Yes, cannabis use goes up when it’s legal

For regular users, that suggests greater tolerance, which contributes to dependence, which means withdrawal symptoms, which usually lead the user to seek still stronger forms of the drug.

Remember when cocaine was the drug everyone was concerned about? We don’t read much or hear much or see much on television about it today, but I believe there’s been a real resurgence in cocaine use, probably because people have forgotten what the cocaine outbreak was like.

Now we’re all worried about fentanyl, for good reason, of course. And a host of other synthetics already in the pipeline, such as the nitazenes we wrote about in early 2024.

But as I said, the old stalwarts are still around, still making trouble. Cocaine is just one of them. And not only in the US, but in other countries as well.

Here in America, some 4.3 million to 6.5 million people aged 12 and older used cocaine in the past year, says the UN World Drug Report. That translates to an estimated 2 million active users each month, another 1.3 million who would qualify for a Cocaine Use Disorder.

Not surprisingly, 18 to 25-year-olds constitute  the fastest growing user population, preparing a new...

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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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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.

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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