The death of actor Philip Seymour Hoffman from a heroin overdose has brought about a lot of discussion regarding medical treatment to prevent heroin deaths. I will not “diagnose” Mr. Hoffman in any specific manner, as it is unethical to do so for a person that one has never seen or examined in person. I cringe when I see physician television personalities “diagnose” celebrities whom they have never spoken with.
Stuart Kloda, M.D. maintains a solo Addiction Medicine practice in New York City specializing only in the treatment of alcohol and drug addiction. “Addictions can affect highly functioning people, threatening their careers, families and homes,” he says. Stuart Kloda, M.D., addiction specialist in NYC Online PR News – 03-January-2014 –FIVE THINGS TO KNOW ABOUT ADDICTION 1. People do not have to “hit bottom” in order to be motivated to start treatment
This past weekend, a district attorney in Travis County, Texas, was arrested for drunk driving. It is sad to see the dysfunctional effects that alcohol abuse has had on her life. This district attorney was apparently highly regarded. She was the first female district attorney in Travis County, who also won her latest reelection unopposed. Ideally, medical treatment for alcohol and drug abuse would start before a person’s life starts
The Huffington Post responded to the New York Times article on Suboxone – “Addiction Treatment with a Dark Side” with this article: New York Times Misses Mark on Buprenorphine Drug “In a lengthy front page story called: “Addiction Treatment with a Dark Side,” The New York Times recently drew attention to buprenorphine, a medication used to treat addiction to heroin and prescription opioids. As physicians and researchers studying addiction and its treatment, we were glad
New York, NY – I have a solo addiction medicine practice in New York City specializing only in the treatment of alcohol and drug addictions. I am not associated with any pharmaceutical companies or institutions. My medical practice is not exclusively a Suboxone practice. I of course do prescribe Suboxone for the treatment of addiction to opioids. I feel that the recent New York Times article highlighted important information about
Medication treatment for HPPD includes serotonin reuptake inhibitors (SSRIs) such as Prozac and Zoloft. In addition to treating the anxiety disorder, SSRIs treat HPPD in another way. Hallucinogens such as LSD (“acid”) and psilocybin (“mushrooms”) exert their effect at one subtype of the serotonin receptor. When a patient takes an SSRI, their number of serotonin receptors decreases. With less serotonin receptors around, HPPD symptoms are reduced. Long-acting benzodiazepines (“benzos”) such
HPPD can be thought of as an anxiety disorder due to an acquired synesthesia. Synesthesia is defined as a condition in which one type of stimulation evokes the sensation of another, as when the hearing of a sound produces the visualization of a color. HPPD can also be thought of as a form of Post-Traumatic Stress Disorder (PTSD) in response to a bad hallucinogenic “trip”. Cognitive behavioral therapy (CBT) for
Hallucinogen persisting perception disorder, or HPPD, is a disorder characterized by the continual presence of sensory disturbances, usually visual, that are reminiscent of those generated by the ingestion of hallucinogens such as LSD. HPPD is different from “acid flashbacks” in that they are relatively permanent from day to day, while flashbacks are transient. The DSM-IV-TR (Diagnostic and Statistical Manual of Mental Disorders) lists the following criteria for the diagnosis of
Is There a Connection Between Self-Harm and Addiction? Self Injurious Behavior (SIJ) is defined as the intentional, direct injuring of body tissue, most often done without suicidal intentions. Cutting is a common form of SIJ. SIJ is common in patients with borderline personality disorder (which I will discuss in another post). Borderline personality disorder has a high incidence of concurrent substance abuse. The following video provides an excellent description and
Hello, my name is Dr. Stuart Kloda, and I opened a unique solo private practice specializing in Addiction Medicine in New York City. I completed a two-year fellowship in Addiction Medicine at the Addiction Institute of New York at St. Lukes & Roosevelt hospitals. I am board certified by the American Board of Addiction Medicine. I offer discreet and confidential one-on-one treatment in a beautiful office at Columbus Circle.