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Stephen R. Holt, MD

Program Director, Yale Addiction Recovery Clinic and Associate Program Director, Yale Primary Care Residency, Yale University School of Medicine, USA.

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Dr Holt has authored numerous articles, reviews, and book chapters on addiction medicine and won numerous teaching awards, both at Yale and nationally. His areas of interest include addiction medicine, medical education, and the art and science of physical diagnosis. He is board-certified in both Internal Medicine and Addiction Medicine.

Latest articles with Stephen

Interpreting abnormal urine drug screen results

Opioids, benzodiazepines, cocaine, cannabis - a urine drug test can detect if your patient recently consumed any of them. How are opiates and opioids different? Do both trigger a positive opioid screen? How can you estimate how long a drug is detectable in urine? Find out the answers by watching this video presented by Dr. Stephen Holt, Co-Director at Yale Addiction Recovery Clinic, USA.
23rd Feb 2022 • 6m read

How to prescribe opioid agonists

Opioid agonists, like naltrexone, buphrenorphine or methadone, are medication used in opioid use disorder. Are pharmacokinetic concepts like onset of action, receptor activation and avidity clinically relevant for opioid agonists? How is methadone therapy supervised? Who can prescribe opioid agonists? How is misuse of therapeutic agonists prevented? Find out the answers by watching this video presented by Dr. Stephen Holt, Co-Director at Yale Addiction Recovery Clinic, USA.
23rd Feb 2022 • 7m read

Prescribing maintenance pharmacotherapy–help patients stay off alcohol and prevent withdrawal

Prescribing maintenance pharmacotherapy in alcohol use disorder helps your patient avoid binge drinking. How should you prescribe naltrexone, acamprosate and disulfiram? Find out the answers by watching this video, presented by Dr. Stephen Holt, Co-Director at Yale Addiction Recovery Clinic, USA.
23rd Feb 2022 • 5m read

Nicotine replacements for your patients that smoke

Nicotine withdrawal in smokers peaks over the first three days, but can last for many weeks. Quitting “cold turkey” is not effective for over 90% patients. Therefore, it’s our role as clinicians to support patients trying to quit smoking with nicotine replacement therapy (NRT).
23rd Feb 2022 • 5m read

How to get your patient to stop their addictive behavior

As clinicians, it’s important to distinguish between sustain talk, vague talk and change talk. How can you help your patients get to the change stage? What role do SMART goals play? Should you recommend cognitive behavioral therapy, contingency management, or twelve steps programs, like AA? What about inpatient rehabilitation programs? Find out the answers by watching this video, presented by Dr. Stephen Holt, Co-Director at Yale Addiction Recovery Clinic, USA.
23rd Feb 2022 • 5m read

How to use motivational interviewing in addiction medicine

Addiction is a very difficult subject to broach. How should you talk to your patient about their substance abuse? How can you gauge their motivation for change? Find out the answers by watching this video from our course Essentials of Addiction Medicine, written and presented by Dr. Stephen Holt, Co-Director at Yale Addiction Recovery Clinic, USA.
23rd Feb 2022 • 5m read

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