Is it misleading to call addiction a disease?

The New York Times published a guest essay this weekend challenging the disease model of addiction. I've read several similar pieces over the years and frequently have the same experience. I agree with most of the writer's points, but disagree with his conclusions. Let's walk through it. Annual U.S. overdose deaths recently topped 100,000, a record … Continue reading Is it misleading to call addiction a disease?

Top ten of 2021 #7 – What should be the gold standard for addiction treatment?

This was originally published in a 2019 National Association of Social Workers’ Alcohol, Tobacco and other Drug specialty section newsletter. The most striking thing about substance abuse treatment is the mismatch between the duration of treatment and the duration of the illness.—Robert DuPont, MD DuPont R. (March, 2018) Interview with Brian Coon. Interview presented at the NC … Continue reading Top ten of 2021 #7 – What should be the gold standard for addiction treatment?

The agony of opioid withdrawal

https://www.youtube.com/watch?v=WhpAYw9kCt8 Someone shared this video several weeks ago and it really resonated with me. I've been an addiction professional for 27 years, so I've learned a lot about the effects of opioids and the experience of opioid withdrawal from doctors, counselors, clients, recovering people with a history of opioid addiction, and other experts. However, there's … Continue reading The agony of opioid withdrawal

Moral Panic? Replace ‘moral’ and ‘panic’ with what?

Sam Quinones' recent Atlantic article about methamphetamines came up recently in a conversation with a couple of friends recently. I hadn't read it, but one of the friends responded that it had elements of moral panic. This response was consistent with comments I had seen on Twitter. My impression was that moral panic has been … Continue reading Moral Panic? Replace ‘moral’ and ‘panic’ with what?