68. Behavioral Treatments as an Adjunct to Buprenorphine68. Behavioral Treatments as an Adjunct to Buprenorphine
Addiction Medicine Journal Club
Episode 68 examines if behavioural therapies enhance buprenorphine treatment for opioid use disorder, while also discussing online gambling addiction and adolescent neuroanatomy.
40:46•17 Nov 2025
Do Behavioural Therapies Boost Buprenorphine's Impact?
Episode Overview
- Adding behavioural therapy to buprenorphine may not significantly improve outcomes.
- Genetic factors could play a significant role in addiction predisposition.
- Online gambling is emerging as a significant addiction risk.
- Personalised recovery plans are crucial for effective treatment.
- Forced treatment may not align with patient needs or outcomes.
“"You can't think your way out of it, and it's like, there's no consequence that's too great to discourage people from using."”
What drives someone to seek a life without opioids? Episode 68 of Addiction Medicine Journal Club tackles the intriguing question of whether behavioural treatments enhance buprenorphine therapy for opioid use disorder. Hosts Dr. Sonya Del Tredici and Dr. John Keenan dive into a meta-analysis of four randomised clinical trials to see if adding behavioural therapy improves treatment retention and functional outcomes. The episode also touches on the rise of online gambling addiction and the neuroanatomy that predisposes adolescents to addiction.
With a sprinkle of light-hearted banter about Halloween pumpkins, the discussion is engaging yet informative. The hosts ponder whether forced treatment is beneficial and explore the complex nature of addiction, questioning whether genetics or environment play a larger role. Are behavioural therapies the missing piece in opioid recovery, or is it more about individual choice? Tune in to find out, and consider what recovery strategies might work best for you or someone you know.

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