Clinical Pearls: Stigma and Ketamine – The Good, the Bad and the Ugly - Na...

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Tennessee Center for Change

417 Welshwood Dr

Suite 103

Nashville, TN 37211

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Guide for Opioid use Disorder - Remember to park in the back of the building

Presented by: Merrill Norton, Pharm. D., D.Ph., ICCDP-D

Course Description:

Stigma is a mark of disgrace associated with a particular circumstance, quality, or person. The concept of stigma describes the powerful, negative perceptions commonly associated with substance use disorders. Stigma has the potential to negatively affect a person’s self-esteem, damage relationships with loved ones, and prevent those suffering from a substance use disorder from accessing treatment.

This presentation explores the recovery from the internalized shame the stigma of substance use disorders which triggers an instinctual “fight-flight-freeze” syndrome that creates the relapse syndrome. An overview of the Anger-Shame-Anxiety cycle, appropriate interventions necessary to avoid relapse from anger and shame, and practical applications of the Twelve Steps to the individual with anger and shame issues will be given.

Course Goals:

  1. Compare healthy shame and unhealthy shame.
  2. Identify diseases that can result from the neurochemical changes associated with anger and shame and treatments for these diseases.
  3. Describe the utility of 12-step principles as part of a comprehensive addiction treatment and recovery program and how these principles can help patients avoid unhealthy shame cycles.
  4. Describe how behavioral health practitioners can use the principles of healthy and unhealthy shame in assisting patients who are in recovery or struggling with the disease of addiction.

Ketamine is considered a dissociative anesthetic (other examples of this drug are PCP and DXM). This means that the drug distorts the user’s perception of sight and sound and produces feelings of detachment from the environment and oneself. The drug also has anesthetic properties that have been used in both human and veterinary medicine, and is currently a Schedule III controlled substance. For humans it has been used in radiation and burn therapy, treatment of battlefield injuries, and for children who have adverse reactions to other anesthetics. Ketamine is generally preferred in many of these instances because it does not have as deep a sedative effect as other medications. Is Special K really special and is it the revolution in treating depression? This presentation will take participants through the controversial history of ketamine and look at ketamine’s abuse potential and its medical indications.

Course Goals

  1. Learn the torrid history of ketamine from the 1960’s until the present;
  2. Gain an understanding of ketamine’s many abusable formats and the consequences of ketamine abuse;
  3. Develop insight into ketamine’s current medical uses and its therapeutic outcomes.

About the Presenter:

2005-2008 Doctor of Pharmacy (Pharm.D.)
University of Georgia College of Pharmacy
Athens, Georgia
1986-1988 Talbott Addiction Medicine Fellowship
1985-1986 Talbott Addiction Medicine Residency
1970-1973 Bachelor of Science (B.S. Pharmacy)
University of Georgia College of Pharmacy
Athens, Georgia

Certified Co-Occurring Disorders Professional-Diplomat Training, 2004-2009
Clinical DUI Evaluator Training, Georgia DHR, 1996-1998
Clinical Supervisory Certification Training, Georgia Addiction Counselors Association
Addiction Counselor Certification Training, Rutgers University 1985-1987

Doctor of Pharmacy (D.Ph) Oklahoma License No. 13706
Registered Pharmacist (R.Ph.) Georgia License No. 11215
Certified Clinical Supervisor (CCS) No. 0097
National Certified Addiction Counselor (NCAC II) No. 008
Certified Addiction Counselor II (CAC II) No. 0255
Certified Co-Occurring Disorders Professional-Diplomate (CCDP-D) No. CPD0029
International Co-Occurring Disorders Professional-Diplomate (ICCDP-D) No. 401273

Training FAQ:

Q - How do I get my certificate?
A - ONLY names entered into eventbrite will have a certificate ready upon completion.

Q - How many Contact Hours will I get?
A - 6 contact hours

Q - Who has approved this training?

Q - Is lunch Provided?
A - Yes, it's included in the price of the training

Q - What should I bring?
A - Bring identification, shawl, coat, sweater, throw or a jacket

Q - Are there handouts available?
A - They will be given out at the training

Q - Do I have to bring my printed ticket to the event?
A - It is helpful for check-in, but we can check you in without it.

NAADAC Accreditation:


This course has been approved by TAADAS, as a NAADAC approved Education Provider, for educational credits. NAADAC Provider #91749,TAADAS, is responsible for all aspects of their programming.

NAADAC Counselor Skill Groups Targeted:

Clinical Intake and Screening, Counseling Services, Case management, Treatment plan, Discharge, Continuing Care and Professional Development


Refunds will be issued through Eventbrite to anyone requesting a refund prior to the training. Anyone requesting a refund after the training will be issued a credit to be used for another training.

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Tennessee Center for Change

417 Welshwood Dr

Suite 103

Nashville, TN 37211

View Map

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