Withdrawal Management, in Practice
Now detox has become withdrawal management, and the cookie-cutter approach is no more.
Category: Treatment
What works? For who? What doesn’t? Why? A complicated disease makes for complexities in treatment.
Treatment
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Change, at Ground Level
…real progress has been made — especially with the most challenging population, the very chronic, relapsing, “street” drug user.
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A Visit to Injection Central
Target client for these operations is the chronic daily user, mostly but not exclusively of opioids, and that’s a difficult population for such programs to work with.
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The Best Laid Plans…
A user could count on a better exchange rate for the Safer Supply medication, whether in cash or illicit heroin, fentanyl, whatever.
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“It was never a problem”
That’s important in a treatment context, because a history of multiple drug use means they will be tempted to focus on one substance — their “drug of choice”, whatever they may feel that is — while minimizing the importance of the others.
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Antidepressants under fire?
“Kennedy has long expressed skepticism about antidepressants, especially (SSRIs), questioning their safety and suggesting they are as addictive as heroin.”
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Meds for Drinking Problems?
…the main challenge for all these meds is “medication adherence.” Translation: patients stop taking them.
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Limits of Harm Reduction
We either do what works, as challenging as that may be, or we accept the consequences of failure.
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Seven Trips to Rehab pt 2
I remember the late James Milam PhD suggesting that the ability to vividly recall one’s first use of a substance might actually be an indicator of future problems.
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7 Trips to Rehab, Part One
These are issues that users seldom take into consideration, in the rush to get the drug. But healthcare professionals, and their attorneys, have to consider them.
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At last a treatment for meth?
I’m curious as to whether the reductions in meth use could be expected to lead to eventual abstinence where meth was concerned. That’s been the hope for other maintenance treatments, for the most part unrealized.
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The FDA & MDMA
…we still haven’t made much progress in terms of agreeing on what qualifies as legitimate psychotherapy. Or perhaps more importantly, what doesn’t.
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Update on Teletherapy
Clinicians …reported feeling under pressure to meet the expectations of clients who had been attracted to the services initially by an aggressive marketing campaign on social media.
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