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FDA Calls on Online Companies to Police Opioid Sales

Food and Drug Administration (FDA) Commissioner Scott Gottlieb this week called on Internet service providers and social media companies to more carefully monitor online sales of opioids. “We find offers to purchase opioids all over social media and the Internet, including Twitter, Facebook, Instagram, Reddit, Google, Yahoo and Bing,” Gottlieb said at the National Rx…

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It’s Not the Rehab—It’s the Relationships!

Individuals in active addiction sometimes say, “I don’t need another rehab, I could teach those groups.” Outpatient counselors sometimes say, “So-and-so isn’t doing well: S/he needs to go to rehab.” The first position discounts the value of addiction rehabilitation by equating it with the content of psychoeducational groups. The second elevates its value to that…

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Untreated Early-Life Trauma – Missed Opportunities, Lost Lives

Several years ago, a colleague asked me what I thought about his “four months and done” buprenorphine treatment program. He believed that virtually all people with opioid use disorders could “learn” how to stay drug-free in that time. All his patients were titrated to an effective dose in the first weeks, maintained for the first…

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Models of Alcoholism: Medical / Physiological Causes

Near the end of the Second World War researchers and leaders in the recovery community jointly formulated the problem of uncontrolled drinking into what is now known as the Disease Model of alcoholism. This model postulates that, like medical illnesses, alcoholism–more specifically alcohol dependence, or addiction—can be diagnosed, its course observed, and its physical causes…

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Alcoholics Anonymous: Science vs. Sensationalism

Alcoholics Anonymous is the most widely used treatment for alcoholism in the world, yet it continues to come under attack by popular media ignorant of the science behind its success. A recent high profile attack appeared in the April 2015 issue of The Atlantic, in the form of an article by Gabrielle Glaser titled, “The Irrationality…

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