More on the DSM-V

The Fix has a good opinion piece on the DSM-V, praising its movement away from dependence and abuse. The focus on dependence also implied that cocaine—which does not produce physical dependence—isn’t “really” addictive. That lulled many people in the '80s—including yours truly—to think that cocaine wasn’t likely to be hard to kick. We all know better now. … Continue reading More on the DSM-V

Treating depression and substance use: no significant difference from control

Another study finds treatment as usual to be just as effective as specialized CBT: Few integrated substance use and depression treatments have been developed for delivery in outpatient substance abuse treatment settings. To meet the call for more “transportable” interventions, we conducted a pilot study to test a group cognitive–behavioral therapy (CBT) for depression and … Continue reading Treating depression and substance use: no significant difference from control

Primary care is good for recovery

Primary care visits are associated with better recovery outcomes: A yearly primary care visit was also positively associated with remission (OR, 1.39), as was continuing care (OR, 2.34), defined as: having at least 1 yearly primary care visit, completing substance abuse treatment or receiving further treatment, receiving alcohol or drug treatment when the alcohol or … Continue reading Primary care is good for recovery

effective…as long as it is maintained

This summarythat recent buprenorphine study suggests that the muddy waters are settling [emphasis mine]: This study shows, yet again, that buprenorphine / naloxone is an effective treatment for opioid dependence as long as it is maintained, and that a tapering detoxification strategy, regardless of duration, fails the majority of patients. The summary then goes on … Continue reading effective…as long as it is maintained