When does the Neurobiology of AUD Need Medical Treatment with Dr. Holly Geyer

Ep 46 - This week we have such a great topic, the neurobiology of alcohol use disorder and how it progresses, and what is going on in your brain and when it turns into something called addiction, We then get to where you need medical attention, and we have an expert to talk to us about it all, Dr. Holly Geyer.

She is an associate professor of medicine and consultant in the division of hospital internal internal medicine at Mayo Clinic in Phoenix. 

On this episode - 

04:11 Understanding Substance and Alcohol Use Disorder
06:35 The Biology of Substance Use Disorder
07:30 The Evolution of Treatment
10:52 The Role of Faith and Science in Recovery
15:19 Pathways to Substance Use Disorder
20:17 The Brain's Rewiring Process
25:53 Understanding Opioids
26:55 The Hijacking of the Brain
28:58 The Persistence of Brain Changes
31:25 The Role of Spirituality in Recovery
33:01 Transfer of Addictions
37:40 Rewiring the Brain
39:07 The Importance of Community and Positivity
44:41 Navigating Treatment and Recovery

Substance Use Disorder Progression - 
https://drive.google.com/file/d/1oNTC1N5IqRy19VykCIh9ygk-ZT5dy_4w/view?usp=drive_link

NIAAA Goals in Research - 
https://drive.google.com/file/d/1wsVLN7HwvK_9JcCJvq6YGybZ8BNe7eW1/view?usp=drive_link

Dr. Geyer is dual board certified in internal medicine and addiction medicine and serves as chair of the opioid stewardship program at Mayo Clinic in Arizona, as well as serving as the medical director of occupational health. She is the author of the newly published Ending the Crisis, Mayo Clinic's Guide to Opioid Addiction and Safe Opioid Use. 

Dr. Geyer's research focuses on safe use of opioids and the impact of various treatment regimens on patient quality of life, particularly in cancer populations. She has given presentations both nationally and internationally and has authored more than 120 journal articles book chapters and abstracts.

She also serves as a reviewer for permanent scientific publications. She has experience serving on Arizona Medical Association Legislative Committee and has assisted with state law opioid policy development at both the Arizona Department of Health and state legislature.

Her clinical focus includes:

• Management of complex illnesses in hospitalized patients
• Safe opioid prescribing at an institutional and state level with emphasis on government interface and policymaking
• Addiction screening, evaluation and treatment in hospitalized patients with concern for Substance Use Disorder
• Quality of life assessment and optimization of non-pharmacological interventions for cancer and palliative care disease burden with a particular focus on Myeloproliferative Neoplasms (MPNs)
• Supervising AZ Division of Hospital Internal Medicine research and quality improvement projects to ensure high quality patient care, enhance treatment protocols and streamline institutional processes

In addition to her clinical activities, Dr. Geyer is active in research, patient advocacy and healthcare policy at an enterprise and state level. She is well published in high-impact scientific journals and book chapters, and maintains an active international lecture schedule. She additionally serves as a Physician Director of the Mayo Clinic Physician Assistant Fellowship program.

Whenever I have a medical professional on the show - the content of this podcast is is for informational and educational purposes only. The views and opinions expressed are those of individual guests and do not constitute med