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

Rx opiate deaths surpass heroin and cocaine combined

From the CDC: Deaths from prescription painkillers* have reached epidemic levels in the past decade. The number of overdose deaths is now greater than those of deaths from heroin and cocaine combined. A big part of the problem is nonmedical use of prescription painkillers—using drugs without a prescription, or using drugs just for the "high" … Continue reading Rx opiate deaths surpass heroin and cocaine combined

Is alcohol dependence a chronic relapsing disorder?

To me, there's a lot in this article that intimates an ideological agenda, but it makes an important point. Insufficient attention has been paid to the entire distribution of those with alcohol dependence. We believe that a chronic relapsing disorder model is not a useful conception for understanding the experience of the majority of people … Continue reading Is alcohol dependence a chronic relapsing disorder?