Coronavirus Update: We are still seeing and accepting new clients via online rehab. Sessions and groups occur by video or phone. Call 858-546-1100 for details and to schedule. We are presently authorized to work in some other states (in addition to California). Call to find out about your state.  Need intensive treatment, but fearful about going into a facility? Understood! Call us about an intensive treatment option that won’t place you in high-risk situations.  Four Tips for Getting Sober During Coronavirus Pandemic The recent Coronavirus pandemic has all of us working, schooling, and pulling our hair out at home. Just because the world has seemingly come to a standstill, doesn’t mean that addictions have as well. If you were interested in addiction treatment prior to the quarant...

by Thaddeus Camlin, PsyD Some experts argue that it takes about 10,000 hours to build mastery, others disagree.  Few would disagree that building mastery requires discipline and a significant sacrifice of immediate pleasures over time (aka work).  Sacrificing right now for later is not something humans are particularly well equipped to do.  Sheltering-in-place during the COVID crisis is itself a pay-now, buy-later deal, the exact opposite of addictive behaviors who sell us on our predilection towards buy-now, pay-later deals.  Send me the bill, put it on my tab, charge it to my room, run it on my card, just give me what I want now and I’ll deal with the rest later. Hard-wired human preferences for now over later make sense, given that right now is our only guarantee, tomorrow… who kn...

by Thaddeus Camlin, PsyD Leading harm-reduction experts, April Smith and Kenneth Anderson, recently released an article outlining harm-reduction tips for safer drinking amidst shelter-in-place restrictions.  Many are choosing to abstain entirely, others, not so much.  Many, many industries are hit hard by the societal shutdowns, however, the adult beverage industry is not one of them.  Alcohol sales are up, way up, during the COVID-19 crisis.  Nothing like heroic doses of uncertainty and boredom to drive one to drink!  For those who may be struggling to adhere to their drinking goals, Smith & Anderson offer tips to help maximize drinking safety. Lack of structure is one of the biggest challenges many people face in the era of shelter-in-place.  With external structure no longe...

by Thaddeus Camlin, Psy.D. Last week we covered five ways to cope with isolation.  This week we address the other side of the shelter-in-place coin – the challenges of finding space for oneself when sheltering with others.  Most of us live with people, and most of us can relate to the notion that enough time spent with anyone within the same set of walls drives conflict up to the surface like a thermal convection.  Below are five ways to find personal space while sheltering-in-place with loved ones. 1. Headphones Noise cancelling headphones, ideally, but any headphones will do.  As anyone alive and awake in a city for the past 20 years will attest to, as the emergence of ipods and their corresponding iconic white ear buds proliferated through society every sidewalk and bustling str...

by Thaddeus Camlin, Psy.D. As the late, great Jim Morrison crooned, strange days have found us.  As millions adjust to social life filtered almost exclusively through the cold, unforgiving pixilation of digital screens, the need for genuine connection is more intense than ever.  Below are five ways of coping with isolation that do not involve more screens and may be helpful amidst these strange days that have tracked us down. You might also be interested in: Why Do People Use Drugs? 1. Phone Calls Phone calls rather than facetime, skype, zoom, whatever, eliminate the visual element.  There’s nothing like real-time visual feedback of ourselves to distract us and heighten our insecurities.  Pacing around a living room while talking on the phone can help free the mind.  Feeling mor...

by Thaddeus Camlin, Psy.D. Self-care is frequently pushed as a key to wellbeing.  In the realm of addictive problems, family members are encouraged to put ‘self-care’ first as a way of curbing over-involvement in the lives of someone with addictive problems.  People with addictive problems are encouraged to find healthier ways to practice self-care.  Therapists are trained to implement self-care to manage the stresses and pressures of clinical practice.  Few argue against the merits of taking care of oneself, but simple and effective techniques for how to practice self-care often leave much to be desired.  This article will explore what is perhaps the most effective and simple tactic of practicing self-care – a healthy dose of 'Vitamin-N,' aka, saying no. The simplicity of sayin...

It Can Be Good to Get Out of Your Head by Thaddeus Camlin, Psy.D. Our website content is no stranger to controversy.  A few months back a blog on the benefits of drugs may have been our single best pot-stirrer to-date based on the number of fervent responses of discontent.  Never mind that we live in a society that uses more drugs than any other.  Never mind that our culture often espouses the credo ‘better living through chemistry.’  Never mind that research shows that non-ordinary states of consciousness often have lasting positive impact on overall functioning and wellbeing.  Never mind that the idea of a drug free society is delusional.  Never mind that our controversy-laden blog entitled 'Drugs are Good?' would have likely generated absolutely no outrage had it used the euphemi...

by Thaddeus Camlin, Psy.D. Forgiveness is often discussed in addiction treatment, and in general has been shown to bolster mental health, hope, and self-esteem.  People are frequently told that they ‘should’ forgive a loved one, or that they ‘need to’ forgive themselves.  Tangible tactics on how to forgive are oft-omitted.  This article neglects philosophical pontifications as to what forgiveness is and instead focuses on specific techniques, based on the Enright model of forgiveness, that actually result in the experience of forgiveness. According to researchers, forgiveness starts with an unflinching look directly into the nature of the offense and the objective and subjective effects caused by it.  To forgive, one must identify and work through the layers of pain, shame, guilt,...

by Thaddeus Camlin, Psy.D. Addiction treatment outcomes in the United States leave much to be desired.  Most US addiction treatment is not evidence based. The time for easy access to varied, effective options in addiction treatment is long overdue.  A recent study in Nature, one of the world’s most prestigious scientific journals, shows that ketamine can effectively reduce harmful drinking, especially when ketamine is given immediately following the induction of a craving.  After a single session of what could be described as ketamine-assisted cue-exposure treatment, participants’ drinking frequency and intensity reduced rapidly and remained at about ½ of original consumption levels at a nine-month follow-up.  The study in Nature calls for further research into ketamine therapy a...

by Thaddeus Camlin, Psy.D. We know now through research, experience, and common sense that all so-called "addicts" are not the same, and that addiction is not an intractable, lifelong condition that cannot be overcome.  At the heart of addictive problems a compromised capacity for self-regulation is often found. Self-regulation is not a genetic trait that some inherit and some do not - it is a skill developed and nurtured largely by the environment.  An expertise in horticulture is not required to understand that lacking conditions are the most likely explanation for an underwhelming harvest. The good news is that self-regulation can be developed and refined at any stage of life, and there are concrete factors that help us improve our capacity for it. Underdeveloped self-regulatio...