by Thaddeus Camlin, Psy.D. It has been said that the problem with good advice is that it usually interferes with our plans.  In the spirit of a human tendency to give advice in buckets and take it in grains, SMART Recovery starts off its meetings by asking participants to refrain from advice and instead encourages people to offer others ideas to consider.  This week’s article is the first installment in a series that will offer ideas to consider rather than direct advice on how to improve the rather dismal track record of treatment for addictive problems.  This week the idea up for consideration is that avoiding rock bottom is good. Rock Bottom The concept of rock bottom implies that if I want to change a pattern of addictive behavior then I must lose everything and hit the lowest ...

by Thaddeus Camlin, Psy.D. Bright lights cast deep shadows.  Currently, our society’s efforts to treat addiction shine the brightest light on opiates.  An average of 130 people die every day in the United States from an opioid overdose, so it is not like opiates don’t deserve focused attention.  However, as opioid epidemic stories dominate headlines, methamphetamines are falling into the shadows cast by the spotlight aimed at opiates.  Meth results in more arrests than any other substance and concurrent use of opioids and meth doubled from 2011 to 2017.  For many seeking chemical relief, opioids and stimulants are a perfect match – the opioids deliver smooth, calming relief while stimulants provide just the right amount of ‘up’ to stay focused, active, and awake.  Thus, it is now imp...

by Thaddeus Camlin, Psy.D. The concentration of misinformation in the world of addiction is as dense as osmium.  One of the most well-known misconceptions in addiction is the idea of an addictive personality.  I hear references to someone with an addictive personality all the time from professionals and lay folk alike.  The idea of an addictive personality is reminiscent of an availability cascade, in that people talked about it long enough that it became “true.”  The reality, however, is that scientific evidence does not support the concept of an addictive personality. A Closer Look at the "Addictive Personality" Anti-social and depressive behavior frequently accompany addictive problems, but the keyword is behavior.  Behavior is not personality.  According to research, no persona...

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. 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 ...

Artificial Intelligence for Addiction Treatment is Here Technology continues to advance at a rapid rate.  Like anything, excessive use and over-reliance on technology can lead to problems.  However, few would argue that smart phones improved our ability to connect with each other.  At Practical Recovery we strive to stay on the cutting edge of technology and the advancements that improve quality of care.  In keeping with our efforts to improve quality of care, we are proud to be one of the first providers of behavioral health services to incorporate artificial intelligence into treatment. Artificial Intelligence: The Cutting Edge of Mental Health Services Artificial intelligence for Mental Evaluation (AiME) is now an option for all clients at Practical Recovery.  AiME was developed b...

by Thaddeus Camlin, Psy.D. Dr. Horvath and I, along with a team of colleagues, recently published an article on ibogaine treatment for addiction.  In the context of the psychedelic treatment renaissance, it is worth summarizing our findings to provide an overview of what one can expect when taking ibogaine. While much variation between individual experiences exists with all psychedelics, some consistent themes emerged in our study. Here, the themes from our study are organized into the hypothetical presentation that follows (any particular individual’s experience may differ drastically). Ibogaine Treatment: What to Expect Your ibogaine experience may begin with a buzzing.  The sound of a swarm of bees over your head or a motorcycle outside might clue you in to the journey that awai...

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, 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...