Ending Stigma
By Tom Horvath, PhD Addiction professionals say they’re working toward ending stigma surrounding addiction, but they also tend to promote addiction as a disease. These activities are contradictory. By promoting addiction as a disease they play into the general tendency to perceive in-groups (“normies”) and out-groups (those with the disease). Instead of emphasizing that “addiction […]
The Self-Empowering Approach
by Tom Horvath, PhD Practical Recovery and SMART Recovery both use the self-empowering approach for resolving addictive problems. This approach contrasts with the powerlessness-based approach of AA and other 12-step groups, at least on the surface. Both approaches begin with the person considering change, and then deciding to change (at least to some degree). Both […]
Stanton Peele Book Review by Dr. Tom Horvath
A Scientific Life on the Edge: My Lonely Quest to Change How We See Addiction, by Stanton Peele, reviewed by Tom Horvath, PhD Peele’s latest book (#14) is a personal autobiography, an intellectual autobiography, and a detailed comparison of his work with that of many other authors and scientists, including Maia Szalavitz, Carl Hart, Marc Lewis, […]
Understanding Shame
by Tom Horvath, PhD If guilt is the bad feeling I get after doing “something wrong,” then shame is the bad feeling I get about being myself. Shame might arise along with guilt (“I’m not good enough, and a bad person, for doing something that terrible”). However, shame might arise by itself. In the extreme […]
Managing External Boundaries
by Tom Horvath, PhD When we talk about having boundaries, we can talk about managing external boundaries and we can talk about managing internal boundaries. This blog will discuss the management of external boundaries. To better understand external boundaries, it helps to understand the concept of interpersonal boundaries. Interpersonal boundaries are the rules we establish […]
Seeking Out and Managing Discomfort
by Tom Horvath, PhD A well-lived life needs to have significant and possibly considerable amounts of discomfort in it. For instance, do you want to exercise well, maintain a certain weight, get up early, work hard at something, or hold your tongue in an intense discussion? You are likely to feel uncomfortable! The key, then, […]
Asserting Myself

How well am I asserting myself? It is an increasingly competitive world. We need to assert our wants and desires in order to thrive. It is also an increasingly (socially) distant world, and not just because of a pandemic. It is easy to get distracted by the limited connections provided by social media, and not […]
Cannabis-Induced Psychosis is No Reason to Keep Pot Illegal
by Thaddeus Camlin, PsyD As cannabis crawls toward federal legalization, the 11th hour panic push is in on. Last week saw the introduction of the Cannabis Administration and Opportunity Act, which seeks to federally legalize cannabis in the U.S. For those opposed to legalizing cannabis, ‘cannabis-induced psychosis’ and ‘ultra-high potency THC products’ are the buzz words working most […]
America Celebrates the Drug War’s 50th Anniversary
by Thaddeus Camlin, PsyD Let’s call a spade a spade. The war on drugs is a euphemism for a war on personal freedom. The hypocrisy inherent in a war on personal freedom in the self-proclaimed land of the free is more than a tad embarrassing (insert cringe emoji here). The number of lives ruined with criminal scarlet letters […]
Radical Acceptance

by Tom Horvath, PhD, ABPP Dialectical Behavior Therapy (DBT) places a primary focus on improving distress tolerance. One of several tools DBT offers for tolerating distress is radical acceptance. The context of using any of the distress tolerance tools is the recognition that life will have distress, and that we need to learn how to […]