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Copyright of Canadian Journal of Psychiatry is the property of Sage Publications Inc. and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)

Copyright of Sante Mentale au Quebec is the property of Revue Sante Mentale au Quebec and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)

Copyright of Sante Mentale au Quebec is the property of Revue Sante Mentale au Quebec and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)

Copyright of Sante Mentale au Quebec is the property of Revue Sante Mentale au Quebec and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)

Copyright of Sante Mentale au Quebec is the property of Revue Sante Mentale au Quebec and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)

The misuse of pregabalin (Lyrica) has emerged as a common problem in recent years, particularly among vulnerable populations. This reality is reflected in the prison environment, where pregabalin is subject to abuse and trafficking. In this article, we detail the issues surrounding this misuse and our practical strategy for tackling it. It is based on four axes: a) clarification of the indication (or lack thereof); b) support of withdrawal with gabapentin; c) if applicable, management of the symptoms or diseases mentioned (neuropathic pain, epilepsy, etc.) with other treatments, and finally d) addiction counseling., Competing Interests: Les auteurs n’ont déclaré aucun conflit d’intérêts en relation avec cet article.

Objectives To introduce the concept of digital well-being and explore the place of digital tools in the service of this well-being. Methods The article is based on a description of the concept of digital well-being, the intervention models currently available and the possibilities for improvement of these models. Findings Over the past decade, smartphone use has become almost ubiquitous in modern society. The average person spends several hours a day on their device, especially among teenagers and young adults. With smart, interactive, convenient and always-on connectivity, individuals face new challenges and pressures related to when, where, how and how intensively they choose to connect or disconnect from the services provided by the smartphone. Problematic smartphone use has been linked to mental health disorders and functional problems. The concept of digital well-being has recently been introduced to address this challenge of using digital technologies to promote well-being. This is the subjective and individual experience of an optimal balance between the advantages and disadvantages associated with digital technology. Today's interventions are mostly based on technological tools focusing on screen-time control. The results of such interventions are mixed. Conclusion Better integration of dynamic human-machine interfaces may be essential for optimal efficiency of tools aiming to support digital wellbeing.

Exercise addiction, although not yet officially recognized, can be defined as the harmful practice of physical exercise, described as a compulsive need, where damage take precedence over the benefits of this practice, with a continuation of this behavior despite the negative consequences. A number of risk factors have been identified, including psychopathological conditions such as eating disorders or other addictions. It is possible to detect this addiction and assess its intensity using multidimensional questionnaires, even the clinical relevance and thresholds of which are still debated. Despite the absence of validated treatments, motivational approaches and cognitive-behavioural therapies can be useful, combined with nutritional management if necessary, as well as management of concomitant disorders., Competing Interests: Les auteur-es n’ont déclaré aucun conflit d’intérêts en relation avec cet article.

Addictions appear everywhere, mutate, transform with new products and behaviors, playing on our painstaking efforts to try to control them. Drawn into this current, the impression that dominates invites more to understand and to coax rather than to fight. Addictions are our condition, let's deal with it, rather than fight against them. It is therefore a question of knowing the products, that everyone can identify their level of risk, and of giving as many tools as possible, at any age, whatever the behavior or the product. This article shows us that there is a lot to do, from school benches to liver transplantation. There is also a lot to discover, in the recognition of the therapeutic virtues, of cannabinoids for example or even in their prescription, of pharmaceutical heroin for example, sometimes by far the best option., Competing Interests: La Pre Broers est membre du comité de la Société suisse pour le cannabis en médecine mais déclare qu’il n’y a pas de conflit d’intérêts en relation avec cet article. Les auteurs n’ont déclaré aucun conflit d’intérêts en relation avec cet article.

Cases of addictions and misuses on gabapentinoids are increasingly reported. But the underlying pharmacological mechanism is not completely understood. Here is an uptodate of the current knowledges on this dependence and its management., Competing Interests: Les auteurs n’ont déclaré aucun conflit d’intérêts en relation avec cet article.

Primary care physicians are in an excellent position to address smoking during routine consultations. To this end, physicians have assessment tools and brief interventions appropriate for the duration of consultations. However, these tools are difficult to use consistently in practice. Mobile applications (apps) aimed at stopping smoking could help solve this problem, provided they meet certain quality criteria. This article provides criteria for evaluating these apps to facilitate their identification and use by clinicians. Five French-speaking apps are described. If integrated into routine Primary Care, these apps could facilitate smoking cessation., Competing Interests: Anne-Laure Pittet et Anne-Françoise Chevalley déclarent n’avoir aucun lien financier ou personnel en rapport avec cet article. Jean Gabriel Jeannot n’a aucun conflit d’intérêts par rapport au sujet traité dans cet article. Yasser Khazaal a contribué à la conception et à l’évaluation de différentes applications. Kevin Selby n’a aucun lien financier en rapport avec cet article ; il développe une application pour les médecins (howtoquit.ch) dans le cadre d’un projet de recherche.

The management of patients who have become dependent on benzodiazepines and analogues is a problem frequently encountered in both somatic and psychiatric medicine. No pharmacological treatment is currently recognized as effective in the management of these addictions, apart from a gradual reduction of doses. We propose practical strategies for the implementation of gradual dose reduction and choice of molecules while promoting individual adaptation to the withdrawal symptoms presented by the patient., Competing Interests: Les auteurs n’ont déclaré aucun conflit d’intérêts en relation avec cet article.

The choice of opioid-assisted treatments for patients with heroin dependence is particularly diverse in Switzerland. Since 1994, diacetylmorphine assisted treatments are available. The rules for prescribing and dispensing diacetylmorphine, as laid down by the FOPH, are particularly strict, requiring patients to attend the treatment center several times a day. Thanks to a legislative amendment by the Federal Council, it became possible to extend the dispensing of diacetylmorphine during the Covid-19 epidemic, allowing patients to take the treatment with them for longer periods and thus reducing the number of visits to the clinic. The time freed up could then be invested in other activities, allowing therapies to be refocused more on the patients' life project., Competing Interests: Les auteurs n’ont déclaré aucun conflit d’intérêts en relation avec cet article.

Objective To propose some key steps to facilitate the process of creating mental health smartphone applications (apps). Methods Brief presentation of the potential interest of apps and proposition of key steps for the creation of apps. The paper is based on a narrative review, a testimonial experience and some expert works. Results Apps have ubiquitous features that are particularly appealing for the mental health field. Potentially connected to multiple technologies, mobile and available at all times, they allow great design flexibility. In order to increase the chances of effectiveness and good dissemination of a given app, 9 principles could usefully guide the design of apps, in particular a good integration of end users around well-defined target objectives during the entire process of creating such tools. Conclusion The proposed key steps could facilitate the process of creating mental health apps.

The Covid-19 pandemic has a major impact on psychiatry by its social consequences and possible direct effect of certain forms of Covid-19 on mental health. During this crisis, the accessibility of technology meets a state of necessity, which has propelled telepsychiatry from the shadows into the light. The contribution of several technologies (i.e. virtual reality, actigraphy, computational psychiatry) combining clinical data and neuroscience underlines the great neurobehavioural variability even within the same diagnostic category, calling for greater precision in therapeutic offers as suggested e.g. by developments in neurofeedback. The place of intranasal esketamin in the panoply of antidepressent drug treatments for resistant depression has not yet been defined., Competing Interests: Les auteurs n’ont déclaré aucun conflit d’intérêts en relation avec cet article.

Living in an urban environment increases the risk to develop psychosis. An interdisciplinary research project has allowed a better definition of urban stress components and the adaptation strategies applied by patients to face it. On this basis, the concept of « urban remediation » has emerged as a strategy to help patients regain access to the city. Among the other new treatment approaches, we also discuss therapy through games, which, due to their flexibility and variety, can suit many different needs. These approaches allow the reinforcement of coping capacities through diverse strategies, ranging from the promotion of social interactions to cognitive restructuration or behavioral activation. In addition, the engaging nature of these games may facilitate access and adherence to treatment., Competing Interests: Les auteurs n’ont déclaré aucun conflit d’intérêts en relation avec cet article.

Apps are widely used worlwide and are candidate for a growing role as mobile and digital health support services. Their ubiquitous characteristics and their wide dissemination make this technology particularly appealing for psychiatry and addiction medicine. Apps allow for ecological momentary assessment and intervention. It is hypothezised they are able to reach people, to engage them in app related services and to promote behavior change and empowerment. It seems that apps could reach target populations. Sustainable engagement is however still challenging for most of them. Some specific apps are possibly able to promote a given behavior in a specific population., Competing Interests: L’auteur n’a pas de conflit d’intérêt financier en lien avec cet article. Il a contribué au développement de différentes apps.