A recent study finds that quitting smoking reduces anxiety: The study followed 491 smokers attending NHS smoking cessation clinics in England. All participants were given a nicotine patch and attended eight weekly appointments. Of the sample, 21.6% (106 people) had a diagnosed mental health problem, primarily mood and anxiety disorders. All participants were assessed for … Continue reading Quitting Smoking and Anxiety
Category: Treatment
Recovery advocates argue…
The NY Times has a story on a jail terminating methadone maintenance for inmates. There have been a lot of stories like this over the years. Nothing new. What grated me about the article was this line: Recovery advocates and community members argue that cutting people off from methadone is too dangerous, akin to taking … Continue reading Recovery advocates argue…
Scotland’s ORT Outcomes
Scotland invests a very large portion of their treatment resources into ORT and recently released a report on their outcomes. Pretty underwhelming. ... the Report on People in Treatment study reveals that more than two out of every three users who go into treatment admit continuing to use illegal drugs after three months. ... Where … Continue reading Scotland’s ORT Outcomes
2012’s most popular posts #10 – Almost Alcoholic
This article demonstrates a big problem in understanding addiction and the a big problem in the current diagnostic categories. ...when we think about alcohol abuse or alcoholism, our thoughts often go to situations like this where someone is at a stage where they are doing immediate damage to themselves or others, but what about the stage … Continue reading 2012’s most popular posts #10 – Almost Alcoholic
Intellectual conflicts of interest
Allen Frances, Chair of the DSM-IV Task Force lets loose on the DSM-5. He acknowledges the noxious effects of professional interests on research and practice in a way that is rarely seen from leaders of his stature. [emphasis mine] This is the saddest moment in my 45 year career of studying, practicing, and teaching psychiatry. The Board of … Continue reading Intellectual conflicts of interest
The DSM-5 is coming
Change is coming, but is it good? At its December meeting today, APA’s Board of Trustees approved the final diagnostic categories and criteria for the fifth edition of the Diagnostic and Statistical Manual of Mental Disorders (DSM-5). The trustees’ action marks the end of the manual’s comprehensive revision process, which has spanned over a decade and included … Continue reading The DSM-5 is coming
Lines are being drawn
A major treatment provider, Caron, weighs in on Hazelden's adoption of buprenorphine maintenance treatment: We use buprenorphine (Suboxone) to assist with the detoxification process from opioids and the length of time can vary depending on the patient’s progress and additional medical issues, such as chronic pain. However, unlike Hazelden’s goal as stated in … Continue reading Lines are being drawn
More evidence for 12-step approaches
Another study finding the 12-step involvement is associated with continuous abstinence: Abstract A longitudinal analysis of 12-step involvement was conducted among a U.S. sample of patients exiting treatment for substance dependence. Categorical involvement in a set of 12-step activities and summary scores of involvement from the Alcoholics Anonymous Affiliation Scale were examined in relation to … Continue reading More evidence for 12-step approaches
Motivational Interviewing works, but no better than other treatments
Cochrane conducts a meta-analysis of motivational interviewing (MI) and concludes that it's no more effective than other treatments. More than 76 million people worldwide have alcohol problems, and another 15 million have drug problems. Motivational interviewing (MI) is a psychological treatment that aims to help people cut down or stop using drugs and alcohol. The … Continue reading Motivational Interviewing works, but no better than other treatments
NA gives its members opioids?
Marc Lewis discusses an important role of endogenous opioids. Some very prominent emotion scientists have theorized that opioids (made inside our brains) are at the root of human attachment. Mother’s milk is rich with opioid molecules. In other words, nature found a surefire way to soothe the baby with its mother’s milk, using the same … Continue reading NA gives its members opioids?
Recovery Review 