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More addiction cures: Early promise for Risperidone in crystal meth addiction
A recent open label study found some support for the effectiveness of a Risperidone injection, given once every 2 weeks, in reducing crystal meth (speed) use. The 22 patients who participated reduced their weekly crystal meth use from an average of 4 times per week to only 1 time per week. The difference between those…
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The best addiction treatment option
I get asked which addiction treatment option is the best all the time. The short answer? Whichever one ends up working for the client. I don’t like being stuck in the corner, having to pick a “best of” option just because I’m asked. For some clients Moderation Management will work, others need intense day-treatment or…
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Evolution of Addiction Treatment – California learning
Addiction conferences are getting more and more common, and quite a few nowadays showcase the talents of some very knowledgeable, and renowned, addiction experts. Coming from the academic side of things, I’ve been to conferences held by the American Psychological Association, the American Public Health Association, the Society for Neuroscience, and the College on Problems…
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New drug testing technology? Cocaine and saliva
A recent development (check it out here) might lead the way to a quicker, more easily administered drug test. Instead of the lab analysis of urine, blood, or other fluids, this recent technology might allow first responders, such as EMTs, to assess a person’s exposure to drugs (prescription and otherwise) by simply dipping this device…
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Shame on me – Stigma and addiction in treatment
I keep hearing that back in the old days of addiction treatment, shame was the main motivating factor used by rehab counselors. Everyone admits that it proved to be a horrible motivator. It simply didn’t work! With all the advances in research into addiction, that must have changed, right? I don’t think so. I see…
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Opioid prescription overdose and abuse – Staying safe while reducing pain
A new article just published in JAMA (see here) reports a strong relationship between high-dose opiate prescribing and accidental overdose deaths. The authors focused on a sample of Veterans and found that those prescribed more than 50mg of morphine per day, or the equivalent of other opiate drugs, we much more likely to die of…
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The placebo effect: So strong, doctors don’t even have to lie!
Almost everyone has heard about the placebo effect – the finding that treatment that have no particularly relevant effect (like a sugar or vitamin pill, or a behavioral equivalent) can make patients feel better. The placebo effect is actually the reason that all FDA approved drugs have to go through a double-blind placebo-controlled clinical trial…
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A new candidate for ADHD medication: Amantadine and the rise of non-stimulants
It is well known that ADHD diagnoses and substance abuse problems are closely associated. It is estimated that substance abuse problems including dependence are up to twice as common among individuals with ADHD, which is not surprising given the impulsivity factor involved in ADHD. The problem is that until recently, most medications for ADHD have belonged…
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Two forms of alcoholism: One which warrants a chronic disease model, and college
I respect Stanton Peele, if for no other reason than simply because he is well informed and doesn’t mind telling us all about the way he sees things. However, even the mighty sometime misstep, and this article is about what I see as one of Dr. Peele’s errors. Why Stanton Peele thinks addiction isn’t a…