Podcasts about alcohol use disorder

In today's episode, Colleen lifts the veil on a common self-sabotage mechanism that often flies under the radar: worry. What begins as a moment of genuine joy and success quickly dissolves into anxiety—and not because something actually went wrong, but because her nervous system quietly panicked at how good it all felt. Using a relatable personal story and the concept of the “upper limit problem,” Colleen explores how we unconsciously block positive emotions the moment they start to expand. Whether it's a burst of pride, creative momentum, or a deep sense of peace, many of us unknowingly kink the hose of our own emotional flow—defaulting to worry as a way to shut it all down. This episode offers a practical and empowering reframe: your worry isn't a warning—it's a signal that something good is trying to get in. If you're ready to stop letting anxiety pull the plug on your joy, this one's for you.

Click here to watch on YouTube! If you've ever done an alcohol free challenge for 30, 60 or 90 days, maybe even a year, only to fall back into old habits when you started drinking again— this episode is for you. In today's deep dive, Colleen Freeland explains why behavior-based sobriety models (like Sober Sis, Annie Grace, and Casey Davidson's approaches) can actually keep you trapped in the very drinking cycle you're trying to escape. You'll learn why the real issue isn't alcohol — it's the perfectionistic, all-or-nothing mindset these programs reinforce. Colleen unpacks the neuroscience of habit change and explains why shame, identity labels, and emotional avoidance block your brain's ability to rewire for good. She'll walk you through the Default Mode Network, Reticular Activating System, and the Habenula — three key parts of the brain where habits live — and show you how to reprogram your subconscious mind through identity-based change and emotional safety.

In episode 62 we discuss the article “Oral vs Extended-Release Injectable Naltrexone for Hospitalized Patients with Alcohol Use Disorder.” Magane KM, et al.Oral vs Extended-Release Injectable Naltrexone for Hospitalized Patients With Alcohol Use Disorder: A Randomized Clinical Trial. JAMA Intern Med. 2025 Jun 1;185(6):635-645. We also discuss reduced overdose deaths and changes in buprenorphine labelling to include higher doses. NPR:Drug deaths plummet among young Americans as fentanyl carnage eases Federal Register:Modifications to Labeling of Buprenorphine-Containing Transmucosal Products for the Treatment of Opioid Dependence --- 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 tothis link to make your account, take a brief quiz, and claim your credit. To learn more about opportunities in addiction medicine, visitMI 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 fromArs 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. Learn more about your ad choices. Visit megaphone.fm/adchoices

In today's episode, Colleen peels back the curtain on one of the most radical shifts we can make: recognizing that we are not our thoughts—we're the observer behind them. What starts as a reflection on managing the energy in your body becomes a masterclass in emotional authorship, reminding us that our thoughts, not our circumstances, are what create our lived reality. Using the metaphor of a self-driving car, Colleen breaks down how most of us are unconsciously letting outdated programming steer our lives. But it doesn't have to be that way. When you take back the wheel—choosing how you want to feel and filtering your thoughts through that emotional compass—you begin to rewrite the narrative of your life, one aligned action at a time. This episode is both a wake-up call and a permission slip: to believe what feels good, let go of what causes suffering, and trust that healing your inner world is how you change the outer one. If you've ever wondered whether it's really possible to feel free, peaceful, and powerful in your own skin—this is your answer.    

In today's episode, Colleen walks us through a high-stakes moment with one of her clients—standing at the emotional fork in the road between old habits and radical self-responsibility. After a tense night at her childhood home, surrounded by triggering family dynamics and judgment, this client found herself spiraling into shame after a single shot of tequila… and a familiar pattern of self-attack. With her sister likely ready to confront her, she reached out for support—not to fix the situation, but to reclaim her power before it got hijacked. What unfolds is a masterclass in nervous system protection, mindset choice, and learning how to stop reacting to the stories in your head (and the ones projected onto you). This episode is your reminder that peace isn't earned through explanation—it's chosen in the moment, with breath, presence, and courage. If you've ever felt like you have to prove, fix, or defend your choices just to feel okay again—this one will show you another way.

Learn the warning signs of AUD, from drinking more than intended to neglecting responsibilities. This medical condition exists on a spectrum from mild to severe, but treatment works at any stage—despite the stigma that prevents many from seeking help. Learn more at https://sayarc.com Addiction Resource Center LLC. City: Yuba City Address: 1002 Live Oak Blvd. Website: https://sayarc.com

Think that glass of wine is helping you relax and drift off? Think again. Your favorite nightcap may actually be sabotaging your sleep and fueling your menopausal symptomsIn this episode, we're unpacking the science behind alcohol's impact on sleep and menopause, explaining how it can intensify hot flashes, brain fog, and belly fat. You'll also discover empowering alternatives to support your energy, reclaim your sleep and protect your long-term brain health.What to Listen For:[00:01:00] Why your evening glass of wine might be making your hot flashes and belly fat worse[00:02:00] How alcohol disrupts your brain's ability to detox and repair overnight[00:04:00] Why women are more vulnerable to alcohol's effects, especially during menopause[00:07:00] The science behind how your liver processes alcohol — and why this matters more as we age[00:09:00] How hormonal changes make alcohol hit harder (and linger longer) in your system[00:12:00] The genetic differences that affect how we metabolize alcohol — and why you might flush red[00:14:00] The ways alcohol worsens menopause symptoms like night sweats and brain fog[00:17:00] The vicious cycle of alcohol, dehydration, and increased cravings[00:18:00] Key questions to help you explore your true needs beyond that glass of wine[00:22:00] Alternatives and strategies to find comfort, calm, and connection without alcoholIn this episode, we explore how alcohol, sleep, and menopause create a perfect storm for your health and what you can do to break the cycle. This isn't about guilt or deprivation — it's about empowerment and creating habits that support your brain and body as you age. If you're ready to make some changes, book a free mini-coaching session!Subscribe & Review in iTunesIf you like what you hear, please subscribe to my podcast.  I encourage you to do that today as I don't want you to miss an episode.  Click here to subscribe on iTunes!Now if you're feeling extra loving, I would be really grateful if you left me a review over on iTunes, too. Those reviews help other people find my podcast and they're also fun for me to go in and read. Just click here to review, select “Ratings and Reviews” and “Write a Review” and let me know what your favorite part of the podcast is.RESOURCES: Register for the FREE Masterclass: 5 Keys to Protecting Your Brain Health Book a FREE Discovery Call with Amy Lang Order Amy's book Thoughts Are Habits Too: Master Your Triggers, Free Yourself From Diet Culture, and Rediscover Joyful Eating. Follow Amy on Instagram @habitwhisperer

Click here to register for the neural rewrite masterclass! How to escape your negative self-talk. Click here to watch this episode on YouTube!  What happens when you're the person everyone counts and you're secretly falling apart? In this episode, Colleen sits down with tech founder, entrepreneur and coach Mike Hardenbrook for an honest conversation about what it looks like when high-functioning people hit their limit. Mike opens up about the moment his drinking stopped working, why success can be a mask for burnout, and what it really takes to start living from self-trust instead of self-discipline. Mike's story is proof that you don't have to lose everything to change—but you do have to stop pretending everything's fine. If you're tired of performing under pressure, this episode will show you how to walk away from the bad habits that aren't serving you anymore without losing your edge--or the fun version of yourself.  Mike has also developed a brand of supplements specifically for drinkers looking to cut back that have been shown to reduce alcohol cravings up to 60% and correct the nutritional deficiencies caused by regular drinking.  Find Mike: Mike's Instagram  Mike's Website.  Click here to shop for the Cloud 9 supplements mentioned in the interview.   Click here to BOOK A DISCOVERY CALL if you're ready to fully commit to your personal growth and do the work to get emotionally sober. Side effects include an 80 percent reduction in drinking. Want daily updates from me? TikTok: @hangoverwhisperer Instagram: @thehangoverwhisperer Twitter (X): @NotAboutTheAlc  YouTube: @hangoverwhisperer —Do you want coaching from Colleen on a situation you're struggling with? Click here to submit your question. Your name will not be mentioned on air!   

In today's episode, Colleen shares a real-life moment of emotional sobriety in action—when an old blog post, a rogue email, and a morning scroll tried to hijack her peace before she even got out of bed. What begins as a minor tech task quickly spirals into a stress response… until she catches it. Instead of reacting from urgency, she pauses, reconnects with her intention for the day, and remembers: just because it feels urgent doesn't mean it is. This episode is a practical, embodied reminder that emotional sobriety isn't about getting it perfect—it's about noticing the pattern before it runs your whole day. If you're done letting false alarms steal your time, energy, and presence, this one shows you how to reclaim control—without rushing to fix anything.

Mix up a mocktail and settle in for another addition to our ADHD & addiction series.   This episode, we're on a mission to bring back fun, lighthearted conspiracy theories before diving into the Meat, where Kristin is teaching us about Alcohol Use Disorder (AUD).    She's covering the diagnostic criteria for AUD, how alcohol affects the brain and body, why ADHDers are especially drawn to it, and some judgment-free suggestions for reducing your use.  Resources: Alcohol Use Disorder: Screening, Evaluation, and Management - StatPearls - NCBI Bookshelf Alcohol use disorders and ADHD - ScienceDirect Increased Sensitivity to the Disinhibiting Effects of Alcohol in Adults with ADHD - PMC ADHD and Alcohol Use: What's the Link? | Psych Central ADHD & Alcohol: Exploring the Connection and Overcoming Challenges The Clinically Meaningful Link Between Alcohol Use and Attention Deficit Hyperactivity Disorder - PMC Alcohol Use Disorder: A Comparison Between DSM–IV and DSM–5 | National Institute on Alcohol Abuse and Alcoholism (NIAAA) Effects of Alcohol on the Brain, Animation, Professional version. Alcohol and Neurotransmitter Interactions - PMC Associations between childhood ADHD, gender, and adolescent alcohol and marijuana involvement: A causally informative design. - Abstract - Europe PMC Faye Lawrence - ADHD, Grey Area Drinker & Behaviour Change Coach Atomoxetine treatment of adults with ADHD and comorbid alcohol use disorders - ScienceDirect Common Nightingale - YouTube

In today's episode, Colleen reveals the sneaky way our own thoughts quietly become emotional abuse—and how to interrupt the habit of thinking things that hurt. From bedtime mirror pep talks to buried beliefs about being “a hot mess,” this episode explores how subconscious thought loops create the feelings that sabotage your confidence, relationships, and self-trust. Colleen explains how your nervous system isn't reacting to your circumstances—it's reacting to your story. And most of that story? It's fiction you've been rehearsing for years. If you're ready to stop bullying yourself with thoughts you'd never say out loud to a friend, this episode is your start to choosing a better script and creating safety in your own mind.

For too long, Alcohol Use Disorder (AUD) has been misunderstood as a failure of willpower—but science tells a different story. In this episode, we dive into the neurological basis of addiction, exploring how AUD rewires the brain and why overcoming it requires more than sheer determination. We'll debunk myths, highlight the role of medical and psychological support, and offer insight into what real recovery looks like. If you've ever wondered why quitting alcohol feels impossible for some, this episode is for you.Find out about the free resources and all our books available at winspress.com.******************************************************************************************References for today's episode:Koob, G. F., & Volkow, N. D. (2016). Neurobiology of addiction: A neurocircuitry analysis. The Lancet Psychiatry, 3(8), 760-773. https://doi.org/10.1016/S2215-0366(16)00104-Volkow, N. D., Koob, G. F., & McLellan, A. T. (2016). Neurobiologic advances from the brain disease model of addiction. New England Journal of Medicine, 374(4), 363-371. https://doi.org/10.1056/NEJMra151148Goldstein, R. Z., & Volkow, N. D. (2011). Dysfunction of the prefrontal cortex in addiction: Neuroimaging findings and clinical implications. Nature Reviews Neuroscience, 12(11), 652-669. https://doi.org/10.1038/nrn311Bechara, A. (2005). Decision making, impulse control and loss of willpower to resist drugs: A neurocognitive perspective. Nature Neuroscience, 8(11), 1458-1463. https://doi.org/10.1038/nn158McLellan, A. T., Lewis, D. C., O'Brien, C. P., & Kleber, H. D. (2000). Drug dependence, a chronic medical illness: Implications for treatment, insurance, and outcomes evaluation. JAMA, 284(13), 1689-1695. https://doi.org/10.1001/jama.284.13.168.Marlatt, G. A., & Donovan, D. M. (2005). Relapse Prevention: Maintenance Strategies in the Treatment of Addictive Behaviors. Guilford Press.

Think that nightcap is helping you unwind? You might be shocked to learn how alcohol and sleep interact and what that means for your long-term brain health. In this episode, I'll walk you through the six stages of change to help you take compassionate, actionable steps toward deeper rest and a healthier mind.What to Listen For[00:04:00] Why even small amounts of alcohol aren't as heart-healthy as you've been told.[00:06:00] How alcohol affects deep sleep and REM sleep—and why that matters for Alzheimer's prevention.[00:09:00] The difference between sedation and true sleep .[00:13:00] Questions to ask yourself if you're contemplating changing your alcohol habits.[00:14:00] Why your "why" is more important than any quick fix—and how to find yours.[00:15:00] The role of compassion and self-forgiveness in changing sleep and drinking habits.[00:16:00] How therapy, coaching, and even medication can support your journey.[00:20:00] Practical sleep hygiene strategies beyond "avoid electronics in your bedroom."[00:21:00] Why timing your meals and sunlight exposure can dramatically improve sleep.[00:22:00] The hidden link between poor sleep, brain fog, and increased Alzheimer's risk.Alcohol might seem like a quick fix for sleep, but the science tells a different story. By understanding its real impact on your brain and body, you can start making empowered choices that support deeper sleep and long-term brain health.If this episode resonated with you, be sure to subscribe to the podcast, share it with a friend, and check out the links below for even more resources.From the episode:Book a free mini-coaching session with AmyDownload the free Sleep GuideSubscribe & Review in iTunesIf you like what you hear, please subscribe to my podcast.  I encourage you to do that today as I don't want you to miss an episode.  Click here to subscribe on iTunes!Now if you're feeling extra loving, I would be really grateful if you left me a review over on iTunes, too. Those reviews help other people find my podcast and they're also fun for me to go in and read. Just click here to review, select “Ratings and Reviews” and “Write a Review” and let me know what your favorite part of the podcast is.RESOURCES: Register for the FREE Masterclass: 5 Keys to Protecting Your Brain Health Book a FREE Discovery Call with Amy Lang Order Amy's book Thoughts Are Habits Too: Master Your Triggers, Free Yourself From Diet Culture, and Rediscover Joyful Eating. Follow Amy on Instagram @habitwhisperer

Click here to register for the Rewrite Neural Pathways to Escape Negative Self-Talk Workshop on July 12th Click here to watch this episode on YouTube   Do you have confidence and discipline in most areas of your life, and feel befuddled as to why your drinking feels so hard to control?   If your drinking feels out of alignment with your values, your goals, or your sense of self, this episode will give you a clear understanding as to what's really going on, and also five powerful, science-based strategies that will help you stop yourself from over-drinking—without relying on willpower, restriction, or shaming yourself into submission.  Whether you're trying to moderate, avoid shame spirals, or feel more in control after a stressful day, these tools will help you reset your nervous system, reconnect with your values, and get your brain off autopilot so you can build new habits that align with who you really are.

In this episode, we explore groundbreaking head-to-head research comparing topiramate and naltrexone for alcohol use disorder, revealing surprising equivalence in effectiveness. Could the off-label option actually be as good as our FDA-approved standard for treating problematic drinking? Faculty: David Gorelick, M.D. Host: Richard Seeber, M.D. Learn more about our membership here Earn 0.5 CME: Quick Take Vol. 69 Can Topiramate Replace FDA-Approved Medications for Alcohol Use Disorder?

Affecting 15 million Americans annually, Alcohol Use Disorder devastates lives and communities. While untreated withdrawal can be fatal, evidence-based treatment plans offer hope for recovery. Visit https://sayarc.com/ for details. Addiction Resource Center LLC. City: Yuba City Address: 1002 Live Oak Blvd. Website: https://sayarc.com

In today's episode, Colleen unpacks why your background alarm is going off—and how to finally turn it off. You're not lazy. You're not broken. And your bedtime resistance, your anxious spinouts, your self-sabotage? They're not random. They. Are. Patterns. Habits formed by younger versions of you who were just trying to stay safe. This episode dives into how childhood beliefs shape your nervous system, why emotional energy gets trapped in the body, and how to reclaim that energy instead of wasting it on panic, shame, or perfectionism. If your anxiety feels like it runs the show, Colleen gives you a way to interrupt the pattern and stop thinking your way out of a feeling problem. Whether you're healing from overdrinking, a divorce, or just trying to move through your day with more peace, this one shows you exactly how to get back into your body and claim your power. Key Takeaways: That “resistance” you feel? It's not laziness—it's a child part of you stuck in a story. Your background alarm (aka chronic anxiety) is often a relic from the past—not a reaction to the present. Trying to think your way through a feeling problem only keeps the alarm ringing. If you're done spiraling, numbing, or wondering why you sabotage the things you say you want—this episode is your wake-up call to stop overriding your body and start listening. And if you're ready to reduce your drinking by 80% and finally trust yourself again? Schedule a discovery call with Colleen or the team- BOOK A DISCOVERY CALL.    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  

You've probably heard me say the common phrase “the call is coming from inside the house” — but what if every judgment you make about someone else is too? In this episode, Colleen unpacks the concept of The Black Mirror — the idea that your emotional reactions to other people are often projections of the stories, beliefs, and insecurities you hold about yourself. You'll learn how to flip the script when you're triggered by someone else's behavior, turn judgment into powerful self-awareness, and use emotional sobriety skills to stop reacting from fear and start responding from clarity. This is shadow work, made practical. This episode is for the woman who is ready to take her power back… by owning what's hers and releasing what isn't.    

Click here to watch the full interview with Carley on YouTube In Part 2 of Carley's story, we dive into the healing that began once she joined the program. You'll hear how she learned to regulate her nervous system, rewire her brain, and change the story she told herself about who she was. Carley shares how she finally stopped chasing external validation, started putting herself first without guilt, and showed up more fully — not just for herself, but for her kids, her husband, and her work. We also talk about what it means to “be emotionally sober” and why drinking less wasn't the ultimate win for Carley — it was becoming the woman she never thought she could be. This part of the conversation is a celebration of what's possible when you stop trying to get sober and start learning to feel safe in your own body. What you'll hear in Part 2: The skills Carley developed that helped her reduce her drinking by 80% How emotional sobriety changed her marriage, her parenting, and her self-talk Why she now calls herself “unrecognizable” — in the best way What she would say to any woman who's scared to take the first step   Click here to BOOK A DISCOVERY CALL if you're ready to fully commit to your personal growth and do the work to get emotionally sober. Side effects include an 80 percent reduction in drinking. Want daily updates from me? TikTok: @hangoverwhisperer Instagram: @thehangoverwhisperer Twitter (X): @NotAboutTheAlc YouTube: @hangoverwhisperer —Do you want coaching from Colleen on a situation you're struggling with? Click here to submit your question. Your name will not be mentioned on air!

Most women don't realize how uncomfortable they are with feeling good—until things start going too well. That's when the sabotage creeps in. A snappy comment. A skipped workout. An unnecessary glass of wine. In today's episode, Colleen breaks down the concept of the “upper limit problem” from The Big Leap by Gay Hendricks—and explains how perfectionists and people-pleasers unknowingly block joy, ease, and success by clinging to struggle. You'll learn how your emotional thermostat gets set in childhood, why guilt and discomfort with pleasure keep you stuck, and how to reset your internal baseline so peace and happiness stop feeling unsafe. This episode is a powerful reminder that you don't have to earn your joy. You just have to stop arguing for your limitations.  

In today's episode, Colleen shares a powerful one-on-one coaching conversation with a client who was dreading a weekend trip with her judgmental, high-maintenance mother-in-law. What started as a fear of overdrinking turned into something much deeper—a real-time lesson in emotional ownership, boundaries, and what it means to become unfuckwithable. This episode isn't about family dynamics—it's about taking your power back. If you've ever agreed to something just to avoid conflict and ended up feeling resentful, this is for you. You'll walk away with practical language, new scripts, and the mindset shift that will help you stop outsourcing your emotional well-being to other people's moods.    

Click here to watch the full interview with Carley on YouTube In this raw and relatable conversation, I'm joined by one of my incredible clients, Carley — a driven healthcare professional, mom of two, and former daily drinker who once believed her only two choices were to either quit drinking forever or keep white-knuckling it with shame and regret. Carley opens up about what her drinking looked like behind closed doors and the pressure she put on herself to “keep it together” — until it started to fall apart. She shares how overachieving, perfectionism, and people-pleasing became coping mechanisms, and how alcohol slowly crept in as her off-switch. We talk about the moment she realized her mental math wasn't working anymore, the emotional buildup that led her to finally book a discovery call, and what shifted when she heard someone say: “You don't have to get sober. You just have to feel better.” This is an incredibly powerful episode for anyone who has ever felt stuck between drinking too much and feeling like you can't stop completely. Carley's story is proof that emotional sobriety isn't about rules — it's about freedom. What you'll hear in Part 1: The hidden stressors that led Carley to overdrink (even as a healthcare worker who knew better) The fear of reaching out for help — and what made her finally do it The myth of “just try harder” and why it never works The exact moment she realized she didn't have to choose between chaos and abstinence   Click here to BOOK A DISCOVERY CALL if you're ready to fully commit to your personal growth and do the work to get emotionally sober. Side effects include an 80 percent reduction in drinking. Want daily updates from me? TikTok: @hangoverwhisperer Instagram: @thehangoverwhisperer Twitter (X): @NotAboutTheAlc YouTube: @hangoverwhisperer —Do you want coaching from Colleen on a situation you're struggling with? Click here to submit your question. Your name will not be mentioned on air!   

In today's episode, Colleen unpacks a subtle but powerful mindset that can completely shift how you experience stress, pressure, and time. Whether it's a packed calendar, an airport sprint, or your own inner critic barking about everything you should be doing, the real problem isn't your to-do list—it's your nervous system. This episode explores how urgency is often just emotional dysregulation in disguise, and why “getting everything done” will never create the calm you're actually craving. If you're constantly on the go, juggling work, family, and the secret shame of overdrinking, this one will help you slow down without falling behind—and start practicing emotional sobriety in the way you move through your day.

If you're drinking more than you want to, but every time you try to cut back it feels like one more thing to do… this episode is for you. Today, I'm sharing the real story that kept me stuck in the drinking cycle for years—the one that has nothing to do with alcohol:

In today's episode, Colleen shares a personal reflection on what it means to stay emotionally sober when things are going really well. When the business is booming, the boxes are checked, and it feels like everything is finally clicking. Most of us assume that emotional work is about learning how to handle hard moments—grief, anxiety, cravings, conflict, etc. Though that's true in it's own right, there is still a catch. ----> If your mood is dictated by external wins, then your nervous system is still being hijacked, and the crash that follows might be more subtle—but it can also be just as dysregulating.