1/ I've benefited so much from @OnlineMedEd's amazing videos and other content. The addiction videos seem like they could use some updating tho, especially given public health relevance of the topic and increasing emphasis of addiction in medical education. Some thoughts:
2/ Clarify that evidence use of mutual aid groups (AA) in alcohol use disorder tx is low, though many pts report benefits. Other psychosocial tx options exist. Clarify that there's RCT evidence for naltrexone and acamprosate, though typically reserved for moderate/severe dz.
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3/ Clarify that medication treatment for opioid use disorder is gold standard, superior to detox or psychosocial tx alone. Make clear tx decisions should be guided by patients' preferences. Explain there is misinformation about medication tx i.e. "replacing on drug for another."
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4/ Video already does great job of encouraging empathy towards people who use drugs. Would help to use non-stigmatizing language: substance use not "abuse," in recovery or abstaining from use not "clean," recurrent use or symptoms not "relapse," - see morehttps://www.changingthenarrative.news/stigmatizing-language …
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5/ Clarify that notion of "hitting rock bottom" is not evidence-based. Evidence shows recovery is gradual with ups and downs for most. Pushing people to "hit rock bottom" harms them and delays recovery. Thank you for considering these points and for the care you put into content
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alex_gertner@med.unc.edu.