Tom Horvath, PhD, ABPP In preparation for celebrating our 40th anniversary next month, we are updating pages on our website. Today we focus on: https://www.practicalrecovery.com/about-us/ If you have scanned other websites, you may find language identical or similar to ours about what the facility provides. However, having these words on their website does not mean that the facility acts accordingly. If you want to determine what a facility in fact provides, the questions identified here may be helpful: https://www.practicalrecovery.com/wp-content/uploads/2016/10/The-Questions-Final-1.pdf The marketing of treatment facilities is a fiercely competitive endeavor. Facilities may say what they think sounds good, without actually providing it. Perhaps Practical Recovery should...

Update on Tobacco Use and Health Disparities in the US: A New Surgeon General’s Report By Tom Horvath, PhD On 11/19/24, the Surgeon General released Eliminating Tobacco-Related Disease and Death, Addressing Health Disparities. This report updates the report issued in 1998, Tobacco Use Among U.S. Racial Ethnic Minority Groups. Below are some key points of the current report (the 35th on smoking and health since the landmark 1964 report), and observations about them. Not included in the report is the fact that tobacco use has ironies that often get overlooked. Tobacco use is not a leading cause of individuals attending addiction treatment or mutual help groups, but it remains according to this report the leading cause of preventable death and disease (with over 480,000 premature ...

By Tom Horvath, PhD, ABPP Although many of us have warm memories about Thanksgiving spent with family and friends, there may be some painful memories as well. If you're looking for tips on coping with Thanksgiving, and the problems that might arise, consider the following goals: If avoiding squabbles is your goal, can you sit on your own opinions for one day? Say nothing, or say “I don’t agree with these ideas, but this isn’t the time or place to discuss them.” Repeat “this isn’t the time or place” as needed. If your goal is not drinking, or drinking less, you might need some preparation. Will a family member or two be “in the know” and support you? If you are likely to be asked questions (“why are you not drinking?”) do you have an honest but not necessarily revealing ans...

By Tom Horvath, PhD If you are a behavioral health professional and would like an invitation to this event in late January, please email Susie.Lee@practicalrecovery.com. Practical Recovery Turning 40 In gratitude, we are preparing an event that will be both party and networking event. Over the years we have established many relationships in the behavioral healthcare community, but some of our connections may not have met each other. You can also meet our current staff. I am deeply indebted to the many talented and dedicated professionals who have contributed over these 40 years to the development and success of Practical Recovery and SMART Recovery and more broadly to the dissemination of the self-empowering (science-informed, progress-oriented, and holistic) approach. We apprec...

By Tom Horvath, PhD On October 22, 2024, in Lisbon, Portugal, SMART Recovery held its first international conference, in conjunction with the Lisbon Addictions 2024 conference. Lisbon Addictions drew over 2,000 attendees. SMART’s event only had about 50, but they attended from Indonesia, Australia, Hong Kong, Africa, the US, and throughout Europe. SMART was also celebrating its 30th birthday. Although a human baby requires nine months preparation for birth, SMART’s birth required about five years. By October 1994, it was an independent non-profit operating with the name SMART Recovery. At the conference SMART had a booth in the exhibit hall, where we explained to our many visitors what the differences between AA (Alcoholics Anonymous) and SMART Recovery are. SMART Recovery, ...

By Tom Horvath, PhD “If we have our own why, we shall get along with almost any how.” -Friedrich Nietzsche, Twilight of the Idols, Maxims and Arrows, #12, translated (1954) by Walter Kaufman, originally published 1889. Our Own Why There is a range of “whys” that explain how we behave. We have in-the-moment behaviors like eating (why? “I’m hungry”). As we mature, we also have much longer-term timeframes, such as multi-year educational plans (why? “I want to be an X”), and multi-decade parenting plans (why? “I want to give my children opportunities and an upbringing that I did not get to have”). You can probably recall many examples of how you tolerated discomfort or pain for the sake of a longer-term outcome. I suggest that it is helpful to make a list of these experiences in you...

By Tom Horvath, PhD “We are disturbed not by events, but by our views about them.” - Epictetus, 60-138 CE Bad events happen to all of us. To some of us, they happen to a great extent. Whether we have first-world problems, third-world problems, or something else, our problems focus our attention. We want to solve them. In some cases, solving problems means changing or exiting a situation. In many cases, however, there are no obvious changes or exits to make. What now? These types of problems require a change of “view.” Psychologists and others who help people change their “views” have used many terms to describe what needs to be changed to address these types of problems: perspective perception context viewpoint beliefs point of view interpretation *gui...

by Kenneth Anderson, MA The National Institute on Alcohol Abuse and Alcoholism (NIAAA) defines binge drinking as drinking enough alcohol to reach a blood alcohol concentration (BAC) of 0.08% or higher, i.e., to become legally intoxicated. For men, this typically means drinking five or more US standard drinks in a two-hour period. For women, this is typically four or more standard drinks in a two-hour period. Extreme binge drinking, also known as high-intensity drinking, is defined as drinking enough alcohol to achieve a BAC of .16% or higher, in other words, drinking twice as much as the amount for regular binge drinking. Extreme binge drinking is associated with throwing up or passing out. In the United States, extreme binge drinking is a common occurrence at 21st birthday celebr...

By Tom Horvath, PhD I was recently contacted by a website putting together a list of 50 very brief accounts, including before and after pictures, about individuals resolving addictive problems. I was pleased that they included a few quotes from me, about the process of change. https://www.boredpanda.com/best-all-times-before-after-addicts-transformation/ Perhaps the most important fact to know about significant addictive problems is that most individuals fully or mostly resolve them. So often the stories we see are focused on problems, not success. The process of change often takes more effort and more time than we would like, but nevertheless it happens! The results of the change process are quite different from individual to individual. The lengthy time needed to change ca...

By Tom Horvath, PhD Although occasionally we hear someone say “I’m addicted to everything,” it appears that most of us deeply enjoy only a few substances or activities. You would not have time for all of them! This fact means that there are many or at least some substances that you do not feel strongly drawn to, even though others may be. For instance, you might like gambling, but not be interested in any substances. Or you might very much like alcohol (or weed, or meth, or opiates, or coke, or ketamine, or various activities, etc.) but not especially be interested in MDMA (or alcohol, or weed, or meth, or opiates, or coke, or ketamine, or various activities, etc.). How do you do it? How do you NOT get carried away with substances or activities that others find so tempting? How...