title: Impulsivity and Stillness: NADA, Pharmaceuticals, and Psychotherapy in Substance Use and Other DSM 5 Disorders.
abstract: Pharmaceuticals and psychotherapy are commonly used in the management of impulsivity.  The National Acupuncture Detoxification Association (NADA) protocol is an adjunctive therapy that involves the bilateral insertion of 1 to 5 predetermined ear needle points. One of the main benefits reported by patients, providers, and programs utilizing NADA is the sense of stillness, centering, and well-being. The induction of this attitude is seen as contributing to improved clinical outcomes including engagement and retention.  The attitude of stillness is also suggestive of a pathway to mitigating impulsivity. Impulsivity is associated with substance use disorders and other DSM 5 diagnoses.  Impulsivity has characteristics that are manifested clinically in behaviors such as disinhibition, poor self-control, lack of deliberation, thrill seeking, risk-taking. NADA holds promise as a useful treatment adjunct in the comprehensive management of disorders for which impulsivity is a prominent component.
authors.affiliation: Department of Psychiatry, Carolinas Healthcare System, 501 Billingsley Road, Charlotte, NC, 28211, USA. kenneth.carter@carolinashealthcare.org.
authors.forename: Kenneth
authors.initials: K
authors.lastname: Carter
authors.affiliation: Department of Psychiatry, Carolinas Healthcare System, 501 Billingsley Road, Charlotte, NC, 28211, USA. michell.olshan-perlmutter@carolinashealthcare.org.
authors.forename: Michelle
authors.initials: M
authors.lastname: Olshan-Perlmutter
keywords: DSM; NADA; acudetox; adjunctive treatment; impulsivity; mindfulness; pharmacology; psychotherapy; substance use disorder