Reducing the risks of opioid detox

February 26, 2021February 28, 2022 ~ Dr David McCartney

When discussing the goal of abstinence for opioid use disorder, it sometimes comes up that it's much safer to stay in medication assisted treatment (most often methadone or buprenorphine) than to detox. I agree, but I would never advise a patient just to detox. Detox is a procedure, not a treatment as such. If all … Continue reading Reducing the risks of opioid detox

Drinking when in recovery from other substances

January 9, 2021February 28, 2022 ~ Dr David McCartney

Drink does not drown care, but waters it, and makes it grow fasterBenjamin Franklin When we consider the things that make us vulnerable to addiction – trauma, poverty, lack of opportunity, stress, stigma, genetics and environment, it’s no surprise that relapse and the development of problems with other substances occur after treatment. These problems don't … Continue reading Drinking when in recovery from other substances

Is it okay to drink if you are in recovery from opiate dependence?

October 31, 2020February 28, 2022 ~ Dr David McCartney ~ 3 Comments

In times past, for those with opiate use disorder who were in treatment in therapeutic community settings, as progress was made and days abstinent from opiates grew, a beer might be allowed by staff, say on a Saturday night, in a supervised and supported fashion. Not in any service I have worked in, but nevertheless true … Continue reading Is it okay to drink if you are in recovery from opiate dependence?

If it wasn’t rational, cont’d

October 10, 2013February 28, 2022 ~ Jason Schwartz ~ 2 Comments

All right, last one. This time, Sally Satel makes the case that recovery comes down to choice and "grit and conviction." It's not just American Enterprise Institute fellows who make these arguments. I've heard people in recovery say to other AA members in relapse, "You need to make a decision!" Of course, the relapser has … Continue reading If it wasn’t rational, cont’d