by Thaddeus Camlin, Psy.D. Avoidance and Fear Nothing feeds fear like avoidance.  Substance use itself often becomes problematic because it is such an effective method of short-term avoidance.  Eventually, the repetition compulsion of avoidance builds up so much unaddressed residual byproduct that the costs of continued avoidance outweigh the potential costs of facing what we fear.  The fulcrum of change and fear is the birthplace of courage.  Ultimately, whether it relates to addiction, career, love, health, anything that matters, fear keeps us stuck and change comes from honest confrontation with ourselves. You may also be interested in: We Can't Feel Safe All the Time Growth and change result from identifying and breaking patterns.  In order to identify and break our own patterns...

by Thaddeus Camlin, Psy.D. The abating cannabis prohibition was dealt a stifling blow this week as Canada became to first G7 nation to legalize the plant. President Trump recently said that he would back a bipartisan bill for federal cannabis legislation reform in the United States. The U.S. bill stops short of federal legalization, but it does protect state’s rights to determine their own laws about the plant. While the headline now is 'Canada Legalizes Cannabis,' it seems that a similar headline for the United States is cooking. Given President Trump’s support of cannabis reform and the legal precedent set by our northern neighbors, it is time to revisit the topic of legal cannabis and its implications for addiction and recovery. Benefits and Risks of Cannabis One of the most...

by Thaddeus Camlin, Psy.D. The greatest trick the puritanical tyranny of abstinence ever pulled was convincing the world that moderate drug use doesn’t exist.  For over a century addiction recovery, despite the facts, successfully fought and relegated moderate substance use to the shadows of quackery.  As is often the case, we only fight what we fear, and clearly an industry built on abstinence would have just cause to fear the truth of moderation’s viability.  However, after decades of devoted work that didn’t come without significant costs to professional reputations and quarterly profit margins, the efforts of addiction pioneers (see below) are, at long last, finally paying off.  Alcohol.org recently posted an article discussing alcohol moderation in an unbiased and straightforwar...

by Tom Horvath, PhD, ABPP The US media often presents stories about substance problems. However, there are fewer stories about how individuals resolve these problems. The National Recovery Study (Kelly, Bergman, Hoeppner, Vilsaint, & White, 2017) was an effort to estimate how many in the US have resolved substance problems, and how they did so. This landmark study merits more attention. What We Already Knew 1) Many individuals who previously had substance problems resolved them on their own (“unassisted recovery”), without being involved in treatment, medication, mutual help or other recovery services (“assisted recovery”). Unassisted recovery is also termed natural recovery, or self-guided change (Bishop, 2018). 2) Many of the individuals in unassisted recovery do not consi...

By Thaddeus Camlin, Psy.D. For many, perfectionism is a guilty pleasure – we know it isn’t good for us but we can’t seem to let it go.  Well, difficulty in letting something go is almost always a sign of that thing being beneficial in some ways, and perfectionism is no different.  When it comes to changing addictive behavior, perfectionism is not only common, but often demanded.  People are routinely kicked out of treatment for not being perfect, or at least coerced into stepping up to a higher (more expensive) level of care.  Because perfectionism is demanded of people attempting to change addictive behavior, it might be worth exploring the concept a bit further. Perfectionism As a Measure of Success in Changing Addictive Behavior There is arguably no arena in which perfection...

The online recovery community has exploded in the last decade with several resources, from apps to forums to blogs. These resources have become integral to the recovery process for millions of people affected by addiction. Over the next few months, we will be interviewing some of the top-rated recovery bloggers of 2018. These bloggers play a special role in the online recovery community. Not only do they give voice to those affected by addiction, they also provide a way for individuals to connect during their own recovery process. Our hats are off to the brave men and women who, by writing publicly, break the stigma of addiction, encourage unity amongst those affected by addiction, and provide a place for people to connect, inspire, and heal. Our first featured top recovery blogger i...

by Thaddeus Camlin, Psy.D. Here at Practical Recovery we’ve done a number of pieces on the language of addiction.  I personally consider the article It’s Time to Clean Up The Language of Addiction, by Anne Fletcher, MS, RD, to be a foundational cornerstone to quality addiction treatment.  In recent weeks a particularly common term in addiction treatment, one highlighted in Fletcher’s landmark piece, has been gnawing away at me – dirty.  The complex histories that shape addictive behavior, combined with moral associations to the term dirty make for a potent, insidious label that deserves swift eradication. The term ‘dirty’ in addiction and recovery circles is about as much of a staple to the industry’s vernacular as the term ‘bottom line’ is in the finance industry.  The world of a...

by Tom Horvath, Ph.D., ABPP. Clients often attempt to choose addiction treatment carefully. Typically, they search for a “program” suitable to their problems, at least as they understand their problems. Unfortunately, most clients are uneducated about addiction. They are not professionals, and the addiction treatment industry and media often present inaccurate information. Consequently, clients can end up in facilities that harm them rather than help them, primarily because in these facilities substandard practices are common (U.S. Department of Health and Human Services, Office of the Surgeon General, 2016). Almost daily in our offices at Practical Recovery we hear about what goes wrong in addiction treatment. Here are some examples. Treatment sessions are not conducted by psychoth...

by Thaddeus Camlin, Psy.D. Outpatient Rehab: What the Experts Say Anyone who encounters the US addiction treatment industry is likely to experience a ‘hard sell’ on inpatient.  The idea that addiction problems are resolved by ‘going away for 30 days’ is as pervasive as it is uninformed.  Lasting change may be initiated in four weeks, but it takes much longer to become engrained.  While the cultural mythos of addiction treatment continues to promote the notion that most people need to go away for 30 days, experts have been saying that outpatient rehab is actually the best fit for most people for quite some time. William Miller and Reid Hester (two leading experts in the field of addiction treatment) looked at who benefits from inpatient alcohol treatment and found no overall advanta...

Thinking about quitting drinking? Here's some advice you might not want to follow. There is an abundance of advice about quitting drinking out there that conspicuously lacks the hallmarks of thought and wisdom.  Advice itself can often be a sign of unsophisticated “help.”  While there are likely many more witless ideas about quitting drinking than this article covers, we’ve hand-selected a few of our favorite Mickey Mouse methods for your enjoyment. 1. Don't Substitute. Tell people who had a failing liver and used cannabis as a substitution for alcohol that substitution doesn’t work. 2. You have to announce your problem to the world. It might not be the best idea to pull your boss or your father-in-law-to-be aside to let them know that you’ve been drinking more than you want to. ...