Drugs and the Homeless

August 1, 2019 by C. Scott McMillin

…the problems we decide not to deal with at present go on to undermine treatment for the rest.

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Withdrawal Dilemma

June 20, 2019 by C. Scott McMillin

The physician, meanwhile, depends on the information provided by medical science, usually in the form of materials from the pharma firm that markets the product.

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Opioid Disorders and Depression

February 11, 2019 by C. Scott McMillin

The increased incidence of depression, anxiety, and other psychiatric symptoms linked to OUD may also help to account for high rates of relapse among patients, post-treatment, versus other substance disorders.

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Trauma and Memory

November 8, 2018 by C. Scott McMillin

In fact, it’s often difficult to convince the trauma patient to seek treatment, in part because of fear of having to re-experience the event.

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Tapering off Anti-Depressants

May 14, 2018 by C. Scott McMillin

In the absence of complaints, the prescriber can be tempted to assume things are going well, when in fact they aren’t.

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Addictive Delusions

December 21, 2017 by C. Scott McMillin

A reasonably good rule of thumb for differentiating results of substance addiction from other illnesses: When the substance use stops for an extended period, the symptoms improve dramatically or go away entirely.

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Depression Update

December 7, 2017 by C. Scott McMillin

Patients with severe substance disorders may experience depression as a result of the cumulative effects of their substance use.

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Opioids and Mental Health Diagnoses

August 3, 2017 by C. Scott McMillin

This goes back to a problem in assessing pain. There’s no physical test for what is essentially a subjective experience.

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Cannabis as an Opioid Addiction Treatment

December 29, 2016 by C. Scott McMillin

It usually comes back to the assumption that another problem ‘underlies’ addiction, and therefore will respond to treatment with the “right” drug, if we can figure out what it is.

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In the News: Adderall Angst

October 17, 2016 by C. Scott McMillin

“I probably would have taken them anyway. I was really hoping for a chemical fix.”

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