Doubts about Diagnosis

It’s vulnerable to bias, both on the part of the patient and the practitioner.

The National Basketball Association has had its share of scandals related to gambling. They’ve snared both players and coaches, the famous and not-so-famous.

Here’s a recent example, involving an accomplished scoring guard who had played with six different teams over his nine-year career:

Ex-NBA guard Malik Beasley to plead guilty after involvement in gambling scheme

Beasley was indicted in June after prosecutors said he manipulated several NBA games in a larger gambling scheme

A quick summary: Beasley is said to have owed millions due to an escalating gambling habit. To help pay off the debt, he decided to borrow money from a retired player named Ed Davis, himself a former NBA journeyman with stops at eight different teams over little more than a decade.

At some point, the two allegedly decided to launch an adventurous betting scheme of their own. I suppose they reasoned that if they couldn’t beat the syndicates, why not join them?

The two men and their...

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Sad Circle

An athlete with a gambling problem goes into deep debt, can’t possibly pay it off. Solution: borrow even more money, adding a second debt to what remains of the first.

Sad Circle

An athlete with a gambling problem goes into deep debt, can’t possibly pay it off. Solution: borrow even more money, adding a second debt to what remains of the first.

Those Troubling OD Statistics

In recent months, samples have been  found with as much as 20% fentanyl content. It’s easy to see how this could increase both the total number of overdoses, and the percentage of victims who did not survive.

The Voters, Voting

Turns out that cannabis is not really just the harmless fun toy that people assumed. Not now that products are waaay higher in THC content, and more and more people are eating and vaping and sucking on them, instead of simply puffing on a good ol’ college-style doobie.

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Drugs on Paper

Worse yet, in addition to being difficult to track, it was cheap to make and many times the potency of the drugs with which they were familiar.

Who’s To Blame?

After all, the victim may well have self-administered the fatal dose, or even procured it on their own — thereby exercising what at least appears to most observers to be freedom of choice.

Drugs on Paper

Worse yet, in addition to being difficult to track, it was cheap to make and many times the potency of the drugs with which they were familiar.

What We Can Learn from Estonia

...the situation has improved, mostly because of renewed efforts on the demand side. Estonia adopted harm reduction strategies used effectively in other countries,  such as take-home naloxone; ready access to MAT; and efforts to destigmatize drug use and drug users.

The Storytellers

One young man explained that he avoided speaker meetings because the “drunkalogues” he heard triggered in him an awful craving for a drink.

Drugs in Rehab: Part 2

I was reminded that patients’ own goals can easily diverge from, or even directly contradict, the presumed goals of the professionals who treat them.

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Rage-baited

From a counseling standpoint, it’s a time when we ought to be advising patients to restrict their social media activity, at the very least to selected forums and sites that support recovery goals

Is This Recovery?

...there are other folks out there like these— pretending to sobriety yet still secretly using, and hoping to avoid the sort of trouble that haunted them in the past.

Officers in the House

...with law enforcement agencies taking on vastly different roles, planning and practicing our response appears more important than in the past.

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A Novel Approach

...the author, who grew up in and around the region, chose to use its earnings to found Higher Ground, a home for recovering women.

A Novel Approach

...the author, who grew up in and around the region, chose to use its earnings to found Higher Ground, a home for recovering women.

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