice Pearls, Dr. Stephen Taylor hosts Dr. Sarah Wakeman to discuss substance use care in the emergency department, sharing highlights from ASAM's new implementation guide for hospital and emergency department (ED) substance use disorder (SUD) care. Together, they explore the gap between evidence-based addiction treatment and current hospital/ED practice, how frontline
Methadone: The Right Dose, Every Day
EP 03
🎙 Special Series: ASAM's 57th Annual Conference
This episode is part of a special three-part series spotlighting key sessions from ASAM’s 57th Annual Conference.
In this episode of ASAM Practice Pearls, In this episode of ASAM Practice Pearls, Dr. Elizabeth Salisbury-Afshar is joined by Drs. Ruth Potee and Ari Kriegsman to explore highlights from their session, The Right Dose, Every D
Advanced Management of Alcohol Withdrawal
EP 02
🎙 Special Series: ASAM's 57th Annual Conference
This episode is part of a special three-part series spotlighting key sessions from ASAM’s 57th Annual Conference.
In this episode of ASAM Practice Pearls, In this episode of ASAM Practice Pearls, Dr. Stephen Taylor is joined by Drs. Tessa Steel and Melissa Weimer to discuss highlights from their Annual Conference session, Advanced Manage
Artificial Intelligence and the Future of Addiction Medicine
EP 01
🎙 Special Series: ASAM's 57th Annual Conference
This episode is part of a special three-part series spotlighting key sessions from ASAM’s 57th Annual Conference.
In this episode of ASAM Practice Pearls, Dr. Elizabeth Salisbury-Afshar is joined by Drs. Sara Polley and Daniel Kaufman to explore highlights from their Annual Conference session, Artificial Intelligence and the Future of Ad
Navigating Cannabis and Cannabinoid Use in Today’s Clinical Practice
In this episode of ASAM Practice Pearls, Drs. Stephen Taylor and Takeo Toyoshima address the misconception that cannabis is not addictive. They discuss how clinicians can better understand the cannabis products their patients are using, navigate the changing legal landscape, and assess for cannabis use disorder using the “Three Cs” framework. The conversation highlights treatment strategies like
Kratom and 7-OH: What Clinicians Need to Know
In this episode of ASAM Practice Pearls, Dr. Stephen Taylor hosts researchers Dr. Kirsten Smith and Katie Hill to explore the rapidly evolving landscape of kratom and 7-hydroxymitragynine (7-OH). They examine kratom’s complex pharmacology, review current research on kratom and 7-OH, discuss kratom’s addiction potential, withdrawal patterns, and the challenges of kratom in the clinical setting. Th
Social Determinants of Health: Making an Impact in Addiction Care
In this episode of ASAM Practice Pearls, Drs. Stephen Taylor and Sharon Stancliff explore the role of social determinants of health (SDoH) in addiction care. They discuss the biopsychosocial model of addiction and emphasize the importance of understanding social factors such as housing, transportation, and economic stability when providing effective care. They highlight the need for clinicians to
Optimizing Treatment for Co-occurring Psychiatric and Substance Use Disorders
In this episode of ASAM Practice Pearls, Drs. Stephen Taylor and Smita Das discuss co-occurring psychiatric and substance use disorders (SUD). They explore the most common psychiatric conditions seen alongside addiction, share strategies for distinguishing primary psychiatric disorders from substance-induced symptoms, and review approaches to screening, treatment planning, and integrated care. Th
Contingency Management: The Nuts and Bolts of Implementation
In this episode of ASAM Practice Pearls, Drs. Stephen Taylor and Brian Hurley explore contingency management as an evidence-based treatment for substance use disorders. They address common concerns and share practical strategies for implementing contingency management in real-world clinical settings, offering listeners actionable insights and best practices for integrating contingency management
Understanding Medetomidine: Emerging Challenges for Addiction Medicine
In the Season 2 premiere of ASAM Practice Pearls, Drs. Stephen Taylor and Jeanmarie Perrone follow up on Season 1’s episode, Emerging Illicit Substances: What Clinicians Need to Know. Together, they discuss how medetomidine has continued to spread to different regions and what has changed over the past year. They explore strategies for managing medetomidine withdrawal, keeping patients safe, and
Overdose Awareness: Preventing, Responding, and Intervening
In recognition of International Overdose Awareness Day, the Season 1 finale of ASAM Practice Pearls explores recent trends in overdoses. Drs. Stephen Taylor and Alexander Walley discuss the increase of fentanyl and other contaminants in the drug supply, the impact of racial and geographic disparities, and the importance of community-specific responses. They highlight the value of compassionate ov
Perinatal Substance Use Care: Listening, Trust, and Treatment
In this episode of ASAM Practice Pearls, Dr. Stephen Taylor and Dr. Cara Poland explore the unique challenges of perinatal substance use care. They discuss the impact of stigma, the importance of compassionate care, and the use of medications for addiction treatment in pregnancy. Additionally, they address polysubstance use, physiological changes during pregnancy, and the critical postpartum peri
Listening First: The Future of Women's Addiction Treatment
In this episode of ASAM Practice Pearls, Dr. Peter Selby and Dr. Hendree Jones discuss the importance of implementing gender-responsive and trauma-informed care in addiction treatment. They offer insights on recognizing trauma in patients, creating safer treatment environments, addressing gender-specific treatment gaps, and emphasizing the importance of language and empathy in clinical practice.
Neurologic-Informed Care: Integrating Brain Injury Awareness into Addiction Medicine
In this episode of ASAM Practice Pearls, Dr. Peter Selby and Dr. John Corrigan explore the intersection of brain injury and addiction treatment. They introduce the concept of neurologic-informed care and discuss how cognitive impairments from brain injuries impact addiction recovery. The episode explores practical strategies for screening, treatment, and creating supportive environments to enhanc
When Behavior Becomes Addiction: What Clinicians Need to Know
In this episode of ASAM Practice Pearls, Dr. Peter Selby and Dr. Emily Brunner explore behavioral addictions—including gaming, gambling, sex, and social media. They discuss how these behaviors impact the brain, how they present clinically, and how to recognize and treat them using evidence-based approaches. The episode emphasizes the importance of validating these conditions and offering appropri
Sickle Cell Disease: Intersection of Pain and Addiction
In recognition of Sickle Cell Awareness Day (June 19), this episode of ASAM Practice Pearls features host Dr. Peter Selby and expert Dr. Andrew Smith as they explore the complex intersection of sickle cell disease (SCD), pain, and addiction. They discuss the challenges individuals with SCD face in accessing effective pain management, often compounded by stigma and opioid-related concerns. The epi
Engaging and Retaining Young People in OUD Treatment: Making the Wish Come True
In this episode of ASAM Practice Pearls, Dr. Stephen Taylor welcomes Dr. Marc Fishman for an insightful conversation on improving engagement and retention of youth in medication treatment for opioid use disorder (MOUD). They examine the unique challenges young people face and present developmentally informed strategies—including prevention, family involvement, and assertive outreach. The discussi
Annual Review of Addiction Medicine: Highest Impact Publications 2024-2025
EP 04
🎙 Special Series: ASAM's 56th Annual Conference
This episode is part of a special four-part series spotlighting key sessions from ASAM’s 56th Annual Conference.
In this episode of ASAM Practice Pearls, Dr. Elizabeth Salisbury-Afshar is joined by Drs. Sarah Wakeman and Joshua Lee to review the most influential addiction medicine publications of 2024–2025. They discuss the criteria used
Methadone Initiation for Opioid Use Disorder in the Emergency Department
EP 03
🎙 Special Series: ASAM's 56th Annual Conference
This episode is part of a special four-part series spotlighting key sessions from ASAM’s 56th Annual Conference.
In this episode of ASAM Practice Pearls, Dr. Elizabeth Salisbury-Afshar is joined by Drs. Rachel Haroz, Bill Soares, and Ryan McCormack to discuss their session, Methadone Initiation for Opioid Use Disorder in the Emergency De
Emerging Illicit Substances: What Clinicians Need to Know
EP 02
🎙 Special Series: ASAM's 56th Annual Conference
This episode is part of a special four-part series spotlighting key sessions from ASAM’s 56th Annual Conference.
In this episode of ASAM Practice Pearls, Dr. Stephen Taylor is joined by Drs. Jeanmarie Perrone and Alaina Steck to explore key insights from their session, Emerging Illicit Substances: What Clinicians Need to Know. The con
How to Transform Hospitals to Better Care for People with Addiction
EP 01
🎙 Special Series: ASAM's 56th Annual Conference
This episode is part of a special four-part series spotlighting key sessions from ASAM’s 56th Annual Conference.
In this episode of ASAM Practice Pearls, Dr. Elizabeth Salisbury-Afshar welcomes Dr. Itai Danovitch to explore highlights from his session, Hospitals as a Frontline for Addiction: Lessons from the START Study. They’ll discu
Navigating Alcohol Withdrawal Management: Strategies and Insights
In this episode of ASAM Practice Pearls, Dr. Stephen Taylor and Dr. Tessa Steel explore the management of alcohol withdrawal in ambulatory, hospital-based, and ED-initiated care settings. They discuss best practices, risk stratification, medication strategies, and emerging approaches to support effective withdrawal management.
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Looking for this episode's transcript? Download it HERE
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Treating Alcohol Use Disorder: Medication Considerations and Goals Beyond Abstinence
In this episode of ASAM Practice Pearls, Dr. Stephen Taylor and Dr. Melissa Weimer revisit the fundamentals of alcohol use disorder (AUD), discussing medications like acamprosate, disulfiram, naltrexone, topiramate, and others and how to support various treatment goals, whether that means reducing use or achieving abstinence.
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Looking for this episode's transcript? Download it HERE
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Benzodiazepine Tapering: New Guideline and Clinical Strategies
In this episode of ASAM Practice Pearls, Dr. Peter Selby and Dr. Emily Brunner explore The Joint Clinical Practice Guideline on Benzodiazepine Tapering: Considerations When Benzodiazepine Risks Outweigh Benefits. They discuss key recommendations and best practices for tapering benzodiazepines safely and effectively. Additional topics include the risks and benefits of tapering, common withdrawal s
Ketamine Infusion Therapy for Addiction Treatment: The Whys and Hows, The Dos and Don'ts
In this episode of ASAM Practice Pearls, Dr. Stephen Taylor and Dr. Brent Boyett explore the potential of ketamine in addiction treatment. They discuss its history, mechanism of action, current research, clinical applications, risks, and future outlook. The episode offers valuable insights into ketamine’s role in addiction treatment while considering safety and its impact within the biopsychosoci
Managing In-Hospital Substance Use
EP 04
🎙 Special Series: Advances in Buprenorphine Education
This episode is part of a special series on improving hospital and clinic-based buprenorphine treatment for opioid use disorder.
In this episode of ASAM Practice Pearls, Dr. Carolyn Chan and Dr. Shawn Cohen welcome addiction medicine expert Dr. Marlene Martin. With extensive experience in helping care teams navigate the complexi
Balancing Patient Confidentiality and Legal Obligations
EP 03
🎙 Special Series: Advances in Buprenorphine Education
This episode is part of a special series on improving hospital and clinic-based buprenorphine treatment for opioid use disorder.
In this episode of ASAM Practice Pearls, Dr. Stephen Holt and Dr. Shawn Cohen welcome addiction medicine expert Dr. Catherine Trimbur. They explore the delicate balance between protecting patient confi
Creating Realistic Follow-Up Plans for Unstable Patients
EP 02
🎙 Special Series: Advances in Buprenorphine Education
This episode is part of a special series on improving hospital and clinic-based buprenorphine treatment for opioid use disorder.
In this episode of ASAM Practice Pearls, Dr. Shawn Cohen is joined by addiction medicine experts Dr. Carolyn Chan and Dr. Stephen Holt. Together, they explore effective strategies for managing unstable
Overcoming Barriers to MOUD at Discharge: Ensuring Continuity of Care from Skilled Nursing Facilities
EP 01
🎙 Special Series: Advances in Buprenorphine Education
This episode is part of a special series on improving hospital and clinic-based buprenorphine treatment for opioid use disorder.
In this episode of ASAM Practice Pearls, Dr. Stephen Holt is joined by addiction medicine experts Dr. Carolyn Chan and Dr. Shawn Cohen. They explore key challenges and solutions in ensuring continuity
Tackling Tobacco Use Disorder: Challenges, Innovations, and E-Cigarettes
In this episode of ASAM Practice Pearls, Dr. Peter Selby and Dr. Nancy Rigotti explore current and emerging strategies for treating tobacco use disorder (TUD). They discuss the latest pharmacological interventions, behavioral approaches, harm reduction strategies, and the evolving role of e-cigarettes in smoking cessation.
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Looking for this episode's transcript? Download it HERE
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Treating Stimulant Use Disorder: Guidelines and Challenges
In this episode of ASAM Practice Pearls, Dr. Stephen Taylor and Dr. Brian Hurley discuss the complexities of stimulant use disorder (StUD). Topics include challenges in managing StUD without FDA-approved medications, the impact of socioeconomic and cultural factors, and practical insights from the ASAM/AAAP guidelines.
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Looking for this episode's transcript? Download it HERE
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GLP-1 Receptor Agonists Explained: Their Potential Role in Addiction Treatment
In this episode of ASAM Practice Pearls, Dr. Stephen Taylor hosts Dr. Stephanie Weiss from the National Institute on Drug Abuse (NIDA) to explore the potential of GLP-1 receptor agonists (GLP-1RA), particularly semaglutide, in treating alcohol use disorder. They discuss the underlying science, current research, and the challenges and implications of integrating these innovative treatments into ad
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