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Roger D. Weiss, MD

Roger D. Weiss, MD

McLean Hospital Title:
Harvard Medical School Title:
  • Professor of Psychiatry

Biography:

Dr. Weiss’ career has focused on treatment and clinical research with substance-dependent patients. He has received numerous NIH grants, including for developing integrated group therapy, an evidence-based treatment for co-occurring bipolar and substance use disorders, and leading a multi-site treatment study of prescription opioid dependence. He has authored over 300 publications, including several books, and was vice chair of the American Psychiatric Association Task Force on Practice Guidelines for Patients with Substance Use Disorders.

Dr. Weiss was named a member of honor by the Spanish Society for Dual Disorders in 2011, and has received numerous other awards, including the H. David Archibald Award for Outstanding Research and/or Practice in the Addictions from The Centre for Addiction and Mental Health in Toronto (2007), the Jack H. Mendelson Research Award from McLean Hospital (2012), and the Dan Anderson Research Award from the Hazelden Foundation (2012).

Research Focus:

Dr. Weiss is a leading authority on clinical research of alcohol and drug abuse. Dr. Weiss’ Alcohol and Drug Abuse Clinical Research Program, founded in 1991, develops and tests new treatments for specific groups of patients who have substance use disorders and works on research projects including new treatments for cannabis dependence as well as substance use disorders with co-occurring anxiety.

The following is a sampling of Dr. Weiss’ extensive research, which has made invaluable contributions to the field of alcohol and drug abuse discovery.

Dr. Weiss and colleagues have developed a group treatment for patients with co-occurring substance use disorders and bipolar disorder that has been tested and proven to be effective. This method, integrated group therapy (IGT), was named one of only five “examples of promising behavioral therapies for adult patients with co-occurring conditions” in a recent National Institute on Drug Abuse research report.

In collaboration with Yale University, McLean’s Division of Alcohol and Drug Abuse (DADA) is the Regional Research and Training Center for the New England Consortium Node of the National Institute on Drug Abuse Clinical Trials Network (CTN). CTN’s primary goal is to improve the overall quality of drug abuse treatment in community settings by bringing university-affiliated researchers and community-based clinicians together to design clinical trials that test the effectiveness of behavioral, pharmacological, and integrated behavioral and pharmacological treatment interventions across a broad range of community-based settings and diverse patient populations. Another major goal is to implement addiction treatment studies in community programs so patients receive full benefit of the evolving science of addiction treatment. DADA researchers have played a leading role in the CTN and Dr. Weiss’ lab incorporates findings from these studies and delivers cutting-edge, evidence-based treatments.

Sleep disruption appears to indicate vulnerability to post-traumatic stress disorder (PTSD) as well as being a symptom of PTSD. In the study “Changes in Sleep Disruption in the Treatment of Co-occurring Post-Traumatic Stress Disorder and Substance Use Disorders,” improvement in sleep during treatment was associated with better overall PTSD outcomes. These results suggest that residual sleep disruption following PTSD treatment is common in women with co-occurring PTSD and substance use disorders.

Dr. Weiss and his lab examined the association between the presence of a co-occurring psychiatric disorder—such as depression or anxiety—and sociodemographic and clinical characteristics in this secondary analysis of patients entering a treatment study for dependence on prescription opioids. Women were 1.6 times more likely than men to have a co-occurring disorder. Individuals who are opioid-dependent with a co-occurring psychiatric disorder had a better response to buprenorphine-naloxone treatment despite demonstrating greater impairment at baseline.

In the multisite Prescription Opioid Addiction Treatment Study (POATS), participants randomly assigned to receive individual drug counseling in addition to buprenorphine-naloxone and medical management had outcomes that did not show increased levels of opioid use. Dr. Weiss’ lab therefore conducted a secondary analysis of POATS data to determine whether a subgroup of participants benefited from drug counseling in addition to buprenorphine-naloxone and medical management, either due to greater problem severity or more exposure to counseling as a result of greater treatment adherence. Patients who had a history of heroin use and received drug counseling were more likely to be successful (i.e., abstinent or nearly abstinent from opioids) than heroin users who received medical management alone, but only if they were adherent to treatment and thus received adequate exposure to counseling. These findings emphasize the importance of treatment adherence, and suggest that patients with prescription opioid dependence are a heterogeneous group—with different optimal treatment strategies for different subgroups.

Expertise:

AddictionOpioidsMarijuanaBehavioral TherapyTranslational Research

Personnel:

  • Valerie Kinds-Richardson, Administrative Director
  • Scott E. Provost, MSW, Director of Quality Assurance and Regulatory Activities

Collaborators:

Selected Publications:

Weiss RD, Griffin ML, Kolodziej ME, Greenfield SF, Najavits LM, Daley DC, Doreau, HR, Hennen JA. A randomized trial of integrated group therapy versus group drug counseling for patients with bipolar disorder and substance dependence. American Journal of Psychiatry 2007;164: 100-107.

Weiss RD, Potter JS, Fiellin DA, Byrne M, Connery HS, Dickinson W, Gardin J, Griffin ML, Gourevitch MN, Haller DL, Hasson AL, Huang Z, Jacobs P, Kosinksi AS, Lindblad R, McCance-Katz EF, Provost SE, Selzer J, Somoza EC, Sonne SC, Ling W. Adjunctive counseling during brief and extended buprenorphine-naloxone treatment for prescription opioid dependence a 2-phase randomized controlled trial. Archives of General Psychiatry 2011;68(12):1238-46.

Hill KP, Bennett HE, Griffin ML, Connery HS, Fitzmaurice GM, Subramaniam G, Woody GE, Weiss RD. Association of cannabis use with opioid outcomes among opioid-dependent youth. Drug and Alcohol Dependence 2013;132(1-2):342-5.

PubMed search for Dr. Weiss

Books:

Weiss RD, Mirin SM. Cocaine. Washington, DC: American Psychiatric Press, 1987.

Weiss RD, Mirin SM, Bartel R. Cocaine, 2nd ed. Washington, DC: American Psychiatric Press, 1994.

Weiss RD, Daley DC. Understanding personality problems and addiction. Center City, MN: Hazelden Educational Materials, 1994.

Weiss RD, Daley DC. Understanding personality problems and addiction (workbook), 2nd ed. Center City, MN: Hazelden Educational Materials, 2003.

Westermeyer JJ, Weiss RD, Ziedonis DM, eds. Integrated treatment for mood and substance use disorders. Baltimore, MD: The Johns Hopkins University Press, 2003.

Pettinati HM, Weiss RD, Miller WR, Donovan D, Rounsaville BJ, Ernst D. Medical management (MM) treatment manual: a guide for medically trained clinicians providing pharmacotherapy as part of the treatment for alcohol dependence. Rockville, MD: National Institute on Alcohol Abuse and Alcoholism Monograph, 2004.

Weiss RD, Connery HS. Integrated group therapy for bipolar disorder and substance abuse. New York: Guilford Press, 2011.

Education & Training:

Degrees:
  • 1972 AB, Harvard College
  • 1976 MD, Tufts University School of Medicine
Residency:
  • 1976-1979 Resident in Psychiatry, McLean Hospital
Board Certifications:
  • 1980 Psychiatry, American Board of Psychiatry and Neurology
  • 1993, 2002, 2013 Addiction Psychiatry, American Board of Psychiatry and Neurology
Contact:

Email:


Phone:

617.855.2242


Office Address:

Belmont campus - Proctor House, Room 312