May 18, 2018 8:30 am - 11:00 am

True North Conference Center

1900 Corporate Square Blvd.

    May 2018 Lecture Series

    Gaming Disorders and Low Dose Naltrexone: An Emerging Virtual Dilemma and the Revolutionary Use of a Well-Established Medication

    Speaker: Anish John, M.D.
    Date: Friday, May 18, 2018
    Registration: 8:30 – 9 AM
    Program runs from: 9 – 11 AM
    Continuing Education & Continuing Medical Education: 2 units/credits*


    Internet Gaming disorder (IGD) is the only behavioral/process addiction which was chosen over others that included work, shopping, sex, and exercise to be included as a potential new diagnosis under ‘Conditions for further study’ in the ‘Emerging Models and Measures’ section of the 5th revision of the Diagnostic and Statistical Manual (Gambling disorder is currently the only recognized non-substance related addictive disorder). Disordered gaming has significant global importance, as the number of individuals who are involved in gaming has exponentially increased over the past 15 years, along with an increased awareness of associated negative outcomes. Consistent comorbidities and risk factors that have been identified with IGD will be reviewed, in addition to the resemblance noted between the neural mechanisms underlying substance use disorders and IGD, proposed diagnostic criteria, its relevance in today’s constantly evolving society, available treatments and areas for further research.
    In the realm of pharmacological measures available to address this, Low Dose Naltrexone will be specifically discussed, expounding on the history of the development and sanctioned use of this compound. The innovative discovery and implications of using this tried-and-tested opioid receptor blocker in much smaller doses to influence a multitude of diseases will be explored, including immune/auto-immune, neoplastic and inflammatory conditions in addition to mental health concerns like depression, PTSD and behavioral (process) addictions.


    1. List the proposed DSM-5 criteria for Internet (video) gaming disorder (IGD), and discuss its prevalence, risk factors and co-morbidities
    2. Review the stages of addiction and examine the neurological underpinnings of IGD
    3. Discuss an overview of the available treatments for IGD and areas for further research
    4. Describe the mechanism of action of low dose naltrexone (LDN) and how it differs from the typically available and utilized dose formulations of the compound.
    5. Discuss the diseases that it has been used for, the evidence base for efficacy and the potential for LDN to be a valuable pharmacological tool.

    If you have any questions about this event, please contact Donna Mahacek at 904-513-5823 or [email protected]

    About the Speaker:

    Anish John, M.D.

    Board-Certified Associate Medical Director at the Positive Sobriety Institute

    Dr. Anish John is board-certified in both general and addiction psychiatry (ABPN) and is the Associate Medical Director at the Positive Sobriety Institute, Chicago where he oversees care for patients in the partial hospitalization and intensive outpatient programs. He has an adjunct faculty appointment as Assistant Professor at the Northwestern University Feinberg School of Medicine, Department of Psychiatry and Behavioral Sciences, and is actively involved in teaching residents and fellows on an ongoing basis.
    Dr. John completed his psychiatric residency in New York, with clinical responsibilities at multiple sites including Creedmoor Psychiatric Center and Columbia University Medical Center/New York-Presbyterian Hospital. His training instilled strong interests in psychodynamic therapy and the intricacies of psychopharmacology. He served as Chief Resident during his time at Creedmoor Psychiatric Center, and was awarded the ‘Conrad Apgar Herr Resident of the Year Award’. He pursued a clinical fellowship in Addiction Psychiatry at Mount Sinai Beth Israel Medical Center in New York City before relocating to Chicago. Dr. John has research interests that include emerging behavioral addictions like gaming disorders and utilizing neuro-modulation techniques (e.g. T.M.S and CES) to influence the outcome of psychiatric and addictive disorders.
    Dr. John takes a comprehensive approach to treating addiction, taking into consideration past relationships, experiences and traumas, personality profiles and co-occurring medical and psychiatric conditions. He also incorporates elements from the field of ‘Positive Psychiatry’, which seeks to promote and understand health and well-being. This shifts the focus from solely what is pathological by also assessing for and highlighting positive psychosocial characteristics including resilience, optimism and coping self-efficacy.

    *Physicians: The activity has been planned and implemented in accordance with the Essential Areas and policies of the Accreditation Council for Continuing Medical Education (ACCME) through the joint providership of CME Outfitters, LLC is accredited by the ACCME to provide continuing medical education for physicians.

    CME Outfitters, LLC, designates this live activity for a maximum of 3.0 AMA PRA Category 1 CreditTM. Physicians should claim only the credit commensurate with the extent of their participation in the activity.

    Florida Board of Behavioral Sciences: Lakeview Health has been approved by the Florida Board of Clinical Social Work, Marriage and Family Therapy and Mental Health Counseling Provider Number 50-17479 exp 3/31/2019.

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