Thoughtful guidance about how to effectively address co-occurring psychotic symptoms and substance use disorders

Interview-style, with Elizabeth Irias, LMFT

  • Course Description

    Therapists sometimes struggle with how to effectively manage the treatment needs of people with co-occurring psychosis and substance use disorders. Clinicians may be left wondering, ‘which came first?,’ when evaluating the etiology of substance use and psychosis, and therapists may struggle with identifying how and when to address specific symptoms. With so many important elements to consider, it’s critical to approach treatment from an integrated and comprehensive perspective. This course takes a closer look at these comorbid disorders, and also offers guidance about creating a treatment approach that is evidence-based, collaborative, multidisciplinary, and integrated. Despite the seriousness and the severity of this comorbidity, comprehensive recovery is possible, and this course sheds some light about how to better support people with these conditions.

  • Learning Objectives

    Upon completing this course, participants will be able to: Upon completing this course, participants will be able to: List at least two diagnoses associated with psychotic disorders and two co-occurring conditions; List at least two dimensions of recovery in addition to mental health recovery and substance use recovery; Discuss three evidence-based practices for integrated care

    Target Audience and Instructional Level
    This course is intended for psychologists, therapists, social workers, clinical counselors, and addiction counselors. Instructional level: Introductory

  • How To Take This Course

    In order to receive a certificate of completion reflecting the associated CE credit hour, you must:
    #1: Have an active Clearly Clinical membership
    #2: Listen to the corresponding course podcast
    #3: Achieve a passing grade on the post-presentation test (the test has up to ten questions and you must earn a score of at least 80%; you are able to re-test)
    #4: Complete the required course evaluation.

    Course requirements (including the course audio, post-test, and course evaluation) can be completed on a computer or mobile device via your Clearly Clinical account.

  • Course Format

    This high-quality and interesting course contains a one-hour, non-interactive audio podcast interview which is available for free via Apple Podcasts, Google Play, or your other favorite podcast providers. You can also listen to and download the file via our course player.

  • Commercial Support

    There is no known commercial support or conflict of interest for this CE program, presenter, sponsor, instructor, or content.

  • Certificate Access Details

    Once you've completed the course, your certificate will automatically populate in the 'Certificate' section of your account; it will also be emailed to you. Access to completion certificate will expire 365 days after issuance. Course certificates will be on file for ten (10) years from date of course completion.

Interviewee and Interviewer

Dr. Delia Cimpean Hendrick

Triple Board Certified Physician

As a physician boarded in Psychiatry, Internal Medicine and Addiction Medicine, Dr. Delia Cimpean Hendrick has worked in both psychiatry and internal medicine since the end of residency training at Dartmouth Medical School, and until 2018 when she became the Medical Director at WestBridge, a non-profit organization focused on treating men with serious mental illness and addiction to the goal of comprehensive recovery.

She has worked at the intersection of psychiatry and medicine, such as medical care for people with serious mental illness, mental health care needs of people in primary care, and providing integrated treatments for people with co-occurring disorders, as well as evidence-based medicine. She has worked as a consultant with the Psychiatric Research Center at Dartmouth, and Westat, and has participated many speaking engagements promoting the cause of integrated care. To learn more, please visit her at, Addressing Chronic Diseases, LinkedIn, and WestBridge.

Elizabeth 'Beth' Irias, MS, LMFT


Elizabeth 'Beth' Irias (she/her) is a licensed Marriage & Family Therapist and the Founder and President of Clearly Clinical. She has specializations in Clinical Documentation, Best Practice, and Utilization Review, and works closely with clinical teams across the US as a trainer and national conference presenter. She operates a private practice in Westlake Village, CA, where she provides therapy to adolescent/young adult clients, members of the LGBTQ population, and those with addictive disorders. Beth is an adjunct professor at Pepperdine University in the Graduate Psychology and Education department. She also has two young children, a super cool husband who helps out with Clearly Clinical, a rescue dog, and a rescue cat.

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