Topamax: The Silent Medication-Assisted Treatment

The United States continues to be in the throes of an opioid epidemic, and the number of people who have developed a substance use disorder continues to increase. This introductory workshop explores the use and helpfulness of topiramate (Topamax^®) in treating Black clients with cocaine use disorder. The presenter discusses disparities in the rate of medication-assisted treatment of Black and White clients with opioid use disorders, microaggressions in treatment, and common misperceptions about Black clients with cocaine use disorder. Participants learn how counselors can better serve Black clients with cocaine use disorder and assist in their recovery.

• List at least three biases (implicit/explicit), ideas, and beliefs regarding Black clients with cocaine use disorder.
• Describe five common uses for Topamax, including medication-assisted treatment for cocaine use disorder.
• Describe at least three specific microaggressions and explain their psychological impact when trying to help Black versus White clients.

Holly Sawyer, PhD