A Different Kind of Hangover
“Oh great”, remarked one local official. “More people wandering around the streets or driving home with an open container in one hand.”
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The Nausea Solution
Of the patients I met, all decided on aversion therapy for essentially the same reason: they’d tried other things, experienced relapse, and lost patience.
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Opioid Tapering
Of more than 9000 Veterans Administration patients, only one-quarter rated their pain control with opioids as excellent or very good.
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Evidence is Great, But…
Research admittedly takes a long time, including the need for replication, and patients in clinical programs aren’t necessarily willing to wait.
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Pain Psychology
Perhaps more important, the patient could begin to resume a normal life.
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Is Your Therapy Dull?
“It’s too much like doing your taxes,” was her verdict. That’s probably the worst thing I’ve heard anyone say about psychotherapy.
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Individualizing Treatment With Alternative Therapies
Some approaches are better than others at helping an individual identify what works for them in understanding their disease and establishing a stable recovery.
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Weird Science
A new study may be exciting to read, but its credibility will ultimately depend on the accumulation of a body of evidence that confirms it.
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Two Perspectives on Pain
We may be stuck relying on the soft stuff– therapy, support, behavior change, even spiritual growth– all those icky-squicky things that neuroscientists struggle to quantify.
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Naltrexone versus Opioids
Not surprisingly, the vast majority of patients who drop out or otherwise leave maintenance programs return to heroin at rates of 80% or higher.
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Compliance via Incentives
An important step that programs often skip: the collection of baseline data. Improvements are often incremental, and if you don’t know exactly where you started, it’s easy to miss them.
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Cannabis as an Opioid Addiction Treatment
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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A Place for Placebo?
Might be that clinicians can teach patients to activate their own body’s placebo response, in order to feel better.
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