Addiction to alcohol or other drugs is not always easy to recover from. However, there are many pathways to recovery, including through treatment. One group of patients does far better than most other groups. In fact, their results are so impressive that many commentators have urged us to learn from what’s different about their treatment … Continue reading Double standards in addiction treatment?
Addiction isn't a spectator sport; eventually the whole family gets to play. Despite this, the impact of addiction on the wider family is seldom considered in studies. This is not okay.
Recovery journeys are rarely linear, generally bumpy and often happen over many years. Treatment may or may not be part of the process. People can need several different treatment episodes over time, often re-presenting with different needs and goals. Despite a growing evidence base only a small percentage of treatment episodes take place in residential rehabilitation … Continue reading Why what happens after rehab is vital
A few things related to recovery have caught my eye recently, things that I think are worth knowing and that ought to shape our practice.. Abstinence goals more reliable In a study from Swiss researchers involving more than 200 patients going through residential treatment, those who set clear goals for abstinence were much less likely to … Continue reading Three more things worth knowing about recovery from addiction
The tragedy of Scotland’s drug-related death figures has been in my mind this last week or so. The media may have largely moved on, but those of us who work in the field of addiction, those of us who know individuals who have died and those of us with lived experience of addiction will not … Continue reading Is Medication Assisted Treatment like the Hotel California?
Recovery journeys can be long and involve several attempts in order for people to resolve their problems. Treatment can be part of this for many, but there are multiple factors outside of treatment that also influence outcomes. One of these is housing. Homeless people with substance use disorders have higher risks, exacerbated further if there … Continue reading Sober living houses – life worth living
This post was originally published in 2012 and is part of an ongoing review of past posts about the conceptual boundaries of addiction and its relationship to the disease model and recovery. In a thoughtful post, Marc Lewis questions the disease model of addiction. He doesn't dismiss it out of hand. He seems to look … Continue reading Response to Why Addiction is NOT a Brain Disease
As a GP in inner-city Glasgow in the 1990s, I looked after patients with heroin addiction. I got to know many of them well, I knew their families, I immunised their children and, distressingly, I saw some of them die. Because of the nature of general practice, I saw the dreadful impact of those deaths … Continue reading Top ten of 2021 #5 – Choice in addiction treatment
As a GP in inner-city Glasgow in the 1990s, I looked after patients with heroin addiction. I got to know many of them well, I knew their families, I immunised their children and, distressingly, I saw some of them die. Because of the nature of general practice, I saw the dreadful impact of those deaths … Continue reading Choice in addiction treatment
An oddly affecting video from Studio Filmbilder that captures some of the elements of substance dependence that will strike a chord with many. https://youtu.be/HUngLgGRJpo