image by Nick Niles

The broken wave of progress

On the morning of November 8, 2016, my wife and I and our two kids dressed in white to honor the suffragettes and went to vote for Hillary Clinton. On that rainy fall morning, it felt like the U.S. was riding a swelling wave of progress. We were still fresh…


Drug overdose deaths and new cases of coronavirus in the United States

For those of us in the field of addiction, the notion of living through an epidemic is nothing new. In the last 25 days, about 800 Americans have died of coronavirus, but during that same period, an estimated 4600 have died from drug overdose. In 2017, I wrote a blog…


Transcript:

From the outside, we can easily tell that something has gone wrong when a person becomes addicted to alcohol or drugs. A kind person becomes mean. An honest person deceptive. A hard-working and reliable person inconsistent or neglectful. How does addiction cause these disturbing changes?

It might be…


Committing to a 12-step Program

A client of mine (let’s call him David) recently returned from completing an elite professional degree. He had also achieved more than a year of sobriety. When David first got sober, I don’t think either of us imagined him coming so far in such a short time. At that time…


Disclaimer: This article is informational purposes only. Speak with a licensed physician if you believe you need medical treatment for an addictive disorder.

https://www.youtube.com/watch?v=217Jj6EIWy8

Methadone is an opioid agonist. It activates the brain’s opioid receptors to reduce or eliminate withdrawal symptoms and opioid cravings. Chronic heroin use involves a rapid…


Disclaimer: This is article is informational purposes only. Speak with a licensed physician if you believe you need medical treatment for an addictive disorder.

Naltrexone is an opioid antagonist. It binds to and blocks the brain’s opioid receptors, creating a neural blockade. Unlike both methadone and buprenorphine, naltrexone does not…


Disclaimer: This article is informational purposes only. Speak with a licensed physician if you believe you need medical treatment for an addictive disorder.

https://www.youtube.com/watch?v=NLLfVXn7ILs

Buprenorphine is a partial agonist. It activates the brain’s opioid receptors but it also binds to and blocks the effect of opioid agonists such as heroin…


Disclaimer: This is article is informational purposes only. Speak with a licensed physician if you believe you need medical treatment for an addictive disorder.

Naltrexone / Vivitrol®

Naltrexone is an opioid antagonist. It binds to the brain’s opioid receptors and blocks the effects of heroin and prescription pain killers. Naltrexone does not activate…


Rock bottom versus Drive Reduction

Traditionally, there have been two approaches to treating alcohol and drug addiction. The first was to assume that an individual would not be able to break from the grasp of addiction without hitting “rock bottom.” From a neurobiological perspective, “rock bottom” is that point in person’s life when he or…


in addiction recovery

Introduction

People use drugs to get high. It is therefore reasonable to think that people who are addicted to drugs are driven by the desire to get high over and over again. However, if you ask a person coming to treatment for addiction why they continue to use drugs, they often…

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