by Thaddeus Camlin, PsyD Gratitude tends to be hard-earned.  When life’s complexities converge and we endure a series of painful complications, gratitude may seem like a fool’s errand at precisely the time when it is most needed.  Thanksgiving reminds us, no matter our circumstances, to pause and appreciate.  Nestled amidst a global pandemic, this iteration of our annual holiday of thanks may be a strange and creative version of our usual traditions.  The felt experience of true gratitude may be elusive amidst uniquely trying times.  What follows are some considerations for how to cultivate gratitude for Thanksgiving 2020 (spoiler alert: it's a not a matter of '5 easy ways to be grateful,' there are no shortcuts or drive-thru paths to true gratitude). Gratitude is not the most nat...

by Thaddeus Camlin, PsyD Abuse conjures amongst the most abhorrent of associations.  People who are abused often turn to substances because they provide reliable and effective short-term relief from intrusive and disruptive trauma symptoms like nightmares, flashbacks, and panic attacks.  From that perspective, referring to people who were abused as ‘substances abusers’ doesn’t make much sense.  Thus, some leaders in the field of addiction medicine and treatment are calling on national drug institutions like NIDA and NIAAA to remove the ‘substance abuse’ label from the addiction lexicon.  We shall see if the call for change is answered. Addiction language doublethink is familiar territory for us at Practical Recovery.  Examples of hypocrisy abound when the common vernacular of ...

by Thaddeus Camlin, PsyD The glare cast from the hot spotlight on the Presidential Election drowned out what is arguably the single best day for drug policy reform in U.S. history.  Oregon became the first state to both decriminalize drugs and legalize psilocybin treatment. Four additional U.S. states legalized recreational cannabis.  All drug policy reform propositions up for vote in 2020 passed.  Even in South Dakota, where many believed recreational cannabis would not be legalized, voters chose to put an end to charging people with pot felonies that strip voting rights and rob employment opportunities.  Hope for meaningful drug policy reform is abundant and calls for federal reform are gaining steam. The legalization of psilocybin treatment in Oregon will take about two yea...

By Thaddeus Camlin, PsyD The urgent need for drug policy reform cannot be understated.  In the past few weeks, two stories about drug crime shone yet another spotlight on the lunacy of U.S. drug policy.  Oxycontin manufacturer Purdue Pharma plead guilty to three felony charges and incurred an $8 billion dollar fine for actions contributing to the deaths of nearly half a million Americans.  No owners or executives from Purdue Pharma, including the Sackler Family in charge, will serve any jail time (at least for now).  Many heralded the decision as justice served to the big pharma corporate conglomerate notorious for its strategically misleading information about the addictive properties of its potent opiate cash cow, oxycontin.  Meanwhile, a smaller story arose out of Georgia where Sa...

by Tom Horvath, PhD., ABPP Macbeth, Act II, Scene 3: [Alcohol] provokes the desire, but it takes away the performance It was not until 1976 that scientific evidence supporting this line from Shakespeare was published. In a study of 16 male volunteers, ages 18-24 (mean age 20), the diameter of erections was approximately 10% larger than normal after about 1 drink, about 5% smaller after 2-3 drinks, and about 20% smaller after 4 drinks. With even higher doses of alcohol we can only guess the impact, but clearly the trend is not in the desired direction. The phrase “whiskey dick” is less than Shakespearian but expresses a similar idea when it comes to alcohol and sexual performance. Search the web and you can find numerous articles about this term. A related finding is that lo...

by Anonymous A psychedelic treatment renaissance is underway, driven by a proliferating body of empirical support.  The schedule I status of psychedelic compounds all but suffocated scientific research for decades and continues to stifle the pace of progress.  While the weight of excessive bureaucracy continues be a drag on scientific investigation of psychedelics and their implementation in various treatments, those who may benefit significantly from such treatments are forced to either go without or get creative.  What follows is an account (lightly edited and reprinted here with permission) from someone who chose to get creative.  The stirring account illustrates the intensity, power, and healing that can occur in psychedelic-assisted psychotherapy.  The psychotherapist referred t...

by Thaddeus Camlin, PsyD The aphorism ‘blood is thicker than water’ reminds us to prioritize family.  When it appears that people choose drugs and alcohol over family doubt reverberates through the deepest truths of human bonds.  We become so focused on how someone could choose drugs and alcohol over family that we miss the bigger question:  Why is someone in a position to choose drugs and alcohol over family in the first place?  Often, people are issued an ultimatum something to the effect of: “It’s us, or the booze.”  Rather than reflecting a corrosive character defect in the so-called “addict,” the answer to why people choose drugs and alcohol over family may instead lie, at least in part, at the hands of those who issued the ultimatum in the first place. Anyone who ever is...

by Thaddeus Camlin, PsyD A 2020 mega study from research juggernauts Cochrane garnered substantial attention when it concluded that “there is high quality evidence that manualized AA/[Twelve Step Facilitation] interventions are more effective than other established treatments, such as CBT.”  Click-bait headlines proliferated touting things like, “AA Superior to CBT for Alcohol Addiction,” and, “AA Still Best to Beat Problem Drinking.”  The 2020 Cochrane study conclusion was strikingly divergent from a similar Cochrane mega-study in 2006, which concluded that “no experimental studies unequivocally demonstrated the effectiveness of AA or [Twelve Step Facilitation] approaches.”  Such discrepancies warrant further investigation. Beyond the surface of the click-bait headlines, details ...

by Thaddeus Camlin, PsyD Addiction is characterized by a narrowing of behavior patterns.  As a particular behavior begins to dominate others, problems are likely to arise.  Expanding and diversifying behavior patterns is vital to overcoming addictive problems.  Identifying and participating in activities that capture and sustain our engaged interest is essential to well-being, and improved well-being is an excellent outcome in addictive problems and life in general. A lesser known SMART Recovery tool is called VACI, or Vital Absorbing Creative Interests.  When we engage in VACI, neural networks can be activated that promote a state of consciousness some researchers call flow.  Although the human brain remains a highly unexplored scientific frontier, it is not a stretch to wonder i...

by Thaddeus Camlin, PsyD Few things scare big pharma like effective medicines people don’t have to take every day.  Many are familiar with the sardonic notion that there is no money in the cure.  The psychedelic treatment renaissance is arguably the biggest existential threat to big pharma’s decades-long chokehold on America’s addiction to psychotropic medications.  Patents on naturally occurring alkaloids are not permitted in the U.S., so for those looking to capitalize on the resurgence of effective plant medicines creative strategies must be employed.  Enter psilocybin sublingual strips.  A Toronto based company recently announced its efforts to develop a patentable delivery mechanism for the psychoactive compounds in magic mushrooms, namely, psilocybin and psilocyn.  Administ...