The Natural History of PTSD

...nearly as many participants experienced worsening symptoms over time as those who improved. In those cases, time wasn’t much of a healer.

Most of us associate Scotland with whiskey, but as this BBC report indicates, the nation of 5.3 million is also known for an unusually high number of drug-related fatalities.

Scottish drug deaths fall but remain worst in Europe

It must be disconcerting for the Scottish government to discover that the nation remains at number one for the seventh year in a row-- even on the heels of a 13% reduction in deaths from the year before.

Worse yet, experts predict an increase in OD fatalities in 2025, partly due to the introduction of nitazenes into the street supply. Unlike the US, where drug users tend to be younger, most Scottish drug deaths occur among 35 to 54 year olds.

It’s not a record to be proud of. But the question emerges: why Scotland? Why is that nation’s fatality rate 3.5 times higher than its neighbors, England and Wales?

According to the BBC, the causes are the expected ones: Loss of jobs, leading to chronic unemployment; a sense of alienation from the...

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The Scottish Problem

As for treatment, the best estimate I could find was that 40% of Scotland’s chronic drug users were enrolled in programs, as opposed to 60% in England.

The Scottish Problem

As for treatment, the best estimate I could find was that 40% of Scotland’s chronic drug users were enrolled in programs, as opposed to 60% in England.

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Here We Go Again (Kratom)

...many of the former treatment patients quickly developed the same problems with kratom that they had with alcohol or cocaine or heroin— compulsive use, loss of control, and continued use despite adverse consequences. 

Here We Go Again (Kratom)

...many of the former treatment patients quickly developed the same problems with kratom that they had with alcohol or cocaine or heroin— compulsive use, loss of control, and continued use despite adverse consequences. 

Life in a Hot Spot

Make it a continuing effort, using strategies based in evidence, and harnessing the power of human interaction-- instead of relying on a burst of anti-drug education, however intense.

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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Overstimulated?

I was nonetheless surprised to learn that one of the areas where use increased the most was among people in their 70s. 

Overstimulated?

I was nonetheless surprised to learn that one of the areas where use increased the most was among people in their 70s. 

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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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