More on the DSM-V

The Fix has a good opinion piece on the DSM-V, praising its movement away from dependence and abuse. The focus on dependence also implied that cocaine—which does not produce physical dependence—isn’t “really” addictive. That lulled many people in the '80s—including yours truly—to think that cocaine wasn’t likely to be hard to kick. We all know better now. … Continue reading More on the DSM-V

Establishing residence in hell

Saving lives is good an important, but something about this feels like building an addition on a house in hell. Naloxone is a medication administered usually by injection which rapidly reverses the effects of opiate-type drugs such as heroin, including the respiratory depression which can cause what are normally referred to as 'overdose' deaths. ... The … Continue reading Establishing residence in hell

Treating depression and substance use: no significant difference from control

Another study finds treatment as usual to be just as effective as specialized CBT: Few integrated substance use and depression treatments have been developed for delivery in outpatient substance abuse treatment settings. To meet the call for more “transportable” interventions, we conducted a pilot study to test a group cognitive–behavioral therapy (CBT) for depression and … Continue reading Treating depression and substance use: no significant difference from control