Transforming the US Addiction Treatment Workforce, Part 2
By Tom Horvath, PhD, ABPP Transforming the US Addiction Treatment Workforce, Part 1, argued that the US needs to follow other nations, which have substantially lowered overdose rates and rates of addictive problems by adopting harm reduction. To offer this approach we need providers who work with the client not against the client’s disease, accept […]
Social Fitness
By Tom Horvath, PhD We regularly see criteria for evaluating our health, physical fitness, or financial well-being. If our relationships are the primary source of our emotional well-being (a statement apparently accurate for most people), then guidelines for evaluating our relationships would also be valuable. Having both one or a few intimates, and a wide […]
The Year of the Dog – Movie Review
by Tom Horvath, PhD The Year of the Dog, a roughly 90-minute film, presents a fictional account of a mid-30s man and his early to middle change process out of alcohol problems. The story begins at the end of day 2. Matt has been released from jail, still experiencing withdrawal symptoms. Over the next several […]
The Languages of Love
By Tom Horvath, PhD, ABPP “How do I love thee? Let me count the ways.” from How Do I Love Thee? (Sonnet 43) By Elizabeth Barrett Browning 1806-1861 This poem focuses on the writer’s experience of being in love. That experience could occur even if the love were not returned. We could have a […]
Transforming the US Addiction Treatment Workforce, Part 1
By Tom Horvath, PhD, ABPP The rapid increase in US overdose deaths in recent years has resulted in increased attention to our drug policies and treatment system. In other developed countries drug policy has increasingly oriented toward harm reduction. Harm reduction approaches emphasize working with individuals who use drugs to increase safe use in the […]
Improving Our Language About Addictive Problems, Part 2
By Tom Horvath, PhD In Part 1 I recommended that the term “addictive problems” replace several similar terms. In Part 2 I recommend that the term “recovery” be replaced with several better alternatives, depending on context. To summarize Part 1, there is a continuum of addictive problems (abstinence, moderation, misuse, mild substance use disorder, moderate […]
Coping with Grief
By Tom Horvath, PhD, ABPP When we experience anguish (despair, heartache, melancholy, sorrow) after a significant loss, the depth of the anguish reminds us of the depth of the loss. Usually, the anguish does not surprise us, but we may be surprised at how powerful it is. Even our bodies can hurt. We feel anxious […]
Improving Our Language About Addictive Problems, Pt. I
By Tom Horvath, PhD I recommend the term “addictive problems” to replace several other similar terms, and no longer using the term “recovery,” which has several better alternatives depending on context. In this two-part series on improving the language about addictive problems, part 1 will focus on addictive problems, and part 2 will focus on […]
Setting Boundaries During the Holidays
Boundaries are difficult. Figuring out what your own wants, needs, and limits are can sometimes be hard enough. And then we must figure out a way to communicate our wants, needs and limits to someone else who may have a history of pushing them. Now add on top of that the stress, overwhelm, and sometimes […]
A Guide to Finding Outside Assistance for Addictive Problems
By Tom Horvath, PhD, ABPP Am I an “alcoholic” or “addict?” Do I “need help?” If so, what kind? If you are asking one or more of these questions, this blog is for you! A somewhat out-of-date but nevertheless helpful federal publication considers these questions. Although this NIAAA (National Institute Alcohol Abuse and […]