Dr Doug Sellman
 
Doug Sellman, MBChB, PhD, FRANZCP, FAChAM, is a psychiatrist and addiction medicine specialist who has been working in the addiction treatment field in New Zealand for the last 26 years. He has been Director of the National Addiction Centre (NAC), University of Otago, Christchurch, since a successful tender process in 1996. He was promoted within the University to a Personal Chair in Psychiatry and Addiction Medicine in 2005. He began his career working with adults who have addiction and mental health problems, but for the last 16 years has worked as a consultant psychiatrist for the Canterbury District Health Board�s Youth Specialty Service. In recent years he has become actively involved in national advocacy for law reform in alcohol and food.

 

Tackling Obesity Using an Addiction Paradigm - Pre-conference Workshop (with Jane Elmslie)
Thursday, 16 August 2012 Start 2:00pm Duration: 120mins Massetti
Obesity is considered by many health professionals to be an intractable condition for which bariatric surgery offers the only real hope. 

This workshop questions this pessimistic stance through providing information from on-going obesity treatment research being conducted at the National Addiction Centre.

Following on from some early research involving a group of obese participants who attended both Weight Watchers and Overeaters' Anonymous,we are now two years into a five year weight loss project involving 25 obese people (13 Maori, 12 non-Maori) in Christchurch. Five key principles from the book "Real Weight Loss: A practical guide to changing your lifestyle and achieving long-term weight loss" have been adapted to provide the backbone to the group's discussion and activity, which is focused on permanent lifestyle change. The principles are Take Control, Get Active, Eat Well, Persist, and Enjoy Life. To date half the group have lost and maintained a lower weight. This interactive workshop will outline what we have learnt so far.

One of the main things we have learnt is that obese people tend to have an intense relationship with food that mimicks drug addiction. Following some early work examining the concept of "problem foods" we have developed a food list, the NEEDNT food list (Non-Essential, Energy Dense, Nutritionally deficienT) to assist obese people in developing new habits of Eating Well. 

Following a general introduction to the workshop, the principal author of the NEEDNT Food List, Dr Jane Elmslie, will explain what the list is about and provide some tips on how it can be used. The remainder of the workshop will provide a detailed overview of the programme, which has been given the name Kia Akina, meaning "to encourage and support".
Opiate Dependency
Saturday, 18 August 2012 Start 9:45am Duration: 25mins Plenary Room
This presentation will begin with an overview of the history and philosophy of the treatment of opioid dependence, which has been dominated by methadone substitution treatment for the past forty years in New Zealand. Although changes have occurred over this time as treatment paradigms have been influenced by various socio-political events and fashions, it remains a relatively isolated and stigmatized treatment struggling to be comprehensive and accepted as a legitimate health intervention. 

However, a new era in opioid substitution treatment could very well be now beginning with the very recent Pharmac subsidy of buprenorphine. This alternative opioid agonist (being marketed as Suboxone: buprenorphine combined with naloxone) is considerably safer than methadone, and may prove to be the vehicle for finally helping shift the treatment of opioid dependence away from being a distinctly "iffy" medical enterprise conducted on the edge of mainstream society to being normalised as routine primary care at patients' "medical home" at the centre of society.
Dealing to Obesity Using an Addiction Paradigm - Practice Nurses Programme
Saturday, 18 August 2012 Start 11:30am Duration: 30mins Port Otago Lounge
Obesity is considered by many health professionals to be an intractable condition for which bariatric surgery offers the only real hope. 

This presentation questions this pessimistic stance through providing information from on-going obesity treatment research being conducted at the National Addiction Centre. Obesity is viewed as similar to liver cirrhosis in terms of both being not unexpected health outcomes of food addiction and alcohol addiction respectively.