You searched for Substance Use - CLOSLER

May 17, 2022 | 1 min read

Word Choice Related to Substance Use Disorders

By Beth McGinty, PhD, Johns Hopkins Medicine

Words matter; calling patients with a substance use disorder an “addict” defines them by their addiction. We need to ensure that our patients feel comfortable and supported so that they will engage in treatment.

February 21, 2019 | 1 min read

Substance Use Disorders in Later Life

By Mike Fingerhood, MD, Johns Hopkins Medicine

Substance use disorders in older adults often go undiagnosed because screening is frequently overlooked. Key to supporting patients to make a change is developing rapport and trust.

August 31, 2022 | 2 min read

Reducing Overdose Risk For Minority Patients

By Brendan Saloner, PhD, Johns Hopkins Medicine, Omeid Heidari, PhD, NP, MPH, Johns Hopkins Medicine

When caring for patients with opioid and other substance use disorders, focus on using tools such as evidence-based medications, naloxone, and fentanyl test strips.

August 26, 2021 | 1 min read

Destigmatizing Addiction: The Power of Words

By Namrata Walia, MD, Baylor College of Medicine

Please use the term 'person with substance use disorder’ instead of ‘addict’!

April 14, 2022 | 3 min read

Afraid to Tell The Truth

By Kirsten Elin Smith, PhD, National Institute on Drug Abuse

When I shared with my clinician that I had previously been a heroin user, she made me feel ashamed. This taught me the importance of listening to patients with nonjudgmental curiosity.

December 11, 2019 | <1 min read

Medication for Opioid Use Disorder

By Mike Fingerhood, MD, Johns Hopkins Medicine

Building a therapeutic relationship with people with substance use disorders is critical when supporting them on their journey to health.

September 9, 2020 | 1 min read

We’re All in This Together

By Mike Fingerhood, MD, Johns Hopkins Medicine

With the added stress caused by the pandemic, make an extra effort to screen your patients for anxiety and depression. Empathizing about shared concerns may facilitate patient expression.

Employers must cultivate a nurturing culture that supports the emotional and physical needs of their employees.

February 9, 2021 | 3 min read

How to Support Patients With Chronic Pain and Substance Use Disorder

By Juliette Perzhinsky, MD, MSc, Central Michigan University

All patients must be treated with empathy. Those suffering with chronic pain and addiction may be especially deserving of compassion.

September 28, 2021 | 1 min read

Considerations When Talking With Patients About Cannabis

By Mike Fingerhood, MD, Johns Hopkins Medicine

The medical literature on cannabis use is not clear, making it difficult to know what to tell patients. Share both positives and negatives about using marijuana, and help your patient make the best care plan for them.

July 18, 2022 | 1 min read

How to Have Effective Discussions About Alcohol

By Beth McGinty, PhD, Johns Hopkins Medicine, Mike Fingerhood, MD, Johns Hopkins Medicine

Talking with patients about the risks of heavy alcohol consumption and the benefits of change can have a positive impact on their health.

November 14, 2022 | 2 min read

The Benefits of Overdose Prevention Centers (OPCs)

By Bennett Allen, PhD, New York University, Noa Krawczyk, PhD, New York University

Supervised injection facilities prevent death and do not encourage drug use. Sharing this information can keep our patients safer.

April 3, 2018 | 1 min read

Ten Tips to Support Your Patient With A Substance Use Disorder

By Mike Fingerhood, MD, Johns Hopkins Medicine

I’ve devoted my entire career to supporting patients with Substance Use Disorders (SUD). Here are the top ten tips that I’ve learned over the past few decades.

October 13, 2021 | 2 min read

Social Media During The Pandemic

By Carol Vidal, MD, PhD, Johns Hopkins Medicine

While social media is contributing to increased rates of depression during the pandemic, it also keeps us socially connected during challenging times.

August 21, 2018 | 1 min read

Talking With Young Adult Patients About Alcohol

By Mike Fingerhood, MD, Johns Hopkins Medicine

Clinicians need to be vigilant to discuss alcohol use with patients and remember that the legal drug, alcohol, causes more morbidity and mortality than opioids.

June 16, 2021 | 1 min read

Why we Must Talk About E-cigarettes with Teen Patients

By Mike Fingerhood, MD, Johns Hopkins Medicine

Proactively counseling adolescents about the risks of e-cigarette use is essential. The message should acknowledge both the health implications and the pressures that they may feel from their peers.

The koru is a spiral shape based on the appearance of a new unfurling silver fern frond. It's an integral symbol in Māori art, carving and tattooing, where it symbolizes new life, growth, strength and peace. Photo by David Kopacz.

October 18, 2022 | 7 min read

A New Paradigm For Growth

By David Kopacz, MD, University of Washington, Lucinda Houghton, PhD

As with other traumas, burnout, viewed as an opportunity for personal and professional development, offers a way to expand ourselves as wholehearted healers.

September 13, 2022 | 2 min read

Psychedelics and Health

By Mary Yaden, MD, Johns Hopkins Medicine

Psychedelic therapies have long been feared and avoided. We must acknowledge that there are clinical indications where these treatments are profoundly beneficial.

July 23, 2020 | 3 min read

Stepping Back Before Moving Forward

By Moises Auron, MD, Cleveland Clinic

Considering multiple diagnostic possibilities and not anchoring on the incoming diagnosis may increase the chance of getting it right.

April 6, 2020 | 1 min read

Addiction Recovery During the Pandemic

By Mike Fingerhood, MD, Johns Hopkins Medicine

We are all stressed by the great uncertainty related to COVID-19, but for our patients with addiction, it is much greater. Check in with your patients and support them in finding healthy ways to cope.

Plato, Greek philosopher. A disciple of Socrates and the teacher of Aristotle, he founded the Academy in Athens. This is his statue, located before the Academy of Athens, Greece.

June 29, 2022 | 3 min read

Being PerfecT in Healthcare

By Mike Fingerhood, MD, Johns Hopkins Medicine, Scott Wright, MD, Johns Hopkins Medicine

Moral questions often arise in healthcare. Contemplating how our efforts might translate into the most good deserves our thoughtful consideration.

February 22, 2018 | 3 min read

Family History and Addiction Risk

By Margaret Chisolm, MD, Johns Hopkins Medicine

For some patients the risk of becoming addicted to prescription opioids is extraordinarily high and may outweigh any pain control benefit.

May 29, 2018 | 2 min read

Love At First Sight

By Margaret Chisolm, MD, Johns Hopkins Medicine

A clinically excellent physician always takes the time to ask his/her patient about the history of substance use in their parents and siblings, as well as aunts, uncles, grandparents, and cousins; and always asks about adoption.

October 26, 2021 | 3 min read

What is The Scope of a Clinician’s Work?

By Margaret Chisolm, MD, Johns Hopkins Medicine

We must help our patients achieve a state where body, mind, and spirit are working as a whole. We can help them do more than survive. Let’s help them thrive!

December 22, 2021 | 3 min read

Coping With Grief During The Holidays

By Ankita Sagar, MD, Brooklyn, New York

Having experienced my cousin’s death before Christmas reminds me that December isn’t a joyous time for everyone. I encourage those struggling to connect with loved ones and limit substance use.

United States Poet Laureate Joy Harjo. Public domain.

March 2, 2020 | 3 min read

Universal Trauma-informed Care

By Sadie Elisseou, MD, Boston VA Health Care System

Understanding perpetrators of violence as potential trauma survivors can inspire empathy in clinicians and contribute to a universal, trauma-informed approach to patient care.

March 28, 2019 | 6 min read

Integrating Psychology and Primary Care

By Benjamin Bensadon, PhD, University of Florida College of Medicine

Person-centeredness holds great potential to maximize healing in the way Osler envisioned more than a century ago. But to translate this concept clinically, psychology and medicine must come closer together. The closer we can come together, the closer we can come to Osler.

Dr. Barry Solomon and his team work to create a safe space for teens at their practice.

April 12, 2018 | 3 min read

Creating a Safe Space For Teen Well Visits

By Barry Solomon, MD, MPH, Johns Hopkins University School of Medicine

Providing excellent care for adolescents includes creating a safe space for confidential discussions. The clinically excellent pediatrician is able to help support the teen to share sensitive concerns with parents and caregivers.

September 5, 2019 | 2 min read

Book Review of “In Pain”

By Traci Speed, MD, PhD, Johns Hopkins University School of Medicine

Clinicians need to understand that patients' pain is real to build rapport and reassurance, which will help patients be open to the full range of treatment options.

"The Starry Night," Vincent Van Gogh, 1889, Museum of Modern Art.

May 16, 2019 | 5 min read

Starry, Starry Night

By Juliette Perzhinsky, MD, MSc, Central Michigan University

There are times that as clinicians we become patients ourselves, needing compassionate care for injuries entirely unrelated to our chief complaint.

June 13, 2022 | 2 min read

3 Tips from the ED For All Healthcare Professionals

By Rodney Omron, MD, MPH, Johns Hopkins Medicine

Sharing appreciations with colleagues and learners is your superpower. Use it.

May 26, 2022 | 3 min read

Who Was Trayvon Martin?!

By Victor Ekuta, visiting medical student, Penn Medicine

We must pay attention to current events that may be significant to our patients. Staying curious may help us to connect and build rapport with those we serve.

Georgia O'Keeffe, Series 1, Number 8.

November 20, 2018 | 2 min read

The Healing Power of Words

By Helen Bradshaw, MD, Johns Hopkins University School of Medicine

What we say to patients has the power to promote healing.

Evening Star, Number III, Georgia O'Keefe, 1917, Museum of Modern Art

November 21, 2018 | 1 min read

Asking Difficult Questions

By Julia Ross, MD, Johns Hopkins University School of Medicine

Asking probing questions is difficult, but can make a difference in understanding your patient.

"The Persistence of Memory," Salvador Dali, 1931, The Museum of Modern Art.

November 19, 2018 | 2 min read

Learning from Learners

By Margaret Chisolm, MD, Johns Hopkins Medicine

Teaching is the best way to learn. In the end, I am not only a teacher and my residents are not only learners, but we are both a little of each.

October 16, 2018 | 3 min read

The Heart of Trauma-Informed Care

By Cooper Lloyd, MD, MPH, Johns Hopkins University School of Medicine

Trauma-informed care is care in which we recognize trauma’s prevalence and long-term effects; understand trauma’s effects on patient behavior and engagement in care; prioritize patient choice and collaboration while building trust; and offer education and resources to promote healing.

May 19, 2022 | 2 min read

Recognizing Relapse

By Susan Lehmann, MD, Johns Hopkins Medicine

The earlier that the return of psychiatric symptoms is detected, the more quickly a patient’s mental well-being can be restored.

March 24, 2020 | 1 min read

Exercising for Wellness During the Pandemic

By Erica Leonard, MD, Johns Hopkins University School of Medicine

With the drastic changes to our lives due to COVID-19, we can still stay active. Exercise during this challenging time can help improve everyone's emotional well-being and physical health.

March 13, 2018 | 2 min read

Reading Your Patient and Changing Your Plan

By Mike Fingerhood, MD, Johns Hopkins Medicine

We usually already have an agenda set when we see patients. However, we have to be ready to improvise by reading the patient, and be open to changing our plan.

Encourage caregivers to get support.

September 8, 2021 | 2 min read

How to Mitigate Caregiver Burnout

By Simone Lescott, MD, Johns Hopkins Medicine

Caring for a loved one can be emotionally exhausting. Remind caregivers to prioritize self-care and encourage them to seek support from others.

August 17, 2022 | 1 min read

Lessons From “A Field Guide to Getting Lost”

By David Kopacz, MD, University of Washington

Many clinicians feel burned out at some point in their careers. While this may feel disorienting, it’s possible to learn and grow from this experience.

September 23, 2019 | 3 min read

How to Manage Chronic Pain and Opioids

By Ryan Graddy, MD, AbsoluteCARE Medical Center, Atlanta, Georgia

Safe opioid stewardship is a key objective when managing chronic pain. Combining evidence-based strategies and compassionate care can help you to realize these goals.

October 3, 2019 | 4 min read

The Fault in our EHRs

By Jeffrey Millstein, MD, Penn Medicine

The clinically excellent clinician makes an effort to know each patient’s unique story, moving beyond the confines of the content within the EHR.

October 3, 2018 | <1 min read

Dr. Mike Fingerhood: A CLOSLER Look

By Gretchen Miller, Managing Editor

Every time I see a patient I ask them about their home environment, and what the main stressors in their life are right now.

August 1, 2018 | <1 min read

Introducing “A CLOSLER Look”

By Gretchen Miller, Managing Editor

Check out the first video our new weekly series, “A CLOSLER Look,” featuring short and sweet interviews with clinically excellent physicians. On tap today - psychiatrist Dr. Margaret Chisolm.

July 25, 2022 | 2 min read

Think Positive!

By Joan Naidorf, DO

Reframing negative thoughts about my inebriated patient would have helped me to care for him with more compassion.