AUD and CUD
A significant percent who enter treatment for Alcohol Use Disorder (AUD), will also have a moderate to severe problem with cannabis, although they may not recognize that.
Category: Treatment
What works? For who? What doesn’t? Why? A complicated disease makes for complexities in treatment.
Treatment
Latest
Your Program’s CUT! Or maybe not…
Their appeal was based on the extreme need of the American people for programs that worked and deserved to be continued rather than sacrificed to the gods of the budget.
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A Treatment Program in a Corrections Setting
…it seems an awful waste to miss out on an opportunity to address their alcohol and drug problems while they’re literally a ‘captive’ audience.
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Should We Pay People Not to Use Meth?
…the fastest growing drug of abuse in many areas is methamphetamine, a stimulant. Incentive programs for drug abuse patients first appeared in the treatment of stimulant disorders, and much of the evidence in support of the practice is based there.
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One for PTSD, One for Pain
Many of the chronic pain patients I’ve run into suffer from both depression and anxiety, much of it related to their experience of pain.
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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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