by Thaddeus Camlin, Psy.D. Bromides abound in traditional recovery circles, arguably none more common than the folklore fantasy that substance use invariably leads to jails, institutions, and death.   If threats, shaming, and fear mongering worked then the United States would be justifiably priggish in its approach to treating addiction.  Instead, after nearly a century of tyrannical abstinence fervor and frenetic consciousness oppression the United States remains the undisputed world champion of drug use.  It is inarguable fact that most people try drugs (86% try alcohol), and most who try drugs do not end up incarcerated, institutionalized, or dead from drug use.  When it comes to drug use inevitably resulting in jails, institutions, and death, did the 12-step program get it wrong?...

by Thaddeus Camlin. Psy.D. Change happens slowly over time.  Gradually, habits develop and patterns of behavior establish routines.  Whether we are changing our eating habits, sleeping habits, work habits, love habits, or drinking habits, the change process is the same.  As behaviors develop into well-maintained patterns and habits, some self-regulatory control is compromised due to neurobiological adaptations – it’s harder to not add sugar to coffee for someone who always added sugar to coffee than it is for someone who only added sugar to coffee once.  Luckily, the brain of the coffee-sugar cross-fader has not been hijacked because drugs do not hijack the brain. Myth: Drugs Hijack the Brain Saying drugs hijack the brain is like filming a two year time lapse, then playing it back ...

By the team at Practical Recovery Separating libations from social situations in American culture is about as easy as separating hassle from air travel.  A 2017 study published in the Journal of the American Medical Association found that alcohol consumption is on the rise in the United States, especially among women, older adults, ethnic minorities, and the socioeconomically disadvantaged.  The phrase, "Let's grab drinks," is such a staple of US culture that establishing a natural, rich, and fulfilling social life is a legitimate challenge for those who pass on the party scene.  For those who resist liquid luncheons, thirsty Thursdays, not-so-happy hours, and whiskey sours, it is important to have some ways of staying sober in a “let’s grab drinks” culture. People don’t drink for...

by Thaddeus Camlin, Psy.D. Evidence continues to mount in support of safe, effective treatment assisted with psychedelics. States like Oregon, Colorado, and Washington are preparing to vote on the legalization of psilocybin in the near future, a psychedelic with a wide array of healing potentials. MDMA earned 'breakthrough status' from the FDA and is set to be the leading treatment for PTSD by 2021. However, quietly, and before the forerunners of psilocybin and MDMA, ketamine already emerged and is currently being implemented in safe, legal treatment across the United States. Ketamine's Place in the Treatment of Addiction Ketamine reliably and quickly alleviates severe depressive symptoms.  Many ER hospitals currently treat people who are actively suicidal with ketamine, and often ...

by Thaddeus Camlin, Psy.D. Getting High: 11 Unassuming Household Items Parents Should Watch Out For A teenage mind determined to get high is a breeding ground for creativity.  Everybody knows about the usual suspects: pot, alcohol, dad’s back pain pills, etc.  However, there are a number of ways kids can alter their consciousness even when access to the usual suspects is successfully restricted.  This week’s article, while far from comprehensive, covers some of the lesser-known ways kids find ways to stimulate their minds. 1. Gas/Paint Thinner It might not be the classiest way to party, but teen years generally aren’t defined by a refined disposition. Almost every garage has a red gas can and/or a container of paint thinner.  It is important for parents to know that inhaling gas or ...

By Thaddeus Camlin, Psy.D. By now most are accustomed to so-called addiction experts purporting hair-brained ideas about substance use.  Examples of hair-brained ideas from addiction experts include but most certainly are not limited to: don’t give an alcoholic drugs, once an addict always an addict, addicts are constitutionally incapable of being honest with themselves, there’s only one way to recover…   and the list goes on ad nauseam.  This week addiction experts from down under pushed a click-bait claim, based on "scientific analysis" of all James Bond films, that the man with a golden gun’s alcohol intake is so severe that he might not die another day.  In the spirit of challenging the litany of misinformation about addiction, let us look closely at the claim from Aussie experts...

by Tom Horvath, PhD., ABPP This blog is addressed to psychotherapists who do not view themselves as capable of providing addiction treatment. Many (if not most) therapists have this perspective. However, as I have suggested for many years, individual therapy (possibly supplemented by couple’s and family therapy) is the setting of choice for most individuals with addictive problems, and therapists should learn to address these problems. Unfortunately, many therapists lack the confidence even to learn about addiction treatment. Therapists already know most of what they need to know for basic addiction treatment. They also need some basic information about addiction and recovery. In an effort to boost the confidence of these therapists, below are the principles they would keep in min...

by Thaddeus Camlin, Psy.D. It’s the most wonderful time of year…  for some.  For others, this time of year brings with it uncomfortable holiday situations and challenges.  Navigating difficult family members, work events, and beverage-laden holiday parties while successfully self-regulating or abstaining from alcohol can render celebratory festivities a skosh toilsome.  Here are some exit strategies to help navigate uncomfortable holiday situations. 1. Identify Your Reason to Leave Ahead of Time. You know Topher from marketing is going to hound you all night to have a drink (or 10) with him, and you know you don’t want to play Robin to Topher’s Batman in the tales of misadventure that the entire company laughs and cringes about on the Monday after the holiday party.  After the main...

A collegiate recovery program can mean all the difference to a young person in recovery. Having a program like this available on campus means they do not have to choose between recovery and a higher education. It provides students with an avenue to stay committed to recovery, while focusing on school, and having a community of support in a setting where it’s stereotypically a place to overindulge in substances. We researched colleges across the country that understand this and have dedicated university resources to supporting students in recovery. This is far from all, but is a great showing of support for the recovery community in higher education. U.S. Universities with Recovery Programs for Students Alabama University of Alabama in Tuscaloosa, AL - The Collegiate Recovery and...

by Thaddeus Camlin, PsyD New England Journal of Medicine Article Says: Addiction is Learning, Not Disease One of the world’s most prestigious journals just published an article saying that addiction is not disease.  Not surprisingly, an uproar is underway.  Devotees to the disease model of addiction are not happy, but sometimes the truth hurts.  The article in the New England Journal of Medicine is a major step towards improving the standard of care in addiction treatment and deepening our understanding of the true nature of addictive behaviors. Including and Transcending the Disease Model of Addiction The article in the New England Journal of Medicine, written by Marc Lewis, Ph.D., does a masterful job of presenting the current state of the evidence about the etiology and maintenan...