Recovery?

    Addiction Doctor had a must-read post recently about understanding recovery and its relationship to other problems. (Or, more accurately, their absence.) We often refer to some of this a recovery literacy: Recently I had a conversation with a colleague who asked for a recommendation for a therapist for one of his patients with addiction … Continue reading Recovery?

Puritanism?

I recall Susan Cheever's revelation, but missed this at the time: On May 3, the Washington Post's David Von Drehle wrote a Style Section profile of Susan Cheever, biographer of Alcoholics Anonymous founder Bill Wilson. In Drehle's article, we learn that as Wilson was dying of emphysema, the man who has inspired millions to kick the bottle, asked … Continue reading Puritanism?

Needle exchanges won’t solve Hep C crisis but recovery will

From Keith Humphreys: Needle exchange and other programs that attempt to promote safer injection rely on behavioral change. Anyone who has been on a diet knows that behavioral change is hard to do lastingly and perfectly, even for people who are not addicted to a drug. It is therefore unsurprising that research using DNA samples from needles … Continue reading Needle exchanges won’t solve Hep C crisis but recovery will

Too expensive?

I frequently point to health professional recovery programs when discussing the effectiveness of drug-free treatment when it's delivered in the appropriate dose, frequency and duration. They have stellar outcomes. The programs were abstinence-based, requiring physicians to abstain from any use of alcohol or other drugs of abuse as assessed by frequent random tests typically lasting … Continue reading Too expensive?

Goodbye detox, hello maintenance

“If the only tool you have is a hammer, you tend to see every problem as a nail.” — Abraham Maslow There's a new push to promote buprenorphine maintenance. If you believe that drug-free recovery is not possible for opiate addicts, headlines like "For Painkiller Addicts, Suboxone Means Freedom, Dependence" and "Prescription Opioid Addiction Can Be … Continue reading Goodbye detox, hello maintenance