Podcasts about Alcohol dependence

Send a text This week on Doc Jacques: Your Addiction Lifeguard, we're taking a clear-eyed (but not doom-and-gloom) look at how alcohol hijacks the brain—why memory goes missing, logic goes offline, and families feel like they're arguing with a wall. You'll learn what's really happening under the hood, why “just explain it better” doesn't work, and how to stop wrestling the damaged brain while still throwing a lifeline when your loved one is ready. Support the show

Send a text This week on Doc Jacques: Your Addiction Lifeguard, we're taking a clear-eyed (but not doom-and-gloom) look at how alcohol hijacks the brain—why memory goes missing, logic goes offline, and families feel like they're arguing with a wall. You'll learn what's really happening under the hood, why “just explain it better” doesn't work, and how to stop wrestling the damaged brain while still throwing a lifeline when your loved one is ready. Support the show

Send a textHas your recovery gotten you stuck with an identity crisis? How to get out of that trap.Support the show

Send a textHas your recovery gotten you stuck with an identity crisis? How to get out of that trap.Support the show

Wendy Dossett tells Adam Levy why the stigma of having an alcohol dependence in academia can be a huge barrier to seeking help. “We're supposed to be the brightest and the best, moving the frontiers of knowledge forward,” says Dossett, who has been in recovery for 20 years. “We're not supposed to be struggling with cognitive issues, mental health problems, damaging ourselves in the way that somebody with an alcohol addiction is doing.” Dossett, now an emeritus professor of religious studies at the University of Chester, UK, says that as an early career researcher she saw alcohol as the fuel to her academic life, driving her creativity and making the social elements of academic life easier to navigate. When, in her 30s, a colleague suggested she might need help, Dosett says she felt a “mixture of horror and absolute gratitude that somebody had the courage and care for me.” She went on to research the spiritual elements of recovery from addiction, which she says is less talked about in academia than, say, depression and anxiety. Victoria Burns, a social work scholar at the University of Calgary in Alberta, Canada, founded Recovery on Campus Alberta after telling her Dean that she had an alcohol dependence. He told her she was the first academic to disclose in his 26-year career, prompting her to research other Deans' experiences of faculty disclosing addiction and recovery. This is the fifth episode of Off Limits, a podcast series exploring topics that are often perceived as taboo in the workplace, including religion, bereavement, activism and sizeism. Hosted on Acast. See acast.com/privacy for more information.

Send us a textThe enemy is in the parking lot doing pushups and staying strong waiting for you to show any signs of relational or emotional weakness. Support the show

Send us a textThe enemy is in the parking lot doing pushups and staying strong waiting for you to show any signs of relational or emotional weakness. Support the show

Trigger Warning: This episode contains discussions of alcohol dependence, addiction, suicidal thoughts, mental health struggles, and relapse. Why we drink too much isn't always obvious—what if the answer lies deeper than willpower or self-control? Dr. Charles Knowles, a world-renowned surgeon and author, spent decades trapped in a cycle he couldn't explain: 10 years of fun, 10 years of fun with consequences, and 10 years struggling to stop. As a high-achieving professional, he looked nothing like the stereotype of someone with alcohol dependence, yet he faced the same battle millions experience in silence. Through his journey to find freedom from alcohol and extensive research, Dr. Knowles discovered that understanding how we learn to drink, and why some people can't unlearn it, is the key to breaking free. In this episode, Dr. Knowles joins Coach Cole Harvey to explore the science behind gray area drinking, the difference between positive and negative reinforcement, and why shame is the biggest barrier to change. Dr. Charles Knowles and Coach Cole discuss : "Light turning on" moments: when alcohol feels like instant peace for the first time Why being sober means having peace of mind, not just being alcohol-free The powerful analogy: trying not to drink is like being deprived of water in the desert How the "memory super league" in your brain makes drinking patterns nearly impossible to break Gray area drinking and the role of worry, cognitive dissonance, and control Alcohol reliance as a missing piece in how we talk about modern drinking habits Why dry challenges work best when they become a learning process (not just "white-knuckling") Finding out who you are without alcohol after years of drinking shaped your identity And other topics… Episode links: https://amzn.to/4r9eP3b When you buy something we recommend, we may get an affiliate commission — but it never affects your price or what we pick. Related Episodes: Gray Area Drinking with Jolene Park | Naked Life Story | EP 47 - https://thisnakedmind.com/ep-47-naked-life-story-jolene-park/ Are there normal drinkers? | Reader Question | EP 400 - https://thisnakedmind.com/ep-400-reader-question-are-there-normal-drinkers/ Why do I keep going back to drinking? | Reader Question | EP 570 - https://thisnakedmind.com/ep-570-readers-questions-why-do-i-keep-going-back-to-drinking/ Ready to take the next step on your journey?  Visit https://learn.thisnakedmind.com/podcast-resources for free resources, programs, and more. Until next week, stay curious! Hungryroot: Get 40% off your first box + a free item for life at ⁠https://www.hungryroot.com/mind⁠ Shopify: Sign up for your one-dollar-per-month trial and start selling today at⁠ ⁠⁠Shopify.com/mind⁠⁠⁠  Quince: Go to⁠ ⁠⁠Quince.com/naked⁠⁠⁠ for free shipping on your order and 365-day returns  BetterHelp: BetterHelp makes it easy to get matched online with a qualified therapist. Sign up and get 10% off at ⁠BetterHelp.com/nakedmind

Send us a textFor families deciding on doing an intervention. This step is a very challenging proposition and one that can lead to success or complete disaster.Support the show

Send us a textFor families deciding on doing an intervention. This step is a very challenging proposition and one that can lead to success or complete disaster.Support the show

Dejar el alcohol no es cuestión de fuerza de voluntad.Si lo fuera, nadie recaería. La mayoría de personas que intentan dejar de beber fallan por la misma razón: mantienen el mismo entorno, los mismos hábitos y la misma vida… esperando un resultado distinto.En este vídeo te explico 3 duras verdades que casi nadie te dice y que marcan la diferencia entre aguantar unas semanas… o dejar el alcohol para siempre.No hablamos de hígado ni de calorías.Hablamos de psicología, hábitos, identidad y entorno.Porque el alcohol no es solo una bebida: es una función en tu vida. Y si no sustituyes esa función, volverá.Aprenderás:• Por qué cambiar de amistades y contexto puede ser necesario• Por qué quitar el alcohol sin sustituirlo casi nunca funciona• Cómo crear nuevas aficiones que te ayuden a no recaer• Por qué la fuerza de voluntad no es la solución• Cómo hacer un cambio real y sostenible a largo plazoSi estás intentando dejar de beber, o simplemente quieres recuperar el control sobre tus hábitos, este vídeo puede ahorrarte años de frustración.

Kate Rowe's life has been full of wild adventures and hard living. But when she found sobriety, Kate discovered something big about herself. CW: This story contains discussion of childhood sexual abuse, sexual assault and some strong language. Please take care when listening.Ever since she stepped off the boat at Circular Quay as a 20-something 10-pound Pom, Kate has run fearlessly toward outrageous adventure.As a young woman Kate travelled around Australia picking tobacco, hitchhiking and sometimes spent her weekends running riot in Kings Cross.Then in 1974, she tagged along with some random guys she'd met who wanted to walk across the island of Timor. From there, Kate ventured into South-East Asia, where she began smuggling bricks of cannabis from Thailand into Nepal.But everywhere she went, Kate took herself with her, and so all kinds of baggage from her early life came along for the wild ride.Eventually a cloud lifted, and when Kate found sobriety she realised something big about herself.Content Warning: This story contains discussion of childhood sexual abuse, sexual assault and some strong language. Please take care when listening.How the F*ck Would I Know is published by Power Writers Publishing Group and can be found online.This episode of Conversations was produced by Meggie Morris. Executive Producer is Nicola Harrison.It explores trauma, healing, recovery, England, London, disordered eating, eating disorder recovery, substance abuse, addiction, drug trafficking, drug dealing, heroin, opium, alcohol, alcoholism, addiction recovery, therapy, counselling, sexuality, LGBTQI+, queer community, Mardi Gras, 1978, lesbian, women's Lib.To binge even more great episodes of the Conversations podcast with Richard Fidler and Sarah Kanowski go the ABC listen app (Australia) or wherever you get your podcasts. There you'll find hundreds of the best thought-provoking interviews with authors, writers, artists, politicians, psychologists, musicians, and celebrities.

Send us a textDo you struggle with relapses and accidents and wonder why you are such a failure? Well, it is not really failure, it is a learning experience. Support the show

Send us a textDo you struggle with relapses and accidents and wonder why you are such a failure? Well, it is not really failure, it is a learning experience. Support the show

Send us a textThings have dramatically changed in the weed world!Support the show

Send us a textThings have dramatically changed in the weed world!Support the show

Send us a textIt's that time of year again, the most difficult time for addicts working on recovery. Support the show

Send us a textIt's that time of year again, the most difficult time for addicts working on recovery. Support the show

Send us a textWhen you are at the end of your rope, exhaustion is what happens to you when you may be actually ready to recover and stop lying to yourself.Support the show

Send us a textWhen you are at the end of your rope, exhaustion is what happens to you when you may be actually ready to recover and stop lying to yourself.Support the show

Send us a textWhy do addicts not see trauma as a problem or something that they have experienced?Support the show

Send us a textWhy do addicts not see trauma as a problem or something that they have experienced?Support the show

Episode 203: Microinduction and harm reduction in OUD.  Nathan Bui and Sanjay Reddy describe how to manage opioid use disorder (OUD) by using microinduction and harm reduction, strategies that are reshaping the way we treat opioid use disorder. Written by Sanjay Reddy, OMSIV and Nathan Bui, OMSIV. Western University of Health Sciences, College of Osteopathic Medicine of the Pacific.You are listening to Rio Bravo qWeek Podcast, your weekly dose of knowledge brought to you by the Rio Bravo Family Medicine Residency Program from Bakersfield, California, a UCLA-affiliated program sponsored by Clinica Sierra Vista, Let Us Be Your Healthcare Home. This podcast was created for educational purposes only. Visit your primary care provider for additional medical advice.IntroWelcome to episode 203 of Rio Bravo qWeek, your weekly dose of knowledge.Today, we're tackling one of the biggest health challenges of our time: opioid use disorder, or OUD. Nearly every community in America has been touched by it: families, friends, even healthcare providers themselves. For decades, treatment has been surrounded by barriers, painful withdrawals, stigma, and strict rules that often do more harm than good. Too many people who need help never make it past those walls. But here's the hopeful part, new approaches are rewriting the story. They are less about rigid rules and more about meeting people where they are. Two of the most promising strategies for treatment of OUD are buprenorphine microinduction and harm reduction. Let's learn why these two connected strategies could change the future of addiction recovery. Background information of treatment: The X-waiver (short for DATA 2000 waiver) was a special DEA requirement for prescribing buprenorphine for opioid use disorder. Doctors used to take extra training (8 hours) and apply for it. Then, they could prescribe buprenorphine to a very limited number of patients. The X-waiverhelped regulate buprenorphine but also created barriers to access treatment to OUD. It was eliminated in January 2023 and now all clinicians with a standard DEA registration no longer need a waiver to prescribe buprenorphine for OUD. Why buprenorphine?Buprenorphine is one of the safest and most effective medications for opioid use disorder. It has some key attributes that make it both therapeutic and extremely safe: 1) As a partial agonist at mu-opioid receptors, it binds and provides enough partial stimulation to prevent cravings and withdrawal symptoms without producing strong euphoria associated with full agonists. 2) Because it has a strong binding affinity compared to full agonists, it easily displaces other opioids that may be occupying the receptor. 3) As an antagonist at kappa-opioid receptors, it contributes to improved mood and reduced stress-induced cravings. 4) The “ceiling effect”: increasing the dosage past a certain point does not produce a stronger opioid effect. This ceiling effect reduces the risk of respiratory depression and overdose, making it a safer option than full agonists. 5) It also had mild analgesic effects, reducing pain. 6) Long duration of action: The strong binding affinity and slow dissociation from the mu-opioid receptor are responsible for buprenorphine's long half-life of 24–60 hours. This prolonged action allows for once-daily dosing in medication-assisted treatment for OUD. Induction vs microinduction:The problem is, starting it—what's called “induction”—can be really tough. Patients usually need to stop opioids and go through a period of withdrawal first. Drugs like fentanyl, which can cause precipitated withdrawal —a sudden, severe crash may push people back to using opioids. Because buprenorphine binds so tightly to the mu-opioid receptor, it can displace other opioids, such as heroin or methadone. If buprenorphine is taken while a person still has other opioids in their system, it can trigger sudden and severe withdrawal symptoms.Opioid withdrawal sign sand symptoms:Opioid withdrawal symptoms are very uncomfortable; patients may even get aggressive during withdrawals. As a provider, once you meet one of these patients you never forget how uncomfortable and nasty they can be. The symptoms are lacrimation or rhinorrhea, piloerection "goose flesh," myalgia, diarrhea, nausea/vomiting, pupillary dilation, photophobia, insomnia, autonomic hyperactivity (tachypnea, hyperreflexia, tachycardia, sweating, hypertension, hyperthermia), and yawning. Think about all the symptoms you run for COWS (Clinical Opiate Withdrawal Scale). It is estimated 85 % of opioid-using patients who inject drugs (PWID) reported opioid withdrawal. Fortunately, even though opioid withdrawal is very uncomfortable, it is not life-threatening (unlike alcohol or benzodiazepine withdrawal, which can be fatal).Many patients who start the journey treating opioid use disorder experience “bumps in the road” --they avoid treatment or drop out early. What is Microinduction? Microinduction is a fairly new strategy started in Switzerland around 2016. It is also known as the “Bernese method” (named after the city of Bern, Switzerland). With this method, instead of stopping opioids cold turkey, patients start with tiny doses of buprenorphine—fractions of a milligram. These doses gradually increase over several days while the patient continues their regular opioid use. While they begin this titer, they can continue use of the full agonist they were previously using–methadone, fentanyl, or heroin, while the buprenorphine begins to take effect. Once the buprenorphine builds up to a therapeutic level, the full agonist is stopped. This method uses buprenorphine's unique pharmacology to stabilize the brain's opioid system without triggering those really nasty withdrawal symptoms.Early studies and case reports suggest this is safe, tolerable, and effective method to do. Microinduction is changing the game, and it has been spreading quickly in North America. Instead of forcing patients to stop opioids completely, the dose is slowly increased over the next three to seven days, while the patient keeps using their usual opioids.By the end of that week, the buprenorphine has built up to a therapeutic level and the full agonist is stopped. The difference is really dramatic. Instead of a painful crash into withdrawal, patients describe the process as a gentle step down, or a ramp instead of a cliff. It's a flexible method. It can be done in a hospital, a clinic, or even outpatient with good follow-up. Once a patient and doctor develop a strong relationship built on the principles of patient autonomy and patient-centered care, microinduction can be closely monitored on a monthly basis including televisits. Microinduction has been shown to help more patients stay in treatment. The Role of Harm Reduction Instead of demanding perfection, harm reduction focuses on best practices providers can implement to reduce risk and keep patients safe. Harm reduction can vary from providing naloxone to reverse overdoses, giving out clean syringes, or offering safer injection education. It also means allowing patients to stay in treatment even if they keep using other substances, and tailoring care for groups like adolescents, parents, or people recently released from incarceration. Harm reduction says that instead of demanding perfection, let's focus on progress. Instead of all-or-nothing, let's devote resources to keeping people alive and safe. As mentioned,an option is providing naloxone kits so overdoses can be reversed in the moment. Also, giving out clean syringes so the risk of HIV or hepatitis infection is reduced while injecting heroin. Another way to reduce harm is teaching safer injection practices so people can protect themselves until they're ready for that next step in their treatment. It also means keeping the doors open, even when patients slip. If someone is still using other substances, they still deserve care. And it means tailoring support for groups who oftentimes get left behind. For people like adolescents, parents balancing childcare, or people coming out of incarceration who are at the highest risk of overdose. Harm reduction recognizes that recovery isn't a straight line. It's about meeting people where they are and walking with them forward. Conclusion:Microinduction is itself a harm reduction strategy. It lowers barriers by removing the need for painful withdrawal.When paired with a harm reduction culture in clinics, patients are more likely to enter care, stay engaged, and build trust with doctors for continued care. Managing opioid use disorder is one of the greatest health challenges of our time. But solutions like buprenorphine microinduction and harm reduction strategies are reshaping treatment—making it safer, more humane, and more accessible. If we embrace these approaches, we can turn barriers into bridges and help more people find recovery. Even without trying, every night you go to bed a little wiser. Thanks for listening to Rio Bravo qWeek Podcast. We want to hear from you. Send us an email at RioBravoqWeek@clinicasierravista.org, or visit our website riobravofmrp.org/qweek. See you next week! _____________________References:Bluthenthal, R. N., Simpson, K., Ceasar, R. C., Zhao, J., Wenger, L., & Kral, A. H. (2020). Opioid withdrawal symptoms, frequency, and pain characteristics as correlates of health risk among people who inject drugs. Drug and Alcohol Dependence, volume 211, 1 June 2020, 107932. https://doi.org/10.1016/j.drugalcdep.2020.107932.De Aquino, J. P., Parida, S., & Sofuoglu, M. (2021). The pharmacology of buprenorphine microinduction for opioid use disorder. Clinical Drug Investigation, 41 (5), 425–436. https://doi.org/10.1007/s40261-021-01032-7. Taylor, J. L., Johnson, S., Cruz, R., Gray, J. R., Schiff, D., & Bagley, S. M. (2021). Integrating harm reduction into outpatient opioid use disorder treatment settings. Journal of General Internal Medicine, 36 (12), 3810–3819. https://doi.org/10.1007/s11606-021-06904-4.Theme song, Works All The Time by Dominik Schwarzer, YouTube ID: CUBDNERZU8HXUHBS, purchased from https://www.premiumbeat.com/. 

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 textIn this episode I talk to Prof. Georg Schomerus, Professor and Chair at the Department of Psychiatry and Psychotherapy, University of Leipzig. Prof Schomerus is a leading academic in the field of stigma towards alcohol and mental health problems.We discuss the nature of stigma towards alcohol problems, what drives stigma, how it relates to social behaviours and wider world events, and what can be done to challenge stigma. Support the showIf you are interested in one-to-one support for your drinking with Dr James Morris, contact him at DrJamesMorris.com For more episodes visit https://alcoholpodcast.buzzsprout.com/Follow us at @alcoholpodcast on X and Instagram

Mindfulness Training for Smoking Cessation: Moderation of the Relationship Between Craving and Cigarette UseIn this episode, Dr. Jud Brewer and colleagues discuss a randomized clinical trial evaluating mindfulness training (MT) as a smoking cessation intervention. The study demonstrates how mindfulness decouples the link between craving and cigarette use by disrupting the addictive loop reinforced by craving. Results showed that increased mindfulness practice—both formal and informal—significantly reduced cigarette consumption and moderated the relationship between craving and smoking behavior. By teaching participants to observe and accept cravings rather than suppress them, MT offers a powerful, evidence-based approach to addiction treatment.Full Reference:Elwafi, H. M., Witkiewitz, K., Mallik, S., Thornhill, T. A., & Brewer, J. A. (2013). Mindfulness training for smoking cessation: Moderation of the relationship between craving and cigarette use. Drug and Alcohol Dependence, 130(1-3), 222–229. https://doi.org/10.1016/j.drugalcdep.2012.11.015Let's connect on Instagram

As we come to the end of youth month... On the Weekend View this morning we put the spotlight on youth and underage drinking in South Africa. The Southern African Alcohol Policy Alliance (SAAPA) has expressed concern over the challenges that young people face through underage drinking. This due to the wide variety of alcohol distributors in many communities and the sale of alcohol to minors. SAAPA hosted a media discussion around the dangers of alcohol in communities, relating it to Youth Month and the impact that alcohol distribution has on children. To unpack this Bongiwe Zwane spoke to Dr Candice Groenewald - Chief Research Specialist in the public health, societies and belonging research division at the Human Sciences Research Council (HSRC) , Mokebe Thulo-CEO at Aware.org and Ayanda Sishi Wigzell, social commentator

Mindfulness Training for Smoking Cessation: Results from a Randomized Controlled TrialIn this episode, Dr. Jud Brewer and colleagues present findings from a groundbreaking randomized controlled trial comparing mindfulness training (MT) to a standard smoking cessation program (Freedom From Smoking, FFS). The study demonstrates that MT not only reduced cigarette consumption more effectively during treatment but also sustained these improvements through a 17-week follow-up. Participants who received mindfulness training achieved significantly higher abstinence rates (31% vs. 6% for FFS) and showed a greater capacity to "sit with" cravings rather than react to them. Learn how mindfulness leverages awareness and acceptance to disrupt addiction loops, offering a scalable, evidence-based solution for smoking cessation.Full Reference:Brewer, J. A., Mallik, S., Babuscio, T. A., Nich, C., Johnson, H. E., Deleone, C. M., Minnix-Cotton, C. A., Byrne, S. A., Kober, H., Weinstein, A. J., Carroll, K. M., & Rounsaville, B. J. (2011). Mindfulness training for smoking cessation: Results from a randomized controlled trial. Drug and Alcohol Dependence, 119(1-2), 72–80. https://doi.org/10.1016/j.drugalcdep.2011.05.027Let's connect on Instagram

Shawn & Janet Needham, R.Ph. have Hamza Najam on the podcast to talk about breaking free from alcohol dependence, and Breathesober. Hamza Najam Website | http://www.breathesober.com Instagram | https://www.instagram.com/hamzanajam.sobrietycoaching/ Facebook | https://www.facebook.com/hardresethamza Health Solutions Facebook | https://www.facebook.com/HealthSolutionsPodcast Instagram | https://www.instagram.com/health_solutions_shawn_needham/ Moses Lake Professional Pharmacy Website | http://mlrx.com.com/ Shawn Needham X | https://x.com/ShawnNeedham2 Shawn's Book | http://mybook.to/Sickened_The_Book Additional Links https://linktr.ee/mlrx

Niall Boylan Chats with Katie Lain from Thrive Alcohol Recovery

In episode 51 we discuss the connection between fun activities and success in recovery from substance use disorder.    Acuff, S. F., Ellis, J. D., Rabinowitz, J. A., Hochheimer, M., Hobelmann, J. G., Huhn, A. S., & Strickland, J. C. (2024). A brief measure of non-drug reinforcement: Association with treatment outcomes during initial substance use recovery. Drug and Alcohol Dependence, 256, 111092.     We also discuss whether people know their PCP can treat addiction, and alcohol use in Ireland.    JAMA Network Open: Knowledge, Attitudes, and Beliefs About Opioid Use Disorder Treatment in Primary Care   BBC: Why are people in Ireland drinking less alcohol?  ---  This podcast offers category 1 and MATE-ACT CME credits through MI CARES and Michigan State University. To get credit for this episode and others, go to this link to make your account, take a brief quiz, and claim your credit. To learn more about opportunities in addiction medicine, visit MI CARES.  CME: https://micaresed.org/courses/podcast-addiction-medicine-journal-club/  ---  Original theme music: composed and performed by Benjamin Kennedy  Audio editing: Michael Bonanno  Executive producer: Dr. Patrick Beeman  A podcast from Ars Longa Media  ---  This is Addiction Medicine Journal Club with Dr. Sonya Del Tredici and Dr. John Keenan. We practice addiction medicine and primary care, and we believe that addiction is a disease that can be treated. This podcast reviews current articles to help you stay up to date with research that you can use in your addiction medicine practice.     The best part of any journal club is the conversation. Send us your comments on social media or join our Facebook group.  Email: addictionmedicinejournalclub@gmail.com   Facebook: @AddictionMedJC  Facebook Group: Addiction Medicine Journal Club  Instagram: @AddictionMedJC   Threads: @AddictionMedJC  YouTube: addictionmedicinejournalclub   Twitter/X: @AddictionMedJC    Addiction Medicine Journal Club is intended for educational purposes only and should not be considered medical advice. The views expressed here are our own and do not necessarily reflect those of our employers or the authors of the articles we review. All patient information has been modified to protect their identities. 

What drives the onset of alcohol dependence in midlife? How does it present unique challenges, and what strategies can help when it disrupts the lives of individuals and their families?   In this episode of Under the Cortex, host Özge Gürcanlı Fischer Baum speaks with Lara Khalifeh and Leah Richmond-Rakerd from the University of Michigan, authors of a recent article in Clinical Psychological Science. Together, they discuss the role of aging, life transitions, and retirement as possible contributors to the distinct profile of midlife-onset alcohol dependence.   If you're interested in learning more about this research, visit psychologicalscience.org.    Send us your thoughts and questions at  underthecortex@psychologicalscience.org 

Send us a textWhat happens when a CrossFit athlete and personal trainer finds herself trapped in the cycle of alcohol dependence? How do societal norms around drinking contribute to hidden struggles with addiction?  Nadine Shaw opens up about her inspiring transformation from a life entwined with drinking to one of sobriety, driven by her desire to be a better role model for her children. In this episode, join host Anthony and Nadine as she shares how The 30-Day Alcohol Experiment helped her kickstart change, gradually replacing old habits with healthier routines. Nadine also discusses the psychological freedom she discovered through sobriety and the power of community and storytelling on her podcast, Life, Health, and the Universe. Nadine's Recommendation: Book: 30-Day Alcohol Experiment Book: Beyond Booze by Sarah Rusbatch an accredited Sobriety and Grey Area Drinking Coach based in Perth, and the face behind Perth's Alcohol-Free Movement! Facebook Group: Women's Wellbeing Collective hosted by Sarah Rusbatch About Nadine Shaw   Nadine Shaw is a CrossFit athlete, personal trainer, mother, and the host of the podcast Life, Health, and the Universe. Despite maintaining a fitness-focused lifestyle, Nadine quietly struggled with alcohol dependence, facing the challenges of societal norms that normalize drinking. In 2022, she found the turning point she needed through The 30-Day Alcohol Experiment, a small challenge that evolved into a lasting commitment to sobriety. Now, Nadine uses her personal journey to inspire others, emphasizing the importance of mental clarity, healthy routines, and being a positive role model. Through her podcast, she explores integrative health practices and shares powerful stories from guests, fostering connection and hope for those on similar paths of personal growth and recovery.Connect with Nadine Shaw Website: https://lifehealththeuniverse.podcastpage.io/ Instagram: https://www.instagram.com/life_health_theuniverse/ YouTube: https://www.youtube.com/@LifeHealthTheUniverse Spotify: https://open.spotify.com/show/4pktMRoOBi9HLlFBpTWrI2 Facebook: https://web.facebook.com/profile.php?id=100091937637281&_rdc=1&_rdrNadine Shaw invites listeners to reach out to her through the website's contact page or by leaving a voice message. About me&my health up & Anthony Hartcher    me&my Podcast DisclaimerAny information, advice, opinions or statements within it do not constitute medical, health care or other professional advice, and are provided for general information purposes only. All care is taken in the preparation of the information in this Podcast. [Connected Wellness Pty Ltd] operating under the brand of “me&my health up”..click here for moreScreen DeepA podcast decoding young brains and behavior in a digital world.Listen on: Apple Podcasts SpotifySupport the show

This year, eNeuro is celebrating 10 years of publishing by highlighting select papers from throughout its history. This episode features a 2018 paper titled “Systemic and Intra-Habenular Activation of the Orphan G Protein-Coupled Receptor GPR139 Decreases Compulsive-Like Alcohol Drinking and Hyperalgesia in Alcohol-Dependent Rats” and showcases interviews with Olivier George and Jenni Kononoff. Find out more information about SfN's Reviewer Mentor Program. With special guests: Olivier George and Jenni Kononoff Hosted by: Christophe Bernard and Rosalind Carney On Neuro Current, we delve into the stories and conversations surrounding research published in the journals of the Society for Neuroscience. Through its publications, JNeurosci, eNeuro, and the History of Neuroscience in Autobiography, SfN promotes discussion, debate, and reflection on the nature of scientific discovery, to advance the understanding of the brain and the nervous system.  Find out more about SfN and connect with us on X, Instagram, and LinkedIn.

This episode covers alcohol dependence.Written notes can be found at https://zerotofinals.com/moremedicine/psychiatry/alcoholdependence/ or in the psychiatry section of the Zero to Finals More Medicine book (due late 2024).The audio in the episode was expertly edited by Harry Watchman.

45. Urine Drug Screens and Treatment Retention    In episode 45 we discuss urine drug screens and treatment retention.    Michener PS, Knee A, Wilson D, Boama-Nyarko E, Friedmann PD. Association of random and observed urine drug screening with long-term retention in opioid treatment programs. Drug Alcohol Depend. 2024 Feb 1;255:111067.      We also discuss storing injectable buprenorphine at room temperature and subliminal menthol in cigarettes.    Sublocade Prescribing Information (Storage update top of page 40)     Andre Luiz Oliveira da Silva, Lauren K. Lempert, Stanton A. Glantz. More than a “characterizing flavor”: Menthol at subliminal levels in tobacco products. Drug and Alcohol Dependence, V 261, 2024, 111346, ISSN 0376-8716.  ---  This podcast offers category 1 and MATE-ACT CME credits through MI CARES and Michigan State University. To get credit for this episode and others, go to this link to make your account, take a brief quiz, and claim your credit. To learn more about opportunities in addiction medicine, visit MI CARES.  ---  Original theme music: composed and performed by Benjamin Kennedy  Audio production: Erin McCue  Executive Producer: Dr. Patrick Beeman  A podcast from Ars Longa Media  ---  This is Addiction Medicine Journal Club with Dr. Sonya Del Tredici and Dr. John Keenan. We practice addiction medicine and primary care, and we believe that addiction is a disease that can be treated. This podcast reviews current articles to help you stay up to date with research that you can use in your addiction medicine practice.     The best part of any journal club is the conversation. Send us your comments on social media or join our Facebook group.  Email: addictionmedicinejournalclub@gmail.com   Facebook: @AddictionMedJC  Facebook Group: Addiction Medicine Journal Club  Instagram: @AddictionMedJC   Threads: @AddictionMedJC  YouTube: addictionmedicinejournalclub   Twitter/X: @AddictionMedJC      Addiction Medicine Journal Club is intended for educational purposes only and should not be considered medical advice. The views expressed here are our own and do not necessarily reflect those of our employers or the authors of the articles we review. All patient information has been modified to protect their identities. 

In this gripping episode, Gary Menkes delves into the courageous journey of Jacob Scholze, from battling alcohol addiction to emerging as a beacon of hope. Jacob opens up about his struggle with liver cirrhosis, the impact of genetics on addiction, and the power of self-awareness. He candidly shares how he spiraled into dependency, and how the stress of the COVID-19 pandemic exacerbated his drinking habits, leading to severe health complications and a life-threatening hospital stay. Despite these challenges, Jacob's story is one of transformation. Discover how he turned his life around, found hope in functional medicine, and created a supportive community on Instagram. His honesty about his struggles with stigma, judgement, and navigating social situations as a non-drinker is inspiring. Tune in to learn about Jacob's health journey, his emotional healing, and how he is using his experiences to educate others about the dangers of alcohol. Follow Jacob's inspiring journey and join his supportive community on Instagram at https://www.instagram.com/feel_sober_good/. This episode is a stark reminder of the importance of health and self-awareness, and the power of change. ABOUT JACOB SCHOLZE:Jacob Scholze is a symbol of optimism and tenacity amidst challenges. He has bravely shared his personal journey with alcohol addiction, from the early stages of dependency to the harsh realities of physical health impacts. Jacob's story is a raw reminder of how seemingly harmless habits can escalate into serious issues, emphasizing the importance of self-awareness and caution. He also sheds light on the increased stress and workload experienced during the COVID-19 pandemic, and how it led to an escalation in his drinking habits, causing tension in his personal life and health complications that resulted in a life-threatening hospital stay.Despite the challenges he faced, Jacob's story is one of transformation and hope. He shares his health journey, detailing how he overcame early symptoms and a serious diagnosis of liver cirrhosis through functional medicine and health supplements. His story is a testament to the power of support and determination. Jacob's journey of recovery and self-improvement has led him to create a supportive community on Instagram, where he educates others about the dangers of alcohol and provides encouragement to those on their own recovery journey.Jacob's openness about his struggles with stigma, judgement, and the fear of social situations as a non-drinker has been a source of inspiration for many. He has used his experiences to navigate emotional healing and self-discovery, finding joy in engaging in deeper conversations, outdoor activities, and truly feeling emotions after a period of numbness. His story is a reminder that it's never too late to make a change and regain control of your life.► Visit our website here: TheBeginAgainPodcast.com ★ Let's connect: Twitter - https://twitter.com/BeginAgainPdcst Instagram - https://www.instagram.com/thebeginagainpodcast/ TikTok - https://www.tiktok.com/@user8619235129226 Facebook Page: https://www.facebook.com/TheBeginAgainPodcast/ Facebook Group: http://www.facebook.com/groups/thebeginagainpodcast/

Can medications like naltrexone revolutionize the treatment of alcohol dependence? Join today's discuss as Duane speaks with acclaimed journalist and podcast producer Andy Mills, who brings a wealth of experience from shows like The Daily and Radiolab. Andy delves into his new independent podcast, Reflector, highlighting a compelling episode titled "The Sea Change." He shares the gripping story of his friend Katie, who successfully managed her alcohol issues using the Sinclair Method during the COVID-19 pandemic, sparking a critical conversation on why such effective treatments aren't more widely adopted.Andy discusses the fundamental role of community and external support in overcoming addiction, underscoring the message that no one heals alone. Drawing from his experiences reporting on the opioid crisis and the unintended consequences of the COVID-19 lockdowns, Andy paints a vivid picture of the evolving landscape of addiction awareness. Through Katie's unique journey – seeking treatment without hitting rock bottom and finding success with the Sinclair Method – Andy illustrates the transformative power of personal stories in understanding addiction and exploring new treatment methods.In this episode, you will hear: Uncovering the treatment for overdrinking Exploring addiction and society's influence Hidden struggle with addiction stigma Balancing medication and thriving in life The depths of human connection 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:Reflector - The Sea Change: https://www.reflector.show/p/the-sea-change The Daily: https://open.spotify.com/show/3IM0lmZxpFAY7CwMuv9H4g Radiolab: https://radiolab.org/ NovusMindfulLife.comEpisode 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. Learn more about your ad choices. Visit megaphone.fm/adchoicesSee Privacy Policy at https://art19.com/privacy and California Privacy Notice at https://art19.com/privacy#do-not-sell-my-info.

Can medications like naltrexone revolutionize the treatment of alcohol dependence? Join today's discuss as Duane speaks with acclaimed journalist and podcast producer Andy Mills, who brings a wealth of experience from shows like The Daily and Radiolab. Andy delves into his new independent podcast, Reflector, highlighting a compelling episode titled "The Sea Change." He shares the gripping story of his friend Katie, who successfully managed her alcohol issues using the Sinclair Method during the COVID-19 pandemic, sparking a critical conversation on why such effective treatments aren't more widely adopted. Andy discusses the fundamental role of community and external support in overcoming addiction, underscoring the message that no one heals alone. Drawing from his experiences reporting on the opioid crisis and the unintended consequences of the COVID-19 lockdowns, Andy paints a vivid picture of the evolving landscape of addiction awareness. Through Katie's unique journey – seeking treatment without hitting rock bottom and finding success with the Sinclair Method – Andy illustrates the transformative power of personal stories in understanding addiction and exploring new treatment methods. In this episode, you will hear: Uncovering the treatment for overdrinking Exploring addiction and society's influence Hidden struggle with addiction stigma Balancing medication and thriving in life The depths of human connection 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: Reflector - The Sea Change: https://www.reflector.show/p/the-sea-change  The Daily: https://open.spotify.com/show/3IM0lmZxpFAY7CwMuv9H4g  Radiolab: https://radiolab.org/  NovusMindfulLife.com Episode Credits If 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. Learn more about your ad choices. Visit megaphone.fm/adchoices

My guest today is Ben Loos, he's a professor at Stellenbosch University and leads a neuro research group.  His team focuses on neurodegenerative diseases and brain cancers, with a major focus on autophagy Autophagy is the body's way of cleaning out damaged cells, in order to regenerate newer, healthier cells – a process which is essential to good health. Ben's research is at a particularly exciting stage right now as he is busy developing a device that will enable us to measure our autophagy rate – much as we can measure our resting heart rate or our glucose levels.  He is CEO of a start up called Phagoflux which will bring this product to market. Knowing our autophagy rate can make a big difference and will motivate us to strive for a healthy lifestyle  –for example if we see it is too low then we can do something about it – we can do some exercise or we can implement a 12 hour fast. Of course I asked Ben about what impact alcohol has on the autophagy process as well as other aspects of our health.  In this episode:- Health Risks of Alcohol: Excessive alcohol consumption is linked to various diseases, including cancer and neurodegeneration, due to its stress-inducing effects on cells and interference with processes like memory consolidation and sleep. Effects on Memory and Aging: Alcohol impairs both short-term and long-term memory formation, and chronic consumption accelerates brain aging, increasing susceptibility to neurodegenerative diseases like dementia. Alcohol Dependence and Blackouts: Regular heavy drinking can lead to alcohol dependence and blackouts, which indicate severe brain impairment and are precursors to brain damage. Particularly dangerous as we get older Alcohol and Autophagy: Alcohol abuse can impair autophagy due to oxidative stress, inflammation, and mitochondrial dysfunction. Thinking about our general health: Quitting alcohol leads to significant improvements in health, including liver regeneration, reduced inflammation, and better immune function, emphasizing the importance of avoiding alcohol dependency, especially as one ages. With an autophagy monitoring device like Phagoflux we could monitor our personal autophagy levels, just like checking our blood pressure or glucose levels. If the levels are high, it's a good sign that our cellular cleaning mechanism is functioning optimally. But if it's low, then interventions like exercise or dietary changes could help boost autophagy and improve cellular health. It's all about empowering us to take control of our wellness at a cellular level and I think many of us ex drinkers are keen to take action to heal our bodies and brains as much as we can. Autophagy in Healing: Autophagy plays a vital role in cellular healing by removing damaged components and restoring function. Autophagy Monitoring Device: Fagovlux aims to measure personal autophagy levels, crucial for understanding aging. Personalized Autophagy: Understanding one's daily autophagy activity can guide lifestyle choices like diet and exercise. Exercise and Autophagy: Exercise increases autophagy, contributing to healthy aging and reducing disease risk. Intermittent Fasting: Fasting triggers autophagy by sensing a lack of amino acids, promoting cellular repair and health. Of course we already know the basic health rules and we try to stay alcohol free, eat a healthy diet and fast occasionally and exercise regularly. But how motivating would it be to be able to monitor our autophagy rate and see what impact our hard working is having on our health! Connect with Ben: Contact Ben through the Stellenbosch University website or the Neuro Research Group website for more information. www. neuroresearchgroup. com More Info Episode Sponsor This episode is sponsored by the Tribe Sober Membership Program.  If you want to change your relationship with alcohol then sign up today Read more about our program and subscribe HERE Find out more about our FREE Bootcamps - next one is 20-24th May - more info HERE   Help us to Spread the Word! We made this podcast so that we can reach more people who need our help.  Please subscribe and share. If you enjoyed the podcast, then please leave us a 5-star review on Apple podcasts. Take a screenshot of your review, and DM it to Tribe Sober's Instagram page. We'll send you something special to say thank you! We release a podcast episode every Saturday morning. You can follow Tribe Sober on Facebook, Twitter and Instagram. You can join our private Facebook group HERE.    

Articles that Changed Our Practice-Part 2    In this episode we discuss 5 more articles that changed our addiction medicine practice.    Chambers LC, et al. Buprenorphine Dose and Time to Discontinuation Among Patients With Opioid Use Disorder in the Era of Fentanyl. JAMA Netw Open. 2023; 6(9):e2334540. September 2023. (Episode 34)    Caponnetto, P., et al. Varenicline and counseling for vaping cessation: a double-blind, randomized, parallel-group, placebo-controlled trial. BMC Med 21, 220 (2023). (Episode 29)    Litwin AH, et al. The HERO Study Group. Patient-centred models of hepatitis C treatment for people who inject drugs: a multicentre, pragmatic randomised trial. Lancet Gastroenterol Hepatol. 2022 Dec;7(12):1112-1127. (Episode 18)    Domzaridou E, et al. Non-fatal overdose risk associated with prescribing opioid agonists concurrently with other medication: Cohort study conducted using linked primary care, secondary care and mortality records. Addiction. 2023 Aug 3. (Episode 33)    Robert Heimer, et al. Receipt of Opioid Use Disorder Treatments Prior to Fatal Overdoses and Comparison to No Treatment in Connecticut, 2016-17. Drug and Alcohol Dependence. 2023. (Episode 38)  ----------  This podcast offers category 1 and MATE-ACT CME credits through MI CARES and Michigan State University. To get credit for this episode and others, go to this link to make your account, take a brief quiz, and claim your credit. To learn more about opportunities in addiction medicine, please visit MI CARES.  ----------  Episode Credits:  Original theme music: composed and performed by Benjamin Kennedy  Audio production: Erin McCue  Executive Producer: Dr. Patrick Beeman  A podcast from Ars Longa Media  ----------  This is Addiction Medicine Journal Club with Dr. Sonya Del Tredici and Dr. John Keenan. We practice addiction medicine and primary care, and we believe that addiction is a disease that can be treated. This podcast reviews current articles to help you stay up to date with research that you can use in your addiction medicine practice.     The best part of any journal club is the conversation. Send us your comments on social media or join our Facebook group.    Email: addictionmedicinejournalclub@gmail.com   Facebook: @AddictionMedJC  Facebook Group: Addiction Medicine Journal Club  Instagram: @AddictionMedJC   Threads: @AddictionMedJC  Twitter/X: @AddictionMedJC    YouTube: addictionmedicinejournalclub    Addiction Medicine Journal Club is intended for educational purposes only and should not be considered medical advice. The views expressed here are our own and do not necessarily reflect those of our employers or the authors of the articles we review. All patient information has been modified to protect their identities.

In episode 38 we discuss an article comparing different treatments (and no treatment) for opioid use disorder. Robert Heimer, Anne C. Black, Hsiuju Lin, Lauretta E. Grau, David A. Fiellin, Benjamin A. Howell, Kathryn Hawk, Gail D'Onofrio, William C. Becker. Receipt of Opioid Use Disorder Treatments Prior to Fatal Overdoses and Comparison to No Treatment in Connecticut, 2016-17. Drug and Alcohol Dependence. 2023. We also discuss stigma against patients with opioid use disorder who need surgery for endocarditis, the first American opioid addiction crisis after the Civil War, and banning menthol cigarettes.    From Vice: America Has Been Through an Opioid Crisis Before  From the NEJM: Broken Both Ways From Axios: Biden's upcoming decision on menthol ban pits politics against public health ---------- This podcast offers category 1 and MATE-ACT CME credits through MI CARES and Michigan State University. To get credit for this episode and others, go to this link to make your account, take a brief quiz, and claim your credit. To learn more about opportunities in addiction medicine, please visit MI CARES. ---------- Episode 38 Credits: Original theme music: composed and performed by Benjamin Kennedy Audio production: Erin McCue Executive Producer: Dr. Patrick Beeman A podcast from Ars Longa Media ---------- This is Addiction Medicine Journal Club with Dr. Sonya Del Tredici and Dr. John Keenan. We practice addiction medicine and primary care, and we believe that addiction is a disease that can be treated. This podcast reviews current articles to help you stay up to date with research that you can use in your addiction medicine practice.  The best part of any journal club is the conversation. Send us your comments on social media or join our Facebook group. Email: addictionmedicinejournalclub@gmail.com  Facebook: @AddictionMedJC Facebook Group: Addiction Medicine Journal Club Instagram: @AddictionMedJC  Threads: @AddictionMedJC Twitter/X: @AddictionMedJC   YouTube: addictionmedicinejournalclub Addiction Medicine Journal Club is intended for educational purposes only and should not be considered medical advice. The views expressed here are our own and do not necessarily reflect those of our employers or the authors of the articles we review. All patient information has been modified to protect their identities.

Dr. Yun “Sherry” Wang is an Assistant Professor on the tenure track at Chapman University School of Pharmacy (CUSP). Her academic journey is built upon a foundation in Geospatial Science from Washington University in St. Louis, an exploration of Data Science at Monash University, and comprehensive Ph.D. training in Clinical Pharmacy. Since she arrived at Chapman in May 2021, she has established and led the "Patient Safety Lab," a research initiative driven by her profound interests in health service research and pharmacoepidemiology, with a special focus on substance users and chronic disease patients. The "Patient Safety Lab" is a collaborative effort that utilizes diverse real-world datasets to explore various projects, including "Opioid Prescribing and Overdose Deaths Before and During the COVID-19 Pandemic in California," "Utilization of Buprenorphine Treatments in California: A Real-World Assessment of X Waiver Holders and Prescribers," "Spatiotemporal Disparity Mapping of Buprenorphine Treatment," and "Treatment Adherence Disparities among Adolescents and Young Adults with Cancer." These multifaceted projects unite over ten dedicated faculty members and students, fostering collaboration beyond the boundaries of Chapman University. Dr. Wang's professional background encompasses a spectrum of disciplines, including machine learning, epidemiology, clinical pharmacy, health economics, and health service research across Asia, Australia, and the United States. Her contributions are evident through peer-reviewed publications in esteemed journals such as JAMA, Lancet, Clinical Infectious Disease, International Journal of Cardiology, Pharmacogenomics Journal, Drug and Alcohol Dependence, Pain Reports, and Neuroepidemiology. Her editorial role for the "Opioid Epidemic during the COVID-19 Pandemic" Special Issue of the journal Healthcare underscores her dedication to addressing the opioid crisis. Her research findings have garnered attention in ISPOR News Across Asia, Physician Weekly, and the COVID newsletter by the Washington State Department of Health. She received the American Association of Colleges of Pharmacy (AACP) New Investigator Award in 2022. Faculty profile: https://www.chapman.edu/our-faculty/sherry-yun-wang Google Scholar: https://scholar.google.com.au/citations?user=-RicqRIAAAAJ&hl=en

In episode 32 we discuss an article about trazodone for sleep in people with opioid use disorder on buprenorphine. Piyush Goyal, Dheeraj Kattula, Ravindra Rao, Roshan Bhad, Ashwani Kumar Mishra, Anju Dhawan. Trazodone for sleep disturbance in opioid dependent patients maintained on buprenorphine: A double blind, placebo-controlled trial. Drug and Alcohol Dependence. Volume 250. 2023. 110891. ISSN 0376-8716.  We also discuss the decriminalization of psychedelics and treating HCV in primary care. From the LA Times: California moves to decriminalize use of magic mushrooms and other natural psychedelics   From the AASLD/ISDA: Recommendations for Testing, Managing, and Treating Hepatitis C ---------- This podcast offers category 1 and MATE-ACT CME credits through MI CARES and Michigan State University. To get credit for this episode and others, go to this link to make your account, take a brief quiz, and claim your credit. To learn more about opportunities in addiction medicine, please visit MI CARES. ---------- Episode 32 Credits: Original theme music: composed and performed by Benjamin Kennedy Audio production: Erin McCue Executive Producer: Dr. Patrick Beeman A podcast from Ars Longa Media ---------- This is Addiction Medicine Journal Club with Dr. Sonya Del Tredici and Dr. John Keenan. We practice addiction medicine and primary care, and we believe that addiction is a disease that can be treated. This podcast reviews current articles to help you stay up to date with research that you can use in your addiction medicine practice.  The best part of any journal club is the conversation. Send us your comments on Twitter, Facebook, YouTube, Spotify, email, or join our Facebook group. Email: addictionmedicinejournalclub@gmail.com  Twitter/X: @AddictionMedJC  Facebook: @AddictionMedJC Facebook Group: Addiction Medicine Journal Club YouTube: addictionmedicinejournalclub Addiction Medicine Journal Club is intended for educational purposes only and should not be considered medical advice. The views expressed here are our own and do not necessarily reflect those of our employers or the authors of the articles we review. All patient information has been modified to protect their identities.

The rates of alcohol use disorder increased significantly since the onset of COVID-19, making this a major public health issue, though it's not discussed as frequently as opioid overdoses. Over 140,000 Americans die from the effects of alcohol in an average year (more than from drug overdoses). Ten percent of Americans over the age of 12 have Alcohol Use Disorder. And according to the 2023 Alcohol Abuse Statistics, 60% of Americans increased their alcohol consumption during COVID-19 lockdowns. In this podcast, we are joined by Dr. Iilun Murphy, Director of the Office of Generic Drugs in FDA's Center for Drug Evaluation and Research (CDER), and returning is Dr. Marta Sokolowska, CDER's Deputy Center Director for Substance Use and Behavioral Health to discuss the recent first generic approval to Vivitrol, a one-month extended-release injectable naltrexone that is used to help people recovering from opioid or alcohol dependence.

Today we're tackling a common obstacle to narcissistic abuse recovery: alcohol dependency.  Listen in for a quick conversation as to why trauma and alcohol dependency get along so well but then stay for the rest where I offer a frame for alcohol abuse recovery that will complement the work you're already doing in your own narcissistic abuse recovery work. It can feel like problems are piling on top of each other but it's all the same thing.  I am getting clear so you can heal. I even took notes for you so you don't have to: Get the framework Learn the strategies Grab the guide: No More Solace Sipping: Overcoming Alcohol Dependence in Narcissistic Abuse Recovery --- Send in a voice message: https://podcasters.spotify.com/pod/show/mothermayhem/message

In episode 28 we discuss an article about pain and addiction recovery. Ajay Manhapra, Elina A. Stefanovics, Taeho Greg Rhee, Robert A. Rosenheck, Persistence of significant pain interference following substance use disorder remission: Negative association with psychosocial and physical recovery, Drug and Alcohol Dependence, Volume 232, 2022, 109339, ISSN 0376-8716,  We also discuss top-selling flavored e-cigarette products, and Sweden becoming the first smoke-free country.  Scripps News: Sweden Close to Becoming the Frist Smoke-Free Country in Europe JAMA Network Open: Evaluation of statewide restrictions on flavored e-cigarette sales in the US from 2014 to 2020 CDC: E-cigarette Unit Sales by Product and Flavor Type, and Top-Selling Brands, United States, 2020–2022 One of our listeners sent us this article too: Mortality Among Homeless Adults in Boston: Shifts in Causes of Death Over a 15-year Period. --------- This episode is eligible for CME credit from MICARES and Michigan State University. Go to www.micaresed.org to make an account. Take a brief quiz and get your credit here.  --------- Episode 28 Credits: Original theme music: composed and performed by Benjamin Kennedy Audio production: Erin McCue Executive Producer: Dr. Patrick Beeman A podcast from Ars Longa Media ---------- This is Addiction Medicine Journal Club with Dr. Sonya Del Tredici and Dr. John Keenan. We practice addiction medicine and primary care, and we believe that addiction is a disease that can be treated. This podcast reviews current articles to help you stay up to date with research that you can use in your addiction medicine practice.  The best part of any journal club is the conversation. Send us your comments on Twitter, Facebook, YouTube, Spotify, email, or join our Facebook group. Email: addictionmedicinejournalclub@gmail.com  Twitter: @AddictionMedJC  Facebook: @AddictionMedJC Facebook Group: Addiction Medicine Journal Club YouTube: addictionmedicinejournalclub Addiction Medicine Journal Club is intended for educational purposes only and should not be considered medical advice. The views expressed here are our own and do not necessarily reflect those of our employers or the authors of the articles we review. All patient information has been modified to protect their identities.

  My guest this week is Faye Lawrence who is the founder of Australia's largest alcohol-free community for the sober and the sober curious. Their focus is not so much on the “not drinking” bit but more on the socialising without alcohol bit – which is a real struggle for most people after they quit. They do dinners, bush walks, sober singles nights, live music and ever roller discos.  It sounds like a way to find your vibe as a newly sober person. Another reason I wanted to talk to Faye was because Research is now showing that there are definite links between Attention Deficit Hyperactivity Disorder (ADHD) and Alcohol Use Disorder (AUD)  Faye was recently diagnosed with ADHD and was keen to talk about it In this episode:- Faye Explained that she'd been in therapy for years but it wasn't until she stopped drinking that the healing began She calls sobriety a "portal for growth" - at Tribe Sober we often call it a "springboard for self development" The combination of alcoholism on both sides of her family and the influence of the boozy Uk culture resulted in Faye beginning to drink at 13 She loved partying and found it enabled her to switch off her overactive brain She began working in London which of course meant joining the Work Hard/Play Hard culture Fay had kids quite young and then relocated to Australia Her drinking calmed down a bit after she had children but then ramped up again when she separated from her husband She felt isolated as had no family in Oz and hadn't yet established a friend network With 2 young children and a full time job she was struggling to cope Her kids alternated between Fay and her ex for weekends and when her kids were away Faye just wanted to get obliterated for the entire time For the next 20 years Fay was stuck in the moderation trap – that dreaded cycle that so many of us know The cycle of trying (and failing) to cut down Now and again when she had overdone it she would go to alcohol counselling or an AA meeting or to her GP for naltroxene but her denial was strong and of course she didn't WANT to give up Such a crucial point Faye made there – its no good trying to quit drinking because we think we should or because our partner or doctor has told us to – we have to WANT to quit and realise that we will be so much happier and healthier without it She describes herself as a functioning alcoholic – keeping the career and family going and ticking all the boxes But going to work with terrible hangovers multiple times a week In 2017 her relationship broke down and the kids left home – she was an empty nester and home alone That's when she hit her rock bottom That's when she realized she was no longer in control She didn't care whether she lived or died She didn't even want to drink and she realized the alcohol was no longer doing what she needed it to It wasn't enjoyable, or quelling her anxiety or giving her a break from her overactive mind This made me think of the saying that “sobriety delivers everything that alcohol promised!” In spite of her rock bottom she still couldn't stop drinking Faye's trigger for change was a trip to her therapist who told her that she looked terrible and had to get some help She got admitted to hospital for a detox Faye pointed out that people will be listening to her story and thinking “well I'm not that bad” – she used to think like that but now she realizes that it's a slippery slope If you're on the slippery slope please be smart and step off it as soon as possible – go to tribesober.com and hit join our tribe right now We both love the modern recovery movement and the fact that nobody has to walk into a room full of strangers and say “I am an alcoholic” these days There are so many different paths to sobriety these days which mean that nobody has to wait until they hit rock bottom We both relish the mental peace that sobriety brings – no more endless negotiating with ourselves about whether to drink or not! After her detox Faye threw the book at her sobriety – she took meds, she joined sobriety groups, she want to a counsellor and went to AA She decided to do whatever it took She decided to go into this with an open mind Keeping an open mind is so important – somebody asked me about our Zoom workshop the other day – she was nervous about attending and asked me what on earth we talk about for 4 hours! I suggested she attend with an open mind…and she loved it! We panic because we think we can't survive without our wine but once we join a community and see how other people are loving their alcohol free lives we change our thinking! Our next Zoom workshop is on 22nd July so just go to tribesober.com and hit our services if you want more info It made me smile when Faye said that “she'd never done adult life” – apparently our emotional maturity stalls when we start to drink heavily… Both Faye and I started drinking in our teens so we both had to learn adulting! You heard Faye mention that it was 17 years between realizing that she had a problem and stopping You've probably heard me quoting that study by the Tempest that says the average time is 11 years There is such a basic human need to belong which is why many of us non drinkers can feel marginalized (and maybe why Faye and I both started sobriety communities so we could meet like minded people!) We also agreed that it's a way to see who our friends really are and that it helps to change the format of our social events Replacing boozy lunches and nights out with brunches and coffee meetings for example We agreed that although alcohol is seen as a social lubricant it actually disconnects us and socializing without alcohol leads to more authentic connection A year ago Faye was diagnosed with ADHD at the age of 48 Although there are there definite links between Attention Deficit Hyperactivity Disorder (ADHD) and Alcohol Use Disorder (AUD) none of Faye's counsellors every mentioned this or suggested it could be an issue for her She feels a lot of people are suffering unnecessarily due to not being diagnosed Faye listed a few characteristics of the ADHD brain which sees things as “interesting” or “not interesting” and gets bored quickly She feels that anyone who feels they may have ADHD should go to their GP for a referral Faye's top 3 benefits of sobriety were relationship with self, relationship with children and clarity… As she says sobriety makes a space for good things to happen That's something to remember in early sobriety if we feel a bit flat or bored… it's not always going to feel like this and you're making a space for good things to happen Liminal space I think its called… Finally we agreed that the question is not “Am I an Alcoholic”, the question is “Am I living my best life”, Am I the person I want to be You can reach Faye via her website Untoxicated.com.au or via her email which is faye@untoxicated.com.au Episode Sponsor This episode is sponsored by the Tribe Sober Membership Program.  If you want to change your relationship with alcohol then sign up today Read more about our program and subscribe HERE Help us to Spread the Word! 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ADHD and alcohol addiction...This week's guest is Faye Lawrence. Faye founded Untoxicated, Australia's largest alcohol-free social community with around 10,000 members. Having been a heavy but high-functioning drinker since her teens, she wound up in inpatient detox in late 2017 after the wheels fell off. Determined not to let her sobriety ruin her social life, Untoxicated was born. Faye was recently diagnosed with ADHD (combined type) at the ripe old age of 48, and is passionate about creating awareness about the strong link between ADHD and alcohol dependence, hoping it might help reduce similar pitfalls for other women.Faye is a TEDx speaker, co-author, has been featured widely across media and advocates to normalise living alcohol-free and reduce the stigma around addiction.During this episode, Kate and Faye discuss:ADHD and addiction connections Struggling with Alcohol use Family addiction patternsFamily compassion with the understanding of neurodiversityADHD screening in treatment centres Social anxiety and drinkingThe clarity post ADHD diagnosisWhy ADHD can make you more susceptible to addiction Socialising post recoveryHow Faye is finding ADHD medication How to look at your own drinking habits If you find this podcast a helpful resource and you'd like to see it continue to grow with more guests, solo episodes and further information, I'd love it if you could show your appreciation via this gratitude link. As The ADHD Women's Wellbeing Podcast is entirely self-funded and self-produced with some amazing editing by my editor, Faith - it does take a lot of time, effort, love, hard work and money to ensure a weekly episode comes to you every Thursday. I'd love to bring this podcast to you full of integrity and advert-free to ensure you get the most authentic conversation without listening to adverts you may not be interested in. By showing your appreciation through this link, I can continue to bring you the most up-to-date and relevant information I can and keep helping so many of you. Any support is gratefully received and goes to helping our incredible community become more supported, empowered and educated.https://the-adhd-womens-wellbe.captivate.fm/supportIf you enjoy the podcast, why not join Kate's ADHD Women's Wellbeing Collective, where you can access monthly live workshops, exclusive content and new resources specifically for the membership? Click here for all details.Kate Moryoussef is a women's ADHD Lifestyle & Wellbeing coach and EFT practitioner helping overwhelmed yet unfulfilled ADHD women find more calm, balance, health, compassion, creativity and clarity. Have a look at some of Kate's workshops and free resources here.Download Kate's audio course and private podcast, Calmer Days here.Follow the podcast on Instagram here

Is drug testing important? Does it make a clinical difference? I discuss this question with Drs. Dawson and Passik from Millennium Health. Millennium Health Millennium Health is an accredited specialty laboratory with over a decade of experience in medication monitoring and drug testing services, helping clinicians monitor use of prescription medications and illicit drugs and analyzing specimens to find nationwide drug use trends. Eric Dawson, PharmD Eric Dawson, PharmD brings a diverse background of over 20 years of clinical experience, research, and education. He has a particular interest in the issues surrounding appropriate opioid prescribing as well the consequences of drug abuse, misuse, and diversion.  He is passionate about educating clinicians on the topic and has given many lectures to pharmacists, nurses, and physicians. Dr. Dawson has also authored or coauthored several publications in JAMA, JAMA Network Open, Drug and Alcohol Dependence, etc. on drug use. He earned his Doctor of Pharmacy degree from Auburn University graduating with highest honors. He is also a licensed pharmacist in the state of Alabama. Steven Passik, PhD After a 25-year career as an academic clinical psychologist working with cancer and non-cancer pain patients and their families, Dr. Steve Passik has now been in industry for nearly 10 years. Having worked at the interface of pain and addiction both clinically and conducting research at Memorial Sloan Kettering Cancer Center, University of Kentucky and Vanderbilt University, Dr. Passik came to industry to contribute to safer pain management and improved addiction recognition and treatment. He initially began working at Millennium Health with an eye toward strengthening the evidence base underpinning urine drug testing in pain and addiction management. He then spent several years in pharma working to help in the development of safer opioid formulations. He returns now to Millennium Health as VP, Scientific Affairs and Head of Clinical Data Programs, working primarily on expanding work begun at MH using aggregated urine drug testing results from around the country to inform clinicians, policy makers and public health officials on the changing landscape of substance use to help facilitate a data driven approach to this enormous public health problem.