Podcasts about addiction treatment

Episode 215: Meth-associated HFrEF.   Abishak and Zat (medical students) explain the cardiotoxic effect of methamphetamine and the diagnosis and treatment of heart failure with reduced ejection fraction (HFrEF). Dr. Arreaza adds insight into the reversibility of meth-associated HFrEF.   Written by Abishak Govindarajan, MSIV and Zat Akbar Shaw. American University of the Caribbean. Edits and comments by Hector Arreaza, MD. Welcome Dr. Arreaza: Welcome to Rio Bravo qWeek. My name is Hector Arreaza, family physician, faculty and associate program director of the Clinica Sierra Vista/Rio Bravo Family Medicine Residency Program. Today we will explore heart failure with reduced ejection fraction, a high-yield and clinically relevant topic in medicine. We will discuss the role of methamphetamine use in the development of HFrEF. This is a pressing issue because about 0.8% of the population 12 and older in the US reported using methamphetamine within the past 12 months in 2024 (National Survey on Drug Use and Health, NSDUH), that's about ≈2.4 million people!We are joined by two aspiring physicians who will help explore this topic. By the way, we will refer to methamphetamine in this episode as “meth”. [Abishak and Akbar introduce themselves] Abishak: [Introduce yourself] The role of meth in HFrEF Dr. Arreaza: Meth is a growing problem in many places, including Bakersfield, where we live. Meth is also known as Meth Crystal, Poor man's cocaine, Ice, Glass, Crank, Speed, Chalk, and Tina. How does meth contribute to the development of HFrEF? Abishak: So, first, let's understand how methamphetamine works. It has a chemical structure similar to dopamine and norepinephrine, and it gets taken up through the neuron transporter proteins. Once it enters the synaptic vesicles (storage sacs for neurotransmitters), it displaces and forces the release of large amounts of dopamine, norepinephrine, and serotonin into the synapse (the space between neurons). Additionally, meth blocks the reuptake of those neurotransmitters into the neuron, ensuring they remain in the synapse for a prolonged period. All this causes a downstream effect of increased sympathetic pathways in the body. Diagnosis Dr. Arreaza: The diagnosis starts with collecting a good history and performing a complete physical exam, and then we confirm with an echocardiogram.  Abishak: Yes, diagnosis requires both symptoms consistent with heart failure and objective evidence of reduced ejection fraction. Echocardiography is the primary diagnostic tool. We also measure BNP. In certain cases, cardiac MRI is used to evaluate myocardial fibrosis and exclude infiltrative or inflammatory etiologies. Coronary angiography may be performed if ischemic disease is suspected.Guideline-Directed Medical Therapy Dr. Arreaza: GDMT Guideline-Directed Medical Therapy started around 1987 when ACE inhibitors were proven to improve mortality in patients with heart failure. Then, during the following decades, many medications have been added to GDMT. Until around 2019–2022 we came out with the main 4 groups of medications that we know as GDMT. Let's talk about GDMT. Akbar: There are four core pillars in GDMT. First, an angiotensin receptor-neprilysin inhibitor, such as sacubitril with valsartan (Entresto), is preferred over ACE inhibitors when tolerated. This medication reduces mortality and heart failure hospitalizations. Second, evidence-based beta blockers including carvedilol, metoprolol succinate, or bisoprolol are used to reduce sympathetic overactivity and improve ventricular remodeling. Third, mineralocorticoid receptor antagonists such as spironolactone or eplerenone reduce fibrosis and improve survival. The Fourth pillar is SGLT2 inhibitors such as dapagliflozin or empagliflozin, which provide significant reductions in heart failure hospitalizations and cardiovascular mortality, regardless of diabetes status. Abishak: Other main parts of the treatment are diuretics, which are used for symptom control but do not reduce long-term mortality. Dr. Arreaza: As a recap: The current 4 pillars of GDMT are: ARNI/ACEi + β-blocker + MRA + SGLT2i)  Beta Blocker Considerations Dr. Arreaza: Sometimes we may be concerned about using beta blockers in active meth users. What did you read about it? Abishak: Historically, there was concern about unopposed alpha stimulation. However, in chronic heart failure, beta blockers remain essential. Carvedilol is often favored because it provides both alpha and beta blockade. Careful titration and close monitoring are critical.Reversibility and Remodeling Dr. Arreaza: Regarding meth-associated HFrEF, we have good news for meth users. Tell us about how reversible this condition is.  Akbar: It can be reversible. One of the most important aspects of this condition is that significant reverse remodeling may occur if the patient stops methamphetamine use and adheres to medical therapy. The Left ventricular ejection fraction can improve substantially and, in some cases, normalize. On the other end of the spectrum, continued meth use may lead to progressive fibrosis, ventricular dilation, and potentially irreversible damage, leading to death.Complications of meth-associated HFrEF Abishak: These patients are at increased risk for ventricular arrhythmias, sudden cardiac death, left ventricular thrombus formation, and progressive pulmonary hypertension. If the ejection fraction remains below 35 percent after at least three months of optimized therapy, implantable cardioverter-defibrillator (known as ICD) placement should be considered for primary prevention.Addiction Treatment as Core Therapy Dr. Arreaza: It sounds like GDMT cannot be done without talking about meth use disorder treatment. Akbar: Absolutely. Treating the myocardium without addressing the substance use disorder is ineffective. Primary care providers can be trained to manage addictions, but if resources are available, you can place a referral to addiction medicine, psychiatric support, behavioral therapy, and social support services. This is an essential part of the treatment. Sustained abstinence is the single most powerful predictor of recovery.Prognosis Abishak: Prognosis is highly dependent on abstinence. Patients who stop using methamphetamine often experience meaningful improvement in EF and even return to normal.  Dr. Arreaza: Yes, the key factor is complete abstinence, plus standard heart failure treatment. If the damage is mostly functional and inflammatory, recovery is possible. If there is extensive fibrosis (scar) recovery is less likely. Observational studies have shown that patients with meth-associated cardiomyopathy who stop using meth have significant improvement in EF over 3–12 months, fewer hospitalizations, and lower mortality. Akbar: Absolutely. Not all meth-associated cardiomyopathy behaves the same way. The extent of fibrosis determines recovery potential. Cardiac MRI with late gadolinium enhancement can help us estimate scar burden. Patients with minimal fibrosis often have better improvement with abstinence and medical therapy. Dr. Arreaza: So, MRI can actually help us determine the prognosis. Abishak: Yes, very much so. If MRI shows extensive fibrosis, the likelihood of full EF recovery is lower. That information helps us counsel patients more accurately. Akbar: Another key issue is right ventricular involvement. Methamphetamine can affect both ventricles. When the right ventricle fails, patients may develop severe peripheral edema, ascites, and hepatic congestion. Right ventricular dysfunction also worsens prognosis significantly. Dr. Arreaza: And pulmonary hypertension can also worsen the whole picture.  Akbar: That's correct. Meth is associated with pulmonary arterial hypertension independently of left-sided heart failure. In some patients, you may see a combined picture of both pulmonary vascular disease and right ventricular dysfunction. That can make management more complicated because pulmonary pressures may remain elevated even after EF improves. Dr. Arreaza: Tells us about the role of BNP in monitoring these patients.  Abishak: Serial BNP levels can help track response to therapy. Additionally, troponin may be elevated at times in meth users due to myocardial injury. Monitoring renal function is critical because many heart failure medications affect kidney function and potassium levels. Akbar:Other lifestyle modifications include sodium restriction, regular follow-ups, vaccination, and avoidance of other cardiotoxic substances such as alcohol or cocaine. Sleep disorders, especially OSA, should be evaluated because untreated OSA worsens heart failure outcomes. Dr. Arreaza: WhatIs there any role for wearable devices or remote monitoring? Abishak: Yes, increasingly so. Remote weight monitoring, blood pressure tracking, and symptom reporting can reduce hospitalization. In select patients, implantable hemodynamic monitors may help detect rising filling pressures before symptoms occur. Dr. Arreaza: It was a great discussion. Thank you, Abishak and Akbar for bringing all that valuable information to us. Let's wrap it up.     

Two new healing centers count on location, cultural practice, and family connections to break the destructive effects of substance abuse. In Lodge Grass, Mont., organizers plan an integrated foster care facility to complement a campus designed to support families affected by addiction. The non-profit organization behind the center estimates that number reaches as high as 60% of residents in the small town on the Crow Reservation. The Pawnee Nation in Oklahoma is also expanding adult residential and outpatient services close to home, as well as support for children whose lives are disrupted. We'll hear about a promising focus on cultural treatment options, harm reduction, and strengthening families to break addiction's generational cycles. GUESTS Mary Blackowl (Cheyenne and Arapaho, Pawnee, and Comanche), tribal opioid response prevention specialist for the Pawnee Nation of Oklahoma Karaya Fritzler (Apsáalooke, Aaniiih, and Lakota), certified behavioral health peer specialist for the Mountain Shadow Association Megkian Doyle, executive director of the Mountain Shadow Association Mike Ortiz, program coordinator for the Pawnee Nation of Oklahoma's substance abuse program

A hard-hitting exposé of how methadone clinics fail people in recovery—and an urgent, unapologetic case for their abolition.  Methadone is a life-saving medication. But the current system for obtaining it—the opioid treatment program, commonly known as the methadone clinic—is punitive, unjust, and often humiliating. In this eye-opening book Liquid Handcuffs: Policing and Punishment in Methadone Clinics and the Future of Opioid Addiction Treatment (North Atlantic Books, 2026), social worker and journalist Helen Redmond takes readers inside the hidden world of methadone clinics, exposing the “culture of cruelty” that polices, punishes, and profits from those they're meant to serve. Through patient stories and extensive interviews with methadone users and clinic workers, Redmond weaves a compelling argument against the current clinic system. She provides a detailed history of how methadone was first developed and why the current system for dispensing methadone arose in the U.S., tracing its entanglement with the carceral system and the “War on Drugs” as well as private equity firms and tech companies. She details the numerous barriers to enter and remain and treatment, as well as standard practices that shame and discriminate against patients, such as restrictions on take-home doses; daily attendance requirements; regular urine testing; and threats of cutting off medication for any infraction of clinic rules. She also explores the nuances of resistance to methadone clinics within communities of color, unpacking the political, racial, and cultural circumstances behind the opposition to methadone. Redmond persuasively makes the case for removing police agencies like the DEA from clinic administration, and shows how a transition to provider-prescribed pharmacy pickup, along with other tools of harm reduction such as safe-supply and peer-support services, would restore dignity to patients struggling with addiction—and save thousands of lives. Learn more about your ad choices. Visit megaphone.fm/adchoices Support our show by becoming a premium member! https://newbooksnetwork.supportingcast.fm/new-books-network

A hard-hitting exposé of how methadone clinics fail people in recovery—and an urgent, unapologetic case for their abolition.  Methadone is a life-saving medication. But the current system for obtaining it—the opioid treatment program, commonly known as the methadone clinic—is punitive, unjust, and often humiliating. In this eye-opening book Liquid Handcuffs: Policing and Punishment in Methadone Clinics and the Future of Opioid Addiction Treatment (North Atlantic Books, 2026), social worker and journalist Helen Redmond takes readers inside the hidden world of methadone clinics, exposing the “culture of cruelty” that polices, punishes, and profits from those they're meant to serve. Through patient stories and extensive interviews with methadone users and clinic workers, Redmond weaves a compelling argument against the current clinic system. She provides a detailed history of how methadone was first developed and why the current system for dispensing methadone arose in the U.S., tracing its entanglement with the carceral system and the “War on Drugs” as well as private equity firms and tech companies. She details the numerous barriers to enter and remain and treatment, as well as standard practices that shame and discriminate against patients, such as restrictions on take-home doses; daily attendance requirements; regular urine testing; and threats of cutting off medication for any infraction of clinic rules. She also explores the nuances of resistance to methadone clinics within communities of color, unpacking the political, racial, and cultural circumstances behind the opposition to methadone. Redmond persuasively makes the case for removing police agencies like the DEA from clinic administration, and shows how a transition to provider-prescribed pharmacy pickup, along with other tools of harm reduction such as safe-supply and peer-support services, would restore dignity to patients struggling with addiction—and save thousands of lives. Learn more about your ad choices. Visit megaphone.fm/adchoices Support our show by becoming a premium member! https://newbooksnetwork.supportingcast.fm/medicine

A hard-hitting exposé of how methadone clinics fail people in recovery—and an urgent, unapologetic case for their abolition.  Methadone is a life-saving medication. But the current system for obtaining it—the opioid treatment program, commonly known as the methadone clinic—is punitive, unjust, and often humiliating. In this eye-opening book Liquid Handcuffs: Policing and Punishment in Methadone Clinics and the Future of Opioid Addiction Treatment (North Atlantic Books, 2026), social worker and journalist Helen Redmond takes readers inside the hidden world of methadone clinics, exposing the “culture of cruelty” that polices, punishes, and profits from those they're meant to serve. Through patient stories and extensive interviews with methadone users and clinic workers, Redmond weaves a compelling argument against the current clinic system. She provides a detailed history of how methadone was first developed and why the current system for dispensing methadone arose in the U.S., tracing its entanglement with the carceral system and the “War on Drugs” as well as private equity firms and tech companies. She details the numerous barriers to enter and remain and treatment, as well as standard practices that shame and discriminate against patients, such as restrictions on take-home doses; daily attendance requirements; regular urine testing; and threats of cutting off medication for any infraction of clinic rules. She also explores the nuances of resistance to methadone clinics within communities of color, unpacking the political, racial, and cultural circumstances behind the opposition to methadone. Redmond persuasively makes the case for removing police agencies like the DEA from clinic administration, and shows how a transition to provider-prescribed pharmacy pickup, along with other tools of harm reduction such as safe-supply and peer-support services, would restore dignity to patients struggling with addiction—and save thousands of lives. Learn more about your ad choices. Visit megaphone.fm/adchoices Support our show by becoming a premium member! https://newbooksnetwork.supportingcast.fm/american-studies

A hard-hitting exposé of how methadone clinics fail people in recovery—and an urgent, unapologetic case for their abolition.  Methadone is a life-saving medication. But the current system for obtaining it—the opioid treatment program, commonly known as the methadone clinic—is punitive, unjust, and often humiliating. In this eye-opening book Liquid Handcuffs: Policing and Punishment in Methadone Clinics and the Future of Opioid Addiction Treatment (North Atlantic Books, 2026), social worker and journalist Helen Redmond takes readers inside the hidden world of methadone clinics, exposing the “culture of cruelty” that polices, punishes, and profits from those they're meant to serve. Through patient stories and extensive interviews with methadone users and clinic workers, Redmond weaves a compelling argument against the current clinic system. She provides a detailed history of how methadone was first developed and why the current system for dispensing methadone arose in the U.S., tracing its entanglement with the carceral system and the “War on Drugs” as well as private equity firms and tech companies. She details the numerous barriers to enter and remain and treatment, as well as standard practices that shame and discriminate against patients, such as restrictions on take-home doses; daily attendance requirements; regular urine testing; and threats of cutting off medication for any infraction of clinic rules. She also explores the nuances of resistance to methadone clinics within communities of color, unpacking the political, racial, and cultural circumstances behind the opposition to methadone. Redmond persuasively makes the case for removing police agencies like the DEA from clinic administration, and shows how a transition to provider-prescribed pharmacy pickup, along with other tools of harm reduction such as safe-supply and peer-support services, would restore dignity to patients struggling with addiction—and save thousands of lives. Learn more about your ad choices. Visit megaphone.fm/adchoices Support our show by becoming a premium member! https://newbooksnetwork.supportingcast.fm/drugs-addiction-and-recovery

A hard-hitting exposé of how methadone clinics fail people in recovery—and an urgent, unapologetic case for their abolition.  Methadone is a life-saving medication. But the current system for obtaining it—the opioid treatment program, commonly known as the methadone clinic—is punitive, unjust, and often humiliating. In this eye-opening book Liquid Handcuffs: Policing and Punishment in Methadone Clinics and the Future of Opioid Addiction Treatment (North Atlantic Books, 2026), social worker and journalist Helen Redmond takes readers inside the hidden world of methadone clinics, exposing the “culture of cruelty” that polices, punishes, and profits from those they're meant to serve. Through patient stories and extensive interviews with methadone users and clinic workers, Redmond weaves a compelling argument against the current clinic system. She provides a detailed history of how methadone was first developed and why the current system for dispensing methadone arose in the U.S., tracing its entanglement with the carceral system and the “War on Drugs” as well as private equity firms and tech companies. She details the numerous barriers to enter and remain and treatment, as well as standard practices that shame and discriminate against patients, such as restrictions on take-home doses; daily attendance requirements; regular urine testing; and threats of cutting off medication for any infraction of clinic rules. She also explores the nuances of resistance to methadone clinics within communities of color, unpacking the political, racial, and cultural circumstances behind the opposition to methadone. Redmond persuasively makes the case for removing police agencies like the DEA from clinic administration, and shows how a transition to provider-prescribed pharmacy pickup, along with other tools of harm reduction such as safe-supply and peer-support services, would restore dignity to patients struggling with addiction—and save thousands of lives. Learn more about your ad choices. Visit megaphone.fm/adchoices

A hard-hitting exposé of how methadone clinics fail people in recovery—and an urgent, unapologetic case for their abolition.  Methadone is a life-saving medication. But the current system for obtaining it—the opioid treatment program, commonly known as the methadone clinic—is punitive, unjust, and often humiliating. In this eye-opening book Liquid Handcuffs: Policing and Punishment in Methadone Clinics and the Future of Opioid Addiction Treatment (North Atlantic Books, 2026), social worker and journalist Helen Redmond takes readers inside the hidden world of methadone clinics, exposing the “culture of cruelty” that polices, punishes, and profits from those they're meant to serve. Through patient stories and extensive interviews with methadone users and clinic workers, Redmond weaves a compelling argument against the current clinic system. She provides a detailed history of how methadone was first developed and why the current system for dispensing methadone arose in the U.S., tracing its entanglement with the carceral system and the “War on Drugs” as well as private equity firms and tech companies. She details the numerous barriers to enter and remain and treatment, as well as standard practices that shame and discriminate against patients, such as restrictions on take-home doses; daily attendance requirements; regular urine testing; and threats of cutting off medication for any infraction of clinic rules. She also explores the nuances of resistance to methadone clinics within communities of color, unpacking the political, racial, and cultural circumstances behind the opposition to methadone. Redmond persuasively makes the case for removing police agencies like the DEA from clinic administration, and shows how a transition to provider-prescribed pharmacy pickup, along with other tools of harm reduction such as safe-supply and peer-support services, would restore dignity to patients struggling with addiction—and save thousands of lives. Learn more about your ad choices. Visit megaphone.fm/adchoices Support our show by becoming a premium member! https://newbooksnetwork.supportingcast.fm/book-of-the-day

Two new healing centers count on location, cultural practice, and family connections to break the destructive effects of substance abuse. In Lodge Grass, Mont., organizers plan an integrated foster care facility to complement a campus designed to support families affected by addiction. The non-profit organization behind the center estimates that number reaches as high as 60% of residents in the small town on the Crow Reservation. The Pawnee Nation in Oklahoma is also expanding adult residential and outpatient services close to home, as well as support for children whose lives are disrupted. We'll hear about a promising focus on cultural treatment options, harm reduction, and strengthening families to break addiction's generational cycles. GUESTS Mary Blackowl (Cheyenne and Arapaho, Pawnee, and Comanche), tribal opioid response prevention specialist for the Pawnee Nation of Oklahoma Karaya Fritzler (Apsáalooke, Aaniiih, and Lakota), certified behavioral health peer specialist for the Mountain Shadow Association Megkian Doyle, executive director of the Mountain Shadow Association Mike Ortiz, program coordinator for the Pawnee Nation of Oklahoma's substance abuse program Break 1 Music: Buc Wild Intertribal (song) Buc Wild (artist) Oneida Powwow: 40th Anniversary (album) Break 2 Music: Digital Winter (song) Ya Tseen (artist) Stand On My Shoulders (album)

More than a dozen state prison doctors and state‑appointed attorneys say California’s parole board is still relying on faulty drug test results when deciding whether to release incarcerated people, despite a wave of false positives that exposed major flaws just two years ago. Please Like, Comment and Follow 'Philip Teresi on KMJ' on all platforms: --- Philip Teresi on KMJ is available on the KMJNOW app, Apple Podcasts, Spotify, YouTube or wherever else you listen to podcasts. -- Philip Teresi on KMJ Weekdays 2-6 PM Pacific on News/Talk 580 AM & 105.9 FM KMJ | Website | Facebook | Instagram | X | Podcast | Amazon | - Everything KMJ KMJNOW App | Podcasts | Facebook | X | Instagram See omnystudio.com/listener for privacy information.

More than a dozen state prison doctors and state‑appointed attorneys say California’s parole board is still relying on faulty drug test results when deciding whether to release incarcerated people, despite a wave of false positives that exposed major flaws just two years ago. Please Like, Comment and Follow 'Philip Teresi on KMJ' on all platforms: --- Philip Teresi on KMJ is available on the KMJNOW app, Apple Podcasts, Spotify, YouTube or wherever else you listen to podcasts. -- Philip Teresi on KMJ Weekdays 2-6 PM Pacific on News/Talk 580 AM & 105.9 FM KMJ | Website | Facebook | Instagram | X | Podcast | Amazon | - Everything KMJ KMJNOW App | Podcasts | Facebook | X | Instagram See omnystudio.com/listener for privacy information.

Patricia Roos was a sociology professor at Rutgers University when she lost her 25-year-old son, Alex, to a heroin overdose. In the aftermath of that loss, she redirected her life's work by examining the systemic forces that fuel addiction and the shortcomings of how the nation responds to the overdose crisis, particularly the heavy reliance on the criminal justice system.Her new book, Surviving Alex: A Mother's Story of Love, Loss, and Addiction, weaves together her personal story and professional expertise. Through it, she examines how stigma, inequity and a lack of compassion within our health care and treatment systems can lead to devastating outcomes — and how we can begin to do better.In this episode of Grieving Out Loud, Patricia shares her journey as both a mother and a researcher, what she learned while desperately trying to help her son, and how she's using her voice to call for systemic change and a more compassionate response to substance use disorder.If you enjoyed this episode, check out the following:He Saw a Gap in Addiction Treatment and Decided to Do Something About ItInvestigative Reporter Uncovers Abuse and Profit in Rehab Programs‘The ugliest, biggest elephant in the room:' Confronting addiction as a diseaseA mother's urgent message on mental health and addictionSend a textBehind every number is a story of a life cut short, a family shattered, and a community devastated.They were...daughterssonsmothersfathersfriendswiveshusbandscousinsboyfriendsgirlfriends.They were More Than Just A Number. Support the showConnect with Angela Follow Grieving Out Loud Follow Emily's Hope Read Angela's Blog Subscribe to Grieving Out Loud/Emily's Hope Updates Suggest a Guest For more episodes and information, just go to our website, emilyshope.charityWishing you faith, hope and courage!Podcast producers:Casey Wonnenberg King & Kayli Fitz

Priya Sharma and Kayleigh Busch met working in the field of mental health and substance use support in Victoria. The pair say they consistently noticed a need among the population they serve. “Time and time again, we work with individuals who show that they’re motivated and they’re putting in all of this work to wanna […]

Send us a textUniversity of Maryland School of Medicine (UMSOM) associate professor Sarah M. Kattakuzhy, MD, joins “The UMB Pulse” this month to talk about her research exploring whether semaglutide (a GLP-1 medication widely used for diabetes and weight management) could help reduce cravings and improve outcomes for people with stimulant use disorder.Kattakuzhy, who is also the co-director of the Kahlert Institute for Addiction Medicine at UMSOM, describes the design of the STAC Study, which is evaluating the safety and tolerability of semaglutide in people with cocaine use disorder, including participants with and without HIV, while also tracking secondary outcomes such as changes in drug use and cravings.She also discusses why stimulant use disorders, including cocaine and methamphetamine use disorder, have been especially challenging to treat, and how her work through the University of Maryland, Baltimore community-based research partnerships aims to expand treatment options and reduce stigma around substance use disorders.To learn more about this trial or for referrals, contact Dr. Kattakuzhy at skattakuzhy@ihv.umaryland.edu.00:00 Introduction to Addiction and New Research00:40 Meet Dr. Sarah Kattakuzhy01:45 A Day in the Life of Dr. Kattakuzhy03:57 The Journey to Addiction Research07:40 Exploring Semaglutides for Addiction Treatment12:34 Details of the Clinical Trial20:29 Challenges and Hopes in Addiction Treatment24:31 Collaborations and Future Directions27:39 Final Thoughts and Takeaways32:13 Post-Interview InsightsListen to The UMB Pulse on Apple, Spotify, Amazon Music, and wherever you like to listen. The UMB Pulse is also now on YouTube.Visit our website at umaryland.edu/pulse or email us at umbpulse@umaryland.edu.

Sometimes the most meaningful change does not start in a boardroom or a big city. It starts when one person decides they cannot look away anymore. That is exactly what happened with today's guest.After seeing firsthand the urgent need for compassionate and accessible substance use disorder treatment in his New Mexico community, Trent Carter decided to take action.Trent is a nurse practitioner with a master's degree from the University of Cincinnati and the founder of Renew Health, a recovery center built on the belief that everyone deserves hope, healing, and a real chance at recovery. Under his leadership, Renew Health has been named the best drug and alcohol rehab center in New Mexico and continues to grow by reaching more people, breaking down barriers to care, and reshaping what recovery can look like.In this episode of Grieving Out Loud, Trent shares how Renew Health began, what truly helps when someone you love is struggling with substance use disorder, and how we can start to turn the tide on the addiction epidemic together.Purchase Trent Carter's book, The Recovery Tool Belt, here.If you enjoyed this episode, be sure to check out the following: The TikTok doctor: An addiction medicine expert's mission to reach the younger generationHow Do We End the Fentanyl Epidemic? A Candid Conversation with a Former DEA ChiefExpert insights on preventing substance abuseSend us a textBehind every number is a story of a life cut short, a family shattered, and a community devastated.They were...daughterssonsmothersfathersfriendswiveshusbandscousinsboyfriendsgirlfriends.They were More Than Just A Number. Support the showConnect with Angela Follow Grieving Out Loud Follow Emily's Hope Read Angela's Blog Subscribe to Grieving Out Loud/Emily's Hope Updates Suggest a Guest For more episodes and information, just go to our website, emilyshope.charityWishing you faith, hope and courage!Podcast producers:Casey Wonnenberg King & Kayli Fitz

What if opioid withdrawal could visibly ease in 20 minutes and cravings could drop to near zero within days? We sit down with Net Recovery CEO Joe Winston to unpack a wearable neuromodulation device, FDA-cleared for managing opioid withdrawal, that adapts to real-world drug trends and may restore a person's ability to choose. Joe traces an unexpected journey from aerospace and AI to building a handheld system that translates complex waveform expertise into accessible care—and shares how rigorous trials and peer-reviewed data convinced skeptics.We dive into how the device works: gel electrodes behind the ears deliver patterned stimulation that dynamically shifts based on daily assessments of opioid, sedative, and stimulant withdrawal. As supplies change—think xylazine-adulterated fentanyl or emerging veterinary sedatives—the team retools waveforms to meet the moment. The results are striking: measurable relief within an hour, average treatment of three to four days, and early evidence that many patients reduce use of opioids and psychostimulants for months post-treatment, even without medication. That renewed agency becomes the catalyst for aftercare, longer residential stays, and more consistent engagement.Access and scale matter as much as science. We explore delivery in jails where Medicaid interruptions worsen withdrawal, residential programs, and new office-based addiction treatment designed for privacy and minimal life disruption. We also tackle safety and harm reduction—falling tolerance raises overdose risk if someone returns to old doses—and clarify patterns of lapse versus relapse observed in follow-ups. Beyond clinics, Joe lays out a bold public-health vision: statewide jail deployments measured against overdoses, all-cause mortality, and re-arrest. It's a practical, humane plan to meet people where they are and move addiction care forward with data, transparency, and stories of real recovery.If this conversation resonates, follow the show, share it with a colleague, and leave a quick rating. Your support helps more people find evidence-based paths out of addiction.To Learn More about Net Recovery: https://www.netrecovery.netOne of the studies Joe referenced in our interview: https://www.frontiersin.org/journals/psychiatry/articles/10.3389/fpsyt.2025.1510428/fullTo contact Dr. Grover: ammadeeasy@fastmail.com

Two families. Two different kinds of catastrophic failure. One expert to help us understand both. Psychotherapist Shavaun Scott — author of The Minds of Mass Killers — joins Hidden Killers for an extended examination of the psychology behind family annihilation and the systemic failures of America's addiction treatment industry.The Paul Caneiro trial continues in Monmouth County, New Jersey. Prosecutors allege Paul murdered his brother Keith, sister-in-law Jennifer, and their children Jesse and Sophia after Keith discovered Paul had stolen $78,000 from a trust account. The violence was staggering — Sophia was stabbed 17 times and allegedly still alive when the fire started. Shavaun explains what drives someone to kill everyone they love rather than face accountability, what overkill reveals about psychological state, and how experts distinguish genuine grief from performance.The Nick Reiner tragedy exposed the failures of addiction treatment. The Reiner family had resources most families can only dream of, and Rob and Michele Reiner are still dead. Shavaun examines the $42 billion industry where relapse is profitable, where insurance companies override clinical judgment, where outcome tracking doesn't exist. We identify who blocks reform and ask whether meaningful change is even possible. From the psychology of mass family killing to the financial incentives keeping broken systems in place — this is essential analysis of how institutions fail the people they're supposed to protect.#ShavaunScott #PaulCaneiro #NickReiner #RobReiner #KeithCaneiro #FamilyAnnihilation #AddictionCrisis #ColtsNeck #TreatmentFailure #HiddenKillersJoin Our SubStack For AD-FREE ADVANCE EPISODES & EXTRAS!: https://hiddenkillers.substack.com/Want to comment and watch this podcast as a video? Check out our YouTube Channel. https://www.youtube.com/@hiddenkillerspodInstagram https://www.instagram.com/hiddenkillerspod/Facebook https://www.facebook.com/hiddenkillerspod/Tik-Tok https://www.tiktok.com/@hiddenkillerspodX Twitter https://x.com/tonybpodListen Ad-Free On Apple Podcasts Here: https://podcasts.apple.com/us/podcast/true-crime-today-premium-plus-ad-free-advance-episode/id1705422872This publication contains commentary and opinion based on publicly available information. All individuals are presumed innocent until proven guilty in a court of law. Nothing published here should be taken as a statement of fact, health or legal advice.

Tonight on Hidden Killers Live, psychotherapist Shavaun Scott joins us for an extended examination of two cases that expose how systems fail families in catastrophic ways. From the psychology of family annihilation to the financial incentives keeping addiction treatment broken — this is essential expert analysis you won't find anywhere else.In the Paul Caneiro trial, prosecutors allege Paul murdered his brother Keith, sister-in-law Jennifer, and their two children at their Colts Neck mansion after Keith discovered Paul had been stealing from him. Eight-year-old Sophia was stabbed 17 times and allegedly still alive when the fire started. Shavaun breaks down what drives someone to annihilate everyone they love rather than face exposure, what extreme overkill reveals about psychological state, and how to read Paul's courtroom behavior — including his tears during testimony about the children.The Nick Reiner tragedy exposed America's $42 billion addiction treatment industry. The Reiner family had every resource available and Rob and Michele Reiner are still dead. Shavaun follows the money through relapse-profitable business models, insurance company control over clinical decisions, and the accountability vacuum that lets facilities fail without consequence. We identify who blocks reform and ask whether meaningful change is even possible. Join us live for unflinching expert analysis of family violence and institutional failure.#ShavaunScott #PaulCaneiro #NickReiner #RobReiner #FamilyAnnihilation #AddictionTreatment #ColtsNeckMurders #TreatmentIndustry #ExpertAnalysis #HiddenKillersLiveJoin Our SubStack For AD-FREE ADVANCE EPISODES & EXTRAS!: https://hiddenkillers.substack.com/Want to comment and watch this podcast as a video? Check out our YouTube Channel. https://www.youtube.com/@hiddenkillerspodInstagram https://www.instagram.com/hiddenkillerspod/Facebook https://www.facebook.com/hiddenkillerspod/Tik-Tok https://www.tiktok.com/@hiddenkillerspodX Twitter https://x.com/tonybpodListen Ad-Free On Apple Podcasts Here: https://podcasts.apple.com/us/podcast/true-crime-today-premium-plus-ad-free-advance-episode/id1705422872This publication contains commentary and opinion based on publicly available information. All individuals are presumed innocent until proven guilty in a court of law. Nothing published here should be taken as a statement of fact, health or legal advice.

Colorado State University has earned a platinum award for its sustainability, In Fort Collins a new addiction center aims to help people in Northern Colorado, Colorado has been known for its high population growth now it's facing a decrease in growth 

The deaths of Rob and Michele Reiner — allegedly at the hands of their son Nick — have sparked an uncomfortable national conversation. The Reiner family had every resource available. Money. Access. The ability to get the best treatment in the country. And here we are. So the question that keeps coming up: did the system fail them? Or is addiction simply this hard to treat?On True Crime Today, psychotherapist Shavaun Scott examines the reality behind America's addiction treatment industry. The relapse rates are staggering — 40-60% within 30 days, over 90% for opioids in the first year. The 28-day model that dominates treatment wasn't designed around brain science — it was designed around what insurance would cover back in the 1970s. Five decades later, we're still using it. And people are still dying.Shavaun breaks down what evidence-based treatment actually looks like versus what most people get. We examine the co-occurring disorder problem — addiction almost never exists alone, but most facilities aren't equipped to treat the underlying trauma and mental illness. The workforce crisis. The patients who learn to perform recovery without actually recovering. Is this an industry designed to fail? Or is it facing a disease that defeats every system built to treat it? Part one of a critical examination.#NickReiner #RobReiner #MicheleReiner #AddictionCrisis #RehabFailed #ShavaunScott #TreatmentIndustry #MentalHealth #SubstanceAbuse #TrueCrimeTodayJoin Our SubStack For AD-FREE ADVANCE EPISODES & EXTRAS!: https://hiddenkillers.substack.com/Want to comment and watch this podcast as a video? Check out our YouTube Channel. https://www.youtube.com/@hiddenkillerspodInstagram https://www.instagram.com/hiddenkillerspod/Facebook https://www.facebook.com/hiddenkillerspod/Tik-Tok https://www.tiktok.com/@hiddenkillerspodX Twitter https://x.com/tonybpodListen Ad-Free On Apple Podcasts Here: https://podcasts.apple.com/us/podcast/true-crime-today-premium-plus-ad-free-advance-episode/id1705422872This publication contains commentary and opinion based on publicly available information. All individuals are presumed innocent until proven guilty in a court of law. Nothing published here should be taken as a statement of fact, health or legal advice.

Nick Reiner allegedly murdered his parents — director Rob Reiner and his wife Michele. The tragedy has forced a national conversation about something America has avoided for decades: the addiction treatment system doesn't work. Relapse rates between 40-60% within a month. Over 90% for opioids in the first year. A $42 billion industry that keeps billing whether treatment succeeds or not. Tonight on Hidden Killers Live, we're asking the hard question — is the system broken, or is this just what addiction looks like?Psychotherapist Shavaun Scott joins us to break down the clinical reality behind the headlines. The 28-day treatment model wasn't designed by doctors — it was designed by insurance companies in the 1970s. The brain doesn't heal from addiction in 28 days. So why is that still the standard? Shavaun examines what evidence-based treatment actually requires, why most facilities can't provide it, and whether we're expecting too much from a population that often doesn't want to recover.We're digging into the co-occurring disorder crisis — the trauma, depression, and mental illness that almost always accompanies addiction but rarely gets treated. The underpaid, undertrained workforce doing the frontline work. And the uncomfortable truth about patients who learn to game the system. Join us live as we examine whether the treatment industry is failing its patients or facing an impossible task.#NickReiner #RobReiner #AddictionTreatment #RehabFailure #ShavaunScott #MentalHealthCrisis #TreatmentIndustry #SubstanceAbuse #OpioidCrisis #HiddenKillersLiveJoin Our SubStack For AD-FREE ADVANCE EPISODES & EXTRAS!: https://hiddenkillers.substack.com/Want to comment and watch this podcast as a video? Check out our YouTube Channel. https://www.youtube.com/@hiddenkillerspodInstagram https://www.instagram.com/hiddenkillerspod/Facebook https://www.facebook.com/hiddenkillerspod/Tik-Tok https://www.tiktok.com/@hiddenkillerspodX Twitter https://x.com/tonybpodListen Ad-Free On Apple Podcasts Here: https://podcasts.apple.com/us/podcast/true-crime-today-premium-plus-ad-free-advance-episode/id1705422872This publication contains commentary and opinion based on publicly available information. All individuals are presumed innocent until proven guilty in a court of law. Nothing published here should be taken as a statement of fact, health or legal advice.

Over 100,000 Americans die from overdoses every year. Relapse rates run 40-90%. The treatment model hasn't fundamentally changed since the 1970s. And yet the addiction treatment industry is worth $42 billion. Tonight on Hidden Killers Live, we're asking the question the industry doesn't want answered: is failure profitable? Is someone actively benefiting from keeping this system broken?Psychotherapist Shavaun Scott returns for Part 2 of our examination following the Nick Reiner tragedy. The Reiner family had every resource available and it still wasn't enough to save Rob and Michele Reiner. So we're following the money. Every relapse is another admission, another billing cycle. Insurance companies control treatment length through utilization review, overriding doctors. There's no standardized outcome tracking — families can't comparison shop for effectiveness because that data simply doesn't exist.We examine who fights reform when it's proposed. Treatment industry lobbyists. Insurance companies. Pharmaceutical interests. The research on what works is clear: longer treatment, integrated mental health care, medication-assisted treatment. So what's blocking evidence-based care from becoming standard practice? Is this regulatory capture — the industry shaping rules to protect itself? Or is the treatment industrial complex so entrenched that meaningful change is impossible? Join us live for an unflinching look at who profits from broken promises.#NickReiner #RobReiner #AddictionIndustry #TreatmentProfits #RehabReform #ShavaunScott #InsuranceScam #OpioidCrisis #HealthcareFraud #HiddenKillersLiveJoin Our SubStack For AD-FREE ADVANCE EPISODES & EXTRAS!: https://hiddenkillers.substack.com/Want to comment and watch this podcast as a video? Check out our YouTube Channel. https://www.youtube.com/@hiddenkillerspodInstagram https://www.instagram.com/hiddenkillerspod/Facebook https://www.facebook.com/hiddenkillerspod/Tik-Tok https://www.tiktok.com/@hiddenkillerspodX Twitter https://x.com/tonybpodListen Ad-Free On Apple Podcasts Here: https://podcasts.apple.com/us/podcast/true-crime-today-premium-plus-ad-free-advance-episode/id1705422872This publication contains commentary and opinion based on publicly available information. All individuals are presumed innocent until proven guilty in a court of law. Nothing published here should be taken as a statement of fact, health or legal advice.

Host: Chris Masters Guest: Roman Braly Air date: Jan 28, 2026

In this episode, State Representative Sam Creekmore from Mississippi, who is also the Chairman of the Public Health committee in the Mississippi House of Representatives, joins us to talk about new legislation he's proposing in order to open pathways for psychedelic treatment with ibogaine. Rep. Creekmore shares how he got interested in ibogaine, what he hopes this legislation will do, and why it's important in his home state of Mississippi.    Links:  The Joe Rogan Experience podcast episode with Bryan Hubbard and Rick Perry on ibogaine: https://www.youtube.com/watch?v=pcCKDDa3MzY In Waves and War - Netflix documentary on veterans seeking healing through ibogaine treatment: https://www.netflix.com/title/82047468 Mississippi Public Health Joint Committee Hearing on Ibogaine: https://www.youtube.com/watch?v=4M6cg9E9-Bk Keywords: Ibogaine, Addiction Treatment, Psychedelic Therapy, PTSD, SUD, Traumatic Brain Injury, mental health, recovery, veterans

What if healing didn't start with pills… but with music? In this powerful episode of Harder Than Life, Kelly Siegel sits down with Andrew Sossin, co-founder & CEO of Recovery Unplugged, the groundbreaking treatment network that uses music as medicine to heal addiction, trauma, anxiety, and depression. Andrew has helped over 20,000 people reclaim their lives, not by following a cookie-cutter recovery model but by breaking it completely. Kelly also shares deeply personal stories about trauma, sobriety, nervous system regulation, and what finally broke the cycle after decades of chaos. This episode is raw, emotional, and hopeful—proof that healing is possible, even when it feels out of reach. Key Takeaways

A Trump administration decision to terminate hundreds of health services grants sent several Massachusetts mental health and addiction treatment providers scrambling for further details and plans to cover new funding gaps.

Dr. Keith Humphreys is a professor of psychiatry and behavioral sciences at Stanford School of Medicine and a leading expert on treating addictions, drug laws and policy. We discuss all the major addictive substances and behaviors, including alcohol, opioids, gambling, stimulants, nicotine, cannabis and more, focusing on how genetics and certain use patterns shape addiction susceptibility. We discuss the best evidence-based tools for recovery, from 12-step programs to emerging treatments such as psychedelics and ibogaine. Anyone interested in making better choices for their health and/or seeking to avoid or overcome addictions ought to benefit from this episode. Read the episode show notes at hubermanlab.com. Thank you to our sponsors AG1: https://drinkag1.com/huberman David: https://davidprotein.com/huberman BetterHelp: https://betterhelp.com/huberman Helix Sleep: https://helixsleep.com/huberman LMNT: https://drinklmnt.com/huberman Timestamps (00:00:58) Keith Humphreys (00:03:22) Addiction; Genetic Risk (00:09:14) Alcohol Use Disorder & Alcoholism; Genetic Predisposition & Addiction Risk (00:18:03) Sponsors: David & BetterHelp (00:20:37) Women & Alcohol Use; Young Adults; Cannabis Use (00:23:36) Health Benefit to Alcohol?, Red Wine, Cancer Risk; Social Pressure (00:31:47) Alcohol in Social Gatherings, Social Anxiety, Vulnerability, Work & Dates (00:37:41) Old vs New Cannabis & THC Levels; Smoked vs Edible Forms (00:44:38) Cannabis & Psychosis Risk; Cardiac Health; Youth Cannabis Use & Transition to Adulthood (00:52:29) Sponsor: AG1 (00:54:13) Industries of Addiction, Regulation; Gambling, Slot Machines, Novelty; Casinos (01:05:28) Decriminalization vs Legalization; Cannabis, Gateway Drug? (01:08:50) Psylocibin or LSD, Addiction Treatment; Microdosing, Clinical Trial Challenges (01:18:58) Sponsor: Helix Sleep (01:20:32) Brain Plasticity & Age; Ketamine, Depression, Transcranial Magnetic Stimulation (TMS) (01:28:10) SSRIs, Mass Shootings, Suicide, Side Effects; Drug Approval; Ibogaine & PTSD (01:36:10) Caffeine Addiction?; Stimulants & Rehab; Prescription Stimulants & ADHD (01:44:04) Nicotine, Mistaking Withdrawal for Benefit (01:47:24) Sponsor: LMNT (01:48:44) Tool: How to Talk to Someone with Addiction (01:55:23) Perception of Addicts, Character Defect, Pain (02:00:58) Overcoming Addiction, Immediate Rewards, AA; Addict & Co-Dependency? (02:09:53) Longterm Drug Use, Dopamine, Cues & Relapse; Social Media (02:16:21) Brain Stimulation, TMS; Homelessness, Substance Use & Rehab (02:26:11) Addiction Treatment Policy, Rehab & Insurance (02:29:08) Tool: 12-Step Programs, AA, Accessibility & Benefits (02:38:08) AA, Higher Power, Cult?; Flexibility, Tool: Open AA Meetings (02:44:38) GLP-1s, Weight Loss, Alcohol Addiction; Pharmaceutical Advertisements (02:52:39) Social Media Addiction, Tool: Avoiding Social Media Strategies (02:58:36) “Failure to Launch”, Youth, Video Games, Social Media; Recovery Pathways (03:04:13) AA as an Action Program, Tool: Try Different AA Meetings (03:08:21) Hospice, Death, Overcoming Fear of Death (03:13:54) Addiction to Escape Death?, Desire for Oblivion (03:18:11) Men vs Women & Addiction; Lying; Relapse; Fentanyl & Addiction Advice (03:24:27) Zero-Cost Support, YouTube, Spotify & Apple Follow, Reviews & Feedback, Sponsors, Protocols Book, Social Media, Neural Network Newsletter Disclaimer & Disclosures Learn more about your ad choices. Visit megaphone.fm/adchoices

Brain Mechanisms of Change in Addiction Treatment: Models, Methods, and Emerging FindingsIn this episode, Dr. Jud explores groundbreaking insights into the brain mechanisms underlying addiction treatment. Drawing on models, methods, and findings presented at the 2015 Science of Change meeting, this research bridges neuroscience and psychotherapy to identify brain processes driving behavior change. Topics include the role of neuroimaging in understanding addiction treatments like CBT, mindfulness, and motivational interviewing, as well as how these insights pave the way for personalized, neuroscience-informed interventions.Reference: Chung, T., Noronha, A., Carroll, K. M., Potenza, M. N., Hutchison, K., Calhoun, V. D., ... & Brewer, J. A. (2016). Brain Mechanisms of Change in Addiction Treatment: Models, Methods, and Emerging Findings. Current Addiction Reports, 3(4), 332-342. DOI: 10.1007/s40429-016-0113-zLet's connect on Instagram

Anecdotal stories suggesting that weight-loss drugs can help people shake long-standing addictions have been spreading fast in the past few years, through online forums, weight-loss clinics and news headlines. And now, clinical data are starting to back them up.Over a dozen randomized clinical studies testing whether GLP-1 drugs like Ozempic can suppress addiction are now under way, and neuroscientists are working out how these weight-loss drugs act on brain regions that control craving, reward and motivation.Scientists warn that the research is still in its early stages, but some researchers and physicians are excited, as no truly new class of addiction medicine has won approval from regulators in decades.This is an audio version of our Feature: Will blockbuster obesity drugs revolutionize addiction treatment? Hosted on Acast. See acast.com/privacy for more information.

The addiction recovery program in Gardner, Mass., is part animal sanctuary, part therapy center. The men who stay there get assigned to care for one of dozens of animals — from chickens, pigs, goats and even ponies — as part of their treatment.

U.S. health officials like Robert F. Kennedy Jr. tout San Patrignano, Europe's best-known rehab center, as a "beautiful model" of long-term drug treatment. But it and other therapeutic communities hold infamous, dark histories, and some addiction experts warn the style of care can leave residents vulnerable to abuse.

https://eveningiop.comDiscover how evening Intensive Outpatient Programs offer flexible, effective addiction treatment for busy professionals, students, and caregivers. Learn why virtual therapy works, how telehealth eliminates barriers, and what makes evening IOPs a practical solution for recovery without disrupting your daily life. Addiction Resource Center LLC. City: Yuba City Address: 1002 Live Oak Blvd. Website: https://sayarc.com

You've probably heard of Ruby Bridges, the first grader who helped desegregate New Orleans' public schools in 1960.But have you heard of the three other girls who desegregated another local elementary school that same morning? Aubri Juhasz takes us to that school — now a museum — where students are learning why the fight for equitable education isn't over.The acting head of the Federal Emergency Management Agency, or FEMA, has resigned. David Richardson only spent about six months in the position, and was known for being inaccessible during the early hours of the Texas flood disaster over the summer.Sarah Labowitz, senior fellow in the Sustainability, Climate and Geopolitics program at the Carnegie Endowment for International Peace, tells us more about what this means for the agency. The holidays are usually a season of joy — family gatherings, big meals and celebration. But for people in recovery, it can be one of the hardest times of the year. Stress, travel, financial pressure and constant social drinking all add up. Relapse rates spike between December and January.Two people who know that struggle personally are Dan Forman and Chris Copeland. They're both in long-term recovery and the co-founders of NOLA Detox, a New Orleans–based recovery center that's reimagining what addiction treatment can look like. The Gulf States Newsroom's Drew Hawkins sat down with them to discuss strategies to stay sober through the holidays, and what families can do to support struggling loved ones.—Today's episode of Louisiana Considered was hosted by Karen Henderson. Our managing producer is Alana Schreiber. We receive production and technical support from Garrett Pittman, Adam Vos and our assistant producer, Aubry Procell. You can listen to Louisiana Considered Monday through Friday at noon and 7 p.m. It's available on Spotify, the NPR App and wherever you get your podcasts. Louisiana Considered wants to hear from you! Please fill out our pitch line to let us know what kinds of story ideas you have for our show. And while you're at it, fill out our listener survey! We want to keep bringing you the kinds of conversations you'd like to listen to.Louisiana Considered is made possible with support from our listeners. Thank you!

A Systematic Review and Meta-Analysis of Psychosocial Interventions for Persons with Comorbid Anxiety and Substance Use DisordersIn this episode, Dr. Jud dives into the comprehensive findings of a meta-analysis on psychosocial interventions for individuals facing the dual challenge of anxiety and substance use disorders. This research sheds light on the efficacy of treatments like cognitive behavioral therapy (CBT), motivational interviewing, and integrated care in addressing anxiety, alcohol consumption, and substance use. Join us as we explore the transformative potential of these interventions, the complexities of treating co-occurring conditions, and the pressing gaps in research for broader substance categories like opioids and methamphetamines.Reference: Nardi, W. R., Kelly, P., Roy, A., Becker, S., Brewer, J., & Sun, S. (2024). A systematic review and meta-analysis of psychosocial interventions for persons with comorbid anxiety and substance use disorders. Journal of Substance Use and Addiction Treatment, 165, 209442. DOI: 10.1016/j.josat.2024.209442Let's connect on Instagram

Broadcast from KSQD, Santa Cruz on 11-20-2025: Dr. Dawn discusses GLP-1 inhibitors like Zepbound and semaglutide showing unexpected benefits for addiction treatment beyond diabetes and weight loss. Patients in rehab report these drugs mute cravings for alcohol, cocaine, and cigarettes. Multiple studies show reduced substance abuse rates in users, with VA and NIH conducting trials examining brain activity and responses to triggers. With 80,000 annual drug overdose deaths and 48 million Americans having substance abuse disorders, these medications may revolutionize addiction treatment by dampening brain reward circuitry, though costs threaten healthcare budgets. A Stanford twin study found those twins assigned a vegan diet had substantially lower cholesterol, insulin, and body weight compared to their omnivore twins after several months, with LDL dropping 15mg, four pounds more weight loss, and 20% lower insulin. Dr. Dawn explains how a fungal disease decimating Central American frog populations caused 500% malaria increases in some areas. The fungus kills frogs by blocking skin electrolytes until hearts stop, eliminating tadpoles that eat mosquito larvae. Ecosystem collapses followed with algae blooms and snake population drops. She provides other examples showing how species losses affect human health, emphasizing the "one health" movement recognizing ecosystem health as fundamental to human wellbeing. An Australian study found people aged 70+ who listen to or play music regularly had 39% lower dementia rates, though causation remains uncertain. Princeton research shows music activates multiple brain regions simultaneously. Learning instruments increases gray matter, and musical memory remains intact in advanced dementia since it's stored separately from other memories. A caller discusses how modern screen-based activities provide less multisensory engagement than past social experiences like dances. Another caller describes Grover's disease causing persistent itchy skin with no known cause. Dr. Dawn recommends an elimination diet removing common allergens for one month, then reintroducing individually to identify food sensitivities triggering immune responses. Dr. Dawn explains xenotransplantation advances with genetically edited pigs beginning full-scale kidney transplant trials. Companies use CRISPR to disable genes causing immune rejection and insert human genes promoting immune tolerance. With only 10% of global kidney patients receiving organs, these could provide unlimited supply. Other innovations include kidneys with thymus tissue to teach immune tolerance and external pig liver systems as transplant bridges. She concludes noting research showing female dogs remember and prefer humans who demonstrate competence at tasks, while male dogs show no preference.

Dr. Paxton Bach has spent years trying to help people navigate a broken system. Inconsistent approaches to withdrawal management, long wait times for detox and recovery programs and a system that struggles to address the social determinants of health have caused too many of his patients to fall through the cracks. So he and a team at St. Paul's Hospital in downtown Vancouver are trailblazing a new model of care that's set to roll out across B.C. It's called Road to Recovery, and it's helping doctors like Bach answer the question: How can I keep you alive until tomorrow?

The Pasadena Unified School District is facing around 30 million dollars in budget cuts. L.A. county jails scaled back opioid addiction treatment during one of the system's deadliest years on record. And what does this rain mean for fire risk in Southern California. Plus, more from Evening Edition. Support The L.A. Report by donating at LAist.com/join and by visiting https://laist.comThis LAist podcast is supported by Amazon Autos. Buying a car used to be a whole day affair. Now, at Amazon Autos, you can shop for a new, used, or certified pre-owned car whenever, wherever. You can browse hundreds of vehicles from top local dealers, all in one place. Amazon.com/autosVisit www.preppi.com/LAist to receive a FREE Preppi Emergency Kit (with any purchase over $100) and be prepared for the next wildfire, earthquake or emergency! Support the show: https://laist.com

Los Angeles County's jail system is in the middle of one of its deadliest years on record. According to the L.A. County Sheriff's Department, there have been more than three dozen in-custody deaths so far this year, and many have involved overdoses. Now, new reporting from CalMatters reveals that access to critical opioid addiction treatment has been quietly scaled back. Guest: Cayla Mihalovich, CalMatters The Trump administration is suing California over a new law that bars local and federal law enforcement from wearing masks while on duty. Reporter: Tyche Hendricks, KQED Learn more about your ad choices. Visit megaphone.fm/adchoices

Are you a grandparent, parent, or caregiver urgently seeking ethical solutions for a struggling teen? Unsure where to turn for help? Have persuasive brochures or voices pressured you with promises of breakthrough behavioral health or addiction treatment? You're right to worry about exposing a vulnerable child to an industry that claims to heal but may instead cause deeper harm.I'm Laura Brazan, and on this episode of “Grandparents Raising Grandchildren: Nurturing Through Adversity,” we dive into the Troubled Teen Industry—an underregulated, multi-billion dollar field profiting from families in crisis. I'm joined by Dr. Corey Jentry, a survivor and advocacy leader. We unpack personal stories and essential warnings every caregiver must hear.Dr. Jentry's memoir, Selling Sanity, reveals how certain programs manipulate families, reinforce stigma, and profit from fear, leaving youth at risk for lasting trauma. We'll share the red flags of coercive programs, provide expert advice on advocating for ethical care, and highlight real, science-based alternatives.Whether you're navigating family trauma or searching for trustworthy behavioral health resources, this episode provides invaluable insights and support.For more information on Dr. Jentry, please visit his website at https://coreyjentry.com/. To order his book, visit Amazon at Selling Sanity: The Troubled-Teen Industry, the Insane Profits, and the Kids Who Pay the Price.Join our community as we empower caregivers to spot warning signs, protect our children, and fight for a future where healing—not profit—comes first. Let's break the silence, demand change, and nurture resilience together.Send us a textHello! Thank you for creating this podcast. It is a blessing to my life in this season

Why has America struggled so much to effectively manage the opioid use crisis? One of the answers, as you'll learn in this eye-opening episode of Raise the Line, is rooted in laws and attitudes from the early 20th century that removed addiction from the realm of medicine and defined it as a moral failing.  “The federal Harrison Act of 1914 forbade any physician from prescribing opioids to people with addiction, so it became more the purview of law enforcement or behavioral health or religion,” says Dr. Melody Glenn, who regularly confronts the consequences of this history during shifts in the emergency department at Banner-University Medical Center in Tucson, Arizona. And as Glenn explains to host Caleb Furnas, the resulting stigma associated with addiction has extended to the treatments for it as well, especially methadone, despite its effectiveness. Drawing on her dual expertise in emergency and addiction medicine, Glenn dispels misconceptions that medication-assisted treatment merely replaces one addiction with another, and emphasizes that harm reduction is critical to saving lives. Her desire to break prevailing stigmas led her to discover the story of Dr. Marie Nyswander, who pioneered methadone maintenance therapy in the 1960s and is featured in Dr. Glenn's new book, Mother of Methadone: A Doctor's Quest, a Forgotten History, and a Modern-Day Crisis. You'll leave this instructive interview understanding the roots of our flawed approach to addiction treatment, meeting an overlooked pioneer in the field, and admiring a devoted and compassionate physician who is following in her footsteps.  Mentioned in this episode:Banner-University Medical CenterMother of Methadone book If you like this podcast, please share it on your social channels. You can also subscribe to the series and check out all of our episodes at www.osmosis.org/podcast

Canada's drug crisis has some policy makers looking away from measures such as harm reduction and toward expansion of treatment beds. And along with that has come discussion of measures to compel addicts into treatment. Vancouver Sun reporter Lori Culbert joins Dave Breakenridge to discuss how involuntary treatment works, the legal questions around the practice, and the stories of some patients who have been forced into treatment. Background reading: Does involuntary care work? Three B.C. residents share their personal stories Learn more about your ad choices. Visit megaphone.fm/adchoices

In this episode of Recovery Matters, TJ sits down with Matt, a young person in recovery who now works as a Young People and Family Services Coordinator with CCAR. Matt opens up about his journey, beginning with his first treatment at just 13 years old. Despite having parents in recovery, he struggled deeply with drugs, arrests, and time in the juvenile justice system. He shares the progression of his addiction—weed and pills leading to heroin, crack, and near-fatal lows including homelessness, suicidal thoughts, and severe health complications. A turning point came when he entered detox and long-term treatment programs, where structure and community support helped him rebuild his life. Matt also talks about relapse, rebuilding quickly, and how building a strong network of sober friends became crucial to his recovery. His story highlights both the tragedy of losing friends to overdose and the joy of discovering a fulfilling sober life—travel, motorcycles, relationships, and most importantly, fatherhood. Becoming a dad gave Matt a new sense of purpose, grounding his recovery in love and responsibility.  00:00 – Introductions00:36 – First Treatment at 1305:00 – Escalating Addiction07:00 – First Arrests & Juvenile Justice08:00 – Hitting Rock Bottom at 1810:00 – Sober House & Overdose Scare13:00 – Relapse After Heartbreak15:00 – Waterbury & Heavy Addiction17:30 – Final Turning Point19:00 – Structured Recovery & Torrington Move22:00 – Slip & Quick Return to Recovery23:00 – Building a New Life25:00 – Meeting His Fiancée & Becoming a Father29:00 – Parenthood in Recovery34:00 – Advice for Newcomers ----Across the Web----

Send us a textPsychedelics are in the spotlight. Some call them dangerous, others call them life-saving, and many believe they could reshape the future of mental health care. In this episode, Dr. Eeks talks with Martín Polanco MD, founder of The Mission Within Foundation and considered the most experienced ibogaine and 5-MeO-DMT physician in North America. Over the past 25 years, he has treated more than 5,000 people — including over 1,300 veterans and special operators — giving him unmatched clinical credibility in a field often clouded by hype, controversy, and hope.Dr. Polanco shares his perspective on why veterans and frontline workers struggling with overlapping mental health challenges — PTSD, addiction, depression, traumatic brain injury — are increasingly turning to these psychedelic medicines when conventional options fall short.This episode covers:What ibogaine and 5-MeO-DMT are, how they work in the brain, and what sets them apart from other psychedelics.Why mental health conditions rarely show up one at a time, and how these medicines may help with complex, co-occurring issues.How Dr. Polanco's center guides people through treatment, integration, and long-term support — and why integration is just as important as the medicine itself.Results in veterans and first responders: what's been seen, how long benefits last, and the factors that sustain recovery.The real risks, especially cardiac risks, and the safety protocols in place to minimize them.Misconceptions about psychedelic therapy and where skepticism is justified.The launch of the Mission Within Foundation, which has already raised over $2 million to provide psychedelic therapy scholarships for veterans and first responders.Why partnerships with institutions like UT Austin Dell Medical School are critical for building a scientific evidence base and wider acceptance.And finally: whether ibogaine and 5-MeO-DMT are ready for mainstream mental health care, or if the science still needs to catch up.This is a candid conversation about possibility, risk, and the urgent need for new tools in mental health.You can contact Dr. Eeks at bloomingwellness.com.Follow Eeks on Instagram here.Or Facebook here.Or X.On Youtube.Or TikTok.SUBSCRIBE to her monthly newsletter here! (Now featuring interviews with top experts on health you care about!)Support the show

Katie Herzog is a journalist, podcaster, and writer. Expect to learn why drinking is the route to going sober, why white knuckling alcohol isn't an option, and much more... Sponsors: See me on tour in America: ⁠https://chriswilliamson.live⁠ See discounts for all the products I use and recommend: https://chriswillx.com/deals Get 10% discount on all Gymshark's products at https://gym.sh/modernwisdom (use code MODERNWISDOM10) Get 15% off any Saily data plan at https://saily.com/modernwisdom Get 35% off your first subscription on the best supplements from Momentous at https://livemomentous.com/modernwisdom Timestamps: (0:00) How Relationships to Alcohol Can Vary (18:36) How Does Alcohol Addiction Manifest in the Brain? (26:58) Building Good Habits to Break Bad Habits (33:53) The History of Addiction Treatment (47:58) Is Medication the Modern Cure for Alcohol Addiction? (01:01:16) Why are Medical Professionals Still Hesitant About Addiction Medication? (01:09:27) Changing Your Relationship to Alcohol (01:22:03) Drinking Cultures are Changing Globally (01:31:53) Find Out More About Katie Extra Stuff: Get my free reading list of 100 books to read before you die: https://chriswillx.com/books Try my productivity energy drink Neutonic: https://neutonic.com/modernwisdom Episodes You Might Enjoy: #577 - David Goggins - This Is How To Master Your Life: https://tinyurl.com/43hv6y59 #712 - Dr Jordan Peterson - How To Destroy Your Negative Beliefs: https://tinyurl.com/2rtz7avf #700 - Dr Andrew Huberman - The Secret Tools To Hack Your Brain: https://tinyurl.com/3ccn5vkp - Get In Touch: Instagram: https://www.instagram.com/chriswillx Twitter: https://www.twitter.com/chriswillx YouTube: https://www.youtube.com/modernwisdompodcast Email: https://chriswillx.com/contact - Learn more about your ad choices. Visit megaphone.fm/adchoices

Send us a textMarlon Friedman is a native New Yorker with a passion to help those who are struggling with Substance use and mental health disorders. Mr. Friedman prides himself as a soldier of God and he and his wife are a team of help serving the homeless, food and clothing donations and of course, my primary position of assisting those in need of treatment. In his prior life, Mr. Friedman was in the food industry ( The bagel business ) for many years before entering the behavioral health space, but has always had a passion for helping those in need.For more Brainstorm go to...Spotify: https://open.spotify.com/show/2aPCiuzsIoNKYt5jjv7RFT?si=67dfa56d4e764ee0Apple Podcasts: https://podcasts.apple.com/us/podcast/brainstorm-with-sony-perlman/id1596925257Youtube: https://www.youtube.com/@brainstormwithsonyInstagram: https://www.instagram.com/brainstormwithsony

You know that sinking feeling of disappointment or even disgust you get when you're looking at yourself in the mirror and wishing you were thinner? That feeling is actually wrecking your metabolism.  My guest today is Sarah Haas, host of the Boss Body podcast. She's here to share her story of how, after years of being thin and fit and looking like she had it all together, she found herself as a single mother dealing not only with her young son's type 1 diabetes, but also breast cancer–which included radiation, chemo and a double mastectomy. She had to learn that loving your body is not about working harder to look better. It's about releasing the emotional heaviness that is figuratively and literally weighing you down. In this deeply personal and powerful conversation, Sarah Haas, host of the Boss Body podcast, shares how the stress of being a single mom and battling breast cancer–including radiation, chemo and a double mastectomy, taught her that loving your body is not loving how you look, it's releasing the emotional heaviness that is figuratively and literally weighing you down. Highlights: Why body love often feels impossible when you've let yourself go—and where to start instead The toxic role of the inner critic (and how to change the voice in your head) How midlife can become a catalyst for deeper self-worth and vibrant health Practical steps to boost metabolism in perimenopause and beyond   Whether you're trying to lose weight or simply ready to feel more comfortable in your own skin—this conversation will give you the mindset shifts you need to begin.   If you are ready to get support from a community of women who are co-creating this change with intention and clarity— Click here to BOOK A DISCOVERY CALL.    Click here to get Sarah's Rev Up Your Metabolism Guide. Find her on social media: @sarahhaaswellness   Do you want help from Colleen with a situation you're struggling with? Click here to submit your question for Colleen's NEW Q& A episodes. Your name will not be mentioned on air!    Find me on: YouTube: @HangoverWhisperer TikTok: @hangoverwhisperer Instagram: @thehangoverwhisperer  X (Twitter) : @NotAboutTheAlc   Transcript  

Melody Glenn, an addiction and emergency medicine physician with a flair for creative writing, joins Duane to share insights from her upcoming book, "Mother of Methadone: A Doctor's Quest, a Forgotten History, and a Modern Day Crisis." Together, they unpack the legacy of Dr. Marie Nyswander, a trailblazer in methadone maintenance who reshaped addiction treatment. Dr. Glenn offers a candid perspective on her own journey in addiction medicine, revealing the transformative power of medications like methadone and buprenorphine. Despite their proven effectiveness, these treatments are met with skepticism, reflecting the broader challenge of integrating addiction medicine into mainstream healthcare.Our discussion takes a deep dive into the multifaceted nature of addiction, beyond mere physical dependence. We explore how methadone and buprenorphine provide a lifeline for individuals, helping them reclaim stability and repair relationships. The conversation also challenges the stigma of addiction, advocating for harm reduction strategies that prioritize individual empowerment over punitive measures. By recognizing people as experts of their own lives, we highlight the inefficacy of traditional abstinence-only models and underscore the importance of supportive systems for recovery. Dr. Glenn's insights serve as a powerful reminder of the need for compassionate, informed approaches in tackling substance use disorders.In this episode, you will hear:Dr. Melody Glenn previews her book, "Mother of Methadone," on Dr. Marie Nyswander's methadone work.Examining methadone and buprenorphine's impact on opioid disorder despite skepticism and stigma.Advocating for harm reduction over abstinence-only models, focusing on patient empowerment.Recognition of addiction as a treatable condition to combat stigma.Trauma's role in addiction and the need for supportive recovery systems.Barriers in addiction medicine, pushing for compassionate healthcare integration.Follow and Review:We'd love for you to follow us if you haven't yet. Click that purple '+' in the top right corner of your Apple Podcasts app. We'd love it even more if you could drop a review or 5-star rating over on Apple Podcasts. Simply select “Ratings and Reviews” and “Write a Review” then a quick line with your favorite part of the episode. It only takes a second and it helps spread the word about the podcast.Supporting Resources:Article Dr. Melody Glennhttps://www.drmelodyglenn.com/NovusMindfulLife.comhttps://www.theaddictedmind.com/community Episode CreditsIf you like this podcast and are thinking of creating your own, consider talking to my producer, Emerald City Productions. They helped me grow and produce the podcast you are listening to right now. Find out more at https://emeraldcitypro.com Let them know we sent you.See Privacy Policy at https://art19.com/privacy and California Privacy Notice at https://art19.com/privacy#do-not-sell-my-info.

My guest is Ryan Soave, LMHC, a leading expert in addiction recovery with extensive experience helping people heal from all types of substance and behavioral dependencies. We discuss actionable tools for breaking out of the addictive cycle and staying free of obsessions and compulsions. We also examine the relationship between trauma and addiction. We explore the full recovery process—from detoxing and physical stabilization to building distress tolerance. We review evidence-supported tools to structure your life at each stage of recovery and highlight the power of learning “self-directed state shifting” through yoga nidra (NSDR), breathwork, meditation and prayer. We explain how to recognize signs of addiction in yourself and others, and the treatment options available across all levels of resources, from residential programs to 12-step. If you or someone you know is struggling with any kind of addiction, this episode offers practical steps to break free and stay free. Read the episode show notes at hubermanlab.com. Thank you to our sponsors AG1: https://drinkag1.com/huberman BetterHelp: https://betterhelp.com/huberman Levels: https://levelshealth.com/huberman LMNT: https://drinklmnt.com/huberman Function: https://functionhealth.com/huberman Waking Up: https://wakingup.com/huberman Timestamps 00:00:00 Ryan Soave 00:01:32 Addiction, Addictive Behaviors, Relief 00:06:10 Rehab, Detox, Physical & Emotional Stability 00:13:33 Sponsors: BetterHelp & Levels 00:16:08 Recognizing Addition; Video Games, Parents & Responsibility 00:23:38 Experiencing Real Life vs Addictive Behavior; Dopamine Dynamics 00:29:38 Drugs & Feelings; Reordering Your Life; Roles, Kids vs Parents 00:40:03 Sponsors: AG1 & LMNT 00:43:13 Tool: 30 Days Abstinence & Addiction; Impact 00:46:10 Creating a Life Post-Addiction, Jellinek Curve 00:55:30 Tool: Emotional Weather Forecast, Gratitude, Plan, Strivings 01:02:48 Connection with Others, Mental Willpower Throughout Day, Defining Best Self 01:08:39 Emotional Weather Map, Navigating Life 01:10:16 Sponsor: Function 01:12:03 Tolerating Stress, Sailing Analogy, Discomfort 01:16:03 Building Distress Tolerance, Proactive Behaviors, Cold Plunge 01:23:55 Stilling Leads to Seeing, Tool: Recognizing Stress Response; Relationships 01:30:56 Yoga Nidra, Non-Sleep Deep Rest (NDSR) 01:38:54 Yoga Nidra & Authenticity, Breaking Patterns 01:45:45 Yoga Nidra Timing, Regulation of Autonomic Nervous System; Breathwork 01:52:53 Sponsor: Waking Up 01:54:28 Alcoholism, Social Acceptability, Community, AA, Powerlessness 02:02:23 Gambling, Kids & Susceptibility 02:08:58 Transmuting Energy, Running, Dopamine, Feelings 02:15:41 Cocaine, Amphetamine, Stimulant Addiction 02:18:21 Overcoming Porn Addiction, Shame 02:30:03 Struggle, “Discomfort Appetite” 02:36:09 Addiction Treatment, Detox, Rehab Centers, 12-Step Meetings, AA 02:46:54 Is Addiction the Problem?, Trauma, Stress & Addiction Cycle 02:49:05 GLP-1 Agonists & Addiction Treatment?, HALT; Addicted to Stress? 02:52:44 Sugar Addiction, Caffeine; Ibogaine, Psylocibin & Considerations 02:59:56 Helping Someone With Addiction 03:04:58 Zero-Cost Support, YouTube, Spotify & Apple Follow & Reviews, Sponsors, YouTube Feedback, Protocols Book, Social Media, Neural Network Newsletter Disclaimer & Disclosures