Addiction and the Stages of Healing, Part 5: “CARE FOR THE LIFETIME OF THE VEHICLE”

We take automobiles in for the lifetime of the vehicle. We have structural systems set up for vehicle care with no appointment necessary, and expert technicians with the knowledge of what to look for at that point in time, at that number of miles, at that appointment.  We know the appointment will not take long, … Continue reading Addiction and the Stages of Healing, Part 5: “CARE FOR THE LIFETIME OF THE VEHICLE”

Addiction and the Stages of Healing, Part 4: WHAT SHOULD IMPROVE, AND WHEN?

Consider these indicators: Total lung capacity?Inspiratory and expiratory volume (breath)?Dopamine production and function?Cognition and neurocognitive impairments?Abscesses and skin?Return of taste and smell?Gait, balance, strength?Anxiety, sleep, pain, wellbeing?Hope and self-efficacy. Are patients served by addiction professionals getting better, or not?  I have been speaking rather frequently and thoroughly with someone about this basic idea. This person … Continue reading Addiction and the Stages of Healing, Part 4: WHAT SHOULD IMPROVE, AND WHEN?

Addiction and the Stages of Healing, Part 3: A CLEAR IMAGE

I have been asked to represent the idea of Stages of Healing in the form of a picture diagram. This is the image I am currently using. What I mean to represent here is a (large/representative) norm-reference group of 10,000 people or more.  This group would be evaluated prospectively across biological, psychological, social, and spiritual … Continue reading Addiction and the Stages of Healing, Part 3: A CLEAR IMAGE

Addiction and the Stages of Healing, Part 2: GETTING WELL IS LONG; MEASURING IS SHORT

Both problematic substance use and substance use disorders vary overall, and they vary widely – in terms of whether they present or not, and in their severity. But something that is clearly understood is addiction illness.  Even though the current DSM (DSM-5) describes addiction illness in the narrative text fairly succinctly and sufficiently, and even … Continue reading Addiction and the Stages of Healing, Part 2: GETTING WELL IS LONG; MEASURING IS SHORT

Smoking and Recovery: A little more

Earlier today Dr. David McCartney posted a piece on Smoking and Recovery  His comments are encouraging. I thought I would add a little more. The free-standing residential addiction treatment program where I currently serve made the switch to tobacco-free in early 2013.  This article was written a year later and covers lessons learned. It discusses our conceptual and … Continue reading Smoking and Recovery: A little more

“Harms of Use”: A List of References

In creating a presentation on "Harms of Use", examining problems specific to certain chemicals, and related to various contextual factors including: non-prescription websites, new levels of potency from synthetic derivatives, recreational misuse of psychotropic medications without addiction potential based on novel preparation methods and routes of administration, compounds taken in combination for synergistic effects, availability … Continue reading “Harms of Use”: A List of References

“The Big 5” Substance Use Disorder Criteria

Earlier today, Bill Stauffer posted important and interesting content about the elimination of the classic diagnostic categories separating problematic use and addiction, their replacement with a simple list of criteria, and the relative uncertainties associated with the meaning (if any) concerning the number of criteria for SUD that may be met.  That post can be … Continue reading “The Big 5” Substance Use Disorder Criteria