Grief and Depression as Factors in Addiction Counseling

Disclaimer:  nothing in this post should be taken or held as clinical instruction, clinical supervision, or advisory concerning patient care.  In his 1916 article1 titled “Mourning and Melancholia” Sigmund Freud grappled with clarifying the differences between melancholy and mourning.  In his usage melancholy refers to what we would loosely call “depression” and mourning refers to … Continue reading Grief and Depression as Factors in Addiction Counseling

Loss of Institutional Knowledge – a Critical Tipping Point in the SUD Workforce Crisis

Our substance use care system workforce has long faced very high turnover rates. One of the studies from years ago that always stuck with me as framing out the challenges and value of working in our field, was from 2003, the toughest job you'll ever love: A Pacific Northwest Treatment Workforce Survey. It identified turnover … Continue reading Loss of Institutional Knowledge – a Critical Tipping Point in the SUD Workforce Crisis

Polarisation, tension and hostility: just another day in the field of addictions.

Someone relatively new to the substance use disorder area asked me recently why I thought there was so much division and hostility in the addiction and recovery field, compared to other parts of health and social care. Do we really have more conflict than in some other healthcare areas? There are strongly held positions which … Continue reading Polarisation, tension and hostility: just another day in the field of addictions.

Integrating MAT, Abstinence-Based Approaches to Recovery 

An interesting discussion with a passionate advocate for MAT expansion and the most prominent advocate for the "new paradigm": What is the process for successfully integrating these 2 approaches? What are the biggest hurdles providers face when accomplishing this goal?Dr DuPont: The biggest hurdle is the staff reluctance, even the staff distaste, for the integration of … Continue reading Integrating MAT, Abstinence-Based Approaches to Recovery 

What’s the relationship between recovery, collegiate recovery, and substance-free student housing?

https://twitter.com/KeithNHumphreys/status/1447351509658718210 As substance-free definitions of recovery are challenged, this article on Stanford's substance-free student housing community made me wonder if some recovering students will find more safety and support, and have more in common with fellow students in these communities than in collegiate recovery programs (CRP) that include students whose definition of recovery includes ongoing … Continue reading What’s the relationship between recovery, collegiate recovery, and substance-free student housing?

Towards More Compassionate Care for Not Just Another Medical Disorder

If effectively addressing addiction was easy and straightforward, we would have done so already. In reality, it is a multifaceted condition that defies narrow solutions. There are complex genetic and environmental factors that lend themselves more to a continuum of use, problematic use and addiction that is not consistent with either / or check box … Continue reading Towards More Compassionate Care for Not Just Another Medical Disorder