Top Posts of 2011 #1 – The Suboxone “Solution”

The Fix has a provocative article on the growing use of buprenorphine maintenance. Over the last several years we've watched long-term maintenance become the norm and it has been a growing concern at Dawn Farm, particularly as we've had growing numbers of people misusing the drug and others seeking help getting detoxed from buprenorphine. She … Continue reading Top Posts of 2011 #1 – The Suboxone “Solution”

Top Posts of 2011 #4 – Acquiring addiction?

Nora Volkow suggests that it is possible to acquire cocaine addiction from a combination of stress and exposure to cocaine: Dr. Nora Volkow, director of the National Institute on Drug Abuse, has shown in several brain-imaging studies that people addicted to such drugs as cocaine, heroin and alcohol have fewer dopamine receptors in the brain’s reward pathways than nonaddicts. … Continue reading Top Posts of 2011 #4 – Acquiring addiction?

Top Posts of 2011 #5 – Substance Use and Dependence Following Initiation of Alcohol or Illicit Drug Use

There is a new NSDUH report on the development of dependence upon a substance in the 2 years following substance use initiation as explained below. For the purposes of this report, persons who initiated use of a substance 13 to 24 months prior to the interview are referred to as "year-before-last initiates." Year-before-last initiates were … Continue reading Top Posts of 2011 #5 – Substance Use and Dependence Following Initiation of Alcohol or Illicit Drug Use

Top Posts of 2011 #6 – The Epidemic of Mental Illness: Why?

CNN.com summarizes a NYT Book Review review of three recent books that challenge conventional wisdom about mental illness. All of the authors of the new books agree on two thought-provoking viewpoints: 1. Our understanding of categories of mental illness and their treatments has been influenced by drug companies, through both legal and illegal marketing. 2. … Continue reading Top Posts of 2011 #6 – The Epidemic of Mental Illness: Why?

Top Posts of 2011 #10 – How AA and NA work

Here is a summary of the knowledge presented at last year's conference on AA and NA: The preponderance of evidence supports the causal pathway that AA attendance leads to abstinence (Kaskutas, Zemore). 12-Step affiliation significantly enhances the odds of sustaining abstinence for multiple years among polysubstance-dependent individuals (Laudet). 12-Step involvement yields benefits above and beyond meeting attendance (Kaskutas, … Continue reading Top Posts of 2011 #10 – How AA and NA work

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?