Unreal. Someone's got an awful lot of faith in their diagnostic skills. Diagnosing ADHD with addicts in a detox unit? Really? And, now that it's published, it's "evidence". Rates of undiagnosed attention deficit hyperactivity disorder in London drug and alcohol detoxification units Background ADHD is a common childhood onset mental health disorder that persists into … Continue reading Diagnosing ADHD in detox?
Tag: Health
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
Legal weed
Fresh Air recently aired a great interview on the marijuana legalization. It spent a lot of time looking at the medical marijuana regulation in Colorado and how that will be the model for full legalization. The interview was balanced and informative. (A very rare thing for drug policy discussions.) He also wrestled … Continue reading Legal weed
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?
Response to Why Addiction is NOT a Brain Disease
In a thoughtful post, Marc Lewis questions the disease model of addiction. He doesn't dismiss it out of hand. He seems to look for ways in which it's right and useful. It’s accurate in some ways. It accounts for the neurobiology of addiction better than the “choice” model and other contenders. It explains the helplessness … Continue reading Response to Why Addiction is NOT a Brain Disease
WTH?!?!? (What the heck)
I'm not, in any way, against efforts to develop pharmaceutical treatments for addiction. However, I'm of the opinion that there is a culture problem among researchers and some members of their universe. Does any serious, knowledgeable person with an eye toward practice believe that a stimulant drug is going to be an effective treatment for alcoholism? Yet, … Continue reading WTH?!?!? (What the heck)
Acomprosate – A Randomized, Double-Blind, Placebo-Controlled Study
Recently published and found no "evidence of efficacy for acamprosate compared to placebo". However, "A goal of abstinence was significantly associated with improved drinking outcomes". Efficacy of Acamprosate for Alcohol Dependence in a Family Medicine Setting in the United States: A Randomized, Double-Blind, Placebo-Controlled Study Background Acamprosate has been found to enhance rates of complete … Continue reading Acomprosate – A Randomized, Double-Blind, Placebo-Controlled Study
Hazelden to start opioid maintenance
This has gotten a lot of attention [emphasis mine]: ...for the first time, Hazelden will begin providing medication-assisted treatment for people hooked on heroin or opioid painkillers, starting at its Center City, Minnesota facility and expanding across its treatment network in five states in 2013. This so-called maintenance therapy differs from simply detoxifying addicts until … Continue reading Hazelden to start opioid maintenance
Sentences to ponder
From the ASAM blog: ...is there any evidence that the general public requires less treatment than do healthcare professionals and pilots? I would further ask, given the excellent outcomes generally obtained by PHPs and pilot recovery programs, why there have been no studies in which members of the lay public go through identical programs to … Continue reading Sentences to ponder
Recovery Review 