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True Crime Psychology and Personality: Narcissism, Psychopathy, and the Minds of Dangerous Criminals
This video answers the question: Can I analyze the case of Jeanine Sanchez-Harms? Support Dr. Grande on Patreon: https://www.patreon.com/drgrande Dr. Grande's book Harm Reduction: https://www.amazon.com/Harm-Reduction-Todd-Grande-PhD/dp/1950057313 Dr. Grande's book Psychology of Notorious Serial Killers: https://www.amazon.com/Psychology-Notorious-Serial-Killers-Intersection/dp/1950057259 Check out Dr. Grande's merchandise https://teespring.com/stores/dr-grandes-store Learn more about your ad choices. Visit megaphone.fm/adchoices
Discover a transformative approach to recovery in this episode with Dr Andrew Tatarsky, PhD. Harm Reduction Psychotherapy (HRP) offers a groundbreaking alternative to traditional methods, prioritizing understanding and empathy over immediate abstinence. Driven by personal experiences, Dr. Tatarsky unveils the limitations of abstinence-only treatment. Explore the depths of addiction with a focus on deciphering intricate motivations and meanings behind behaviors. This therapeutic journey champions collaboration, respecting autonomy, and delving into personal and relational significance. Dive into the art of "urge surfing" and learn how to craft new pathways for self-care, even if total abstinence isn't the initial destination. Dr Tatarsky is an internationally recognised leader in the treatment of problematic substance use and the developer of Integrative Harm Reduction Psychotherapy. He has specialized in substance use treatment for over 35 years working as a counselor, psychologist, program director, trainer, advocate and author. Dr Tatarsky advocates for a psychobiosocial understanding of addiction and an integrative harm reduction approach to treatment. This conversation provides an accessible introduction to Harm Reduction Psychotherapy, covering things like: — The limitation of the disease model of addiction and abstinence-only based approaches — The importance of meeting clients “where they're at” and gradually empowering their recovery process — How to use strategies such as “urge surfing” and “18 alternatives” to gradually move beyond addiction — Why it's important to have a bio-psycho-social lens on addiction. And more. You can learn more about Dr Tatarsky's work by going to www.andrewtatarsky.com. --- Andrew Tatarsky is an internationally recognized leader in the treatment of problematic substance use and other potentially risky behaviors. He has specialized in the field of substance use treatment for 35 years working as a counselor, psychologist, program director, trainer, advocate and author. He has devoted his career to developing a comprehensive psychobiosocial understanding of the broad spectrum of substance use problems and an integrative harm reduction psychotherapy approach to treating this spectrum. This treatment is described in his book, Harm Reduction Psychotherapy: A New Treatment for Drug and Alcohol Problems, and several professional papers that extend the approach. The book has been released in paperback and Kindle, published in Poland by the Polish Office of Drug Prevention and has been translated into Spanish and is available in a free pdf. Dr. Tatarsky is Founder and Director of the Center for Optimal Living in NYC, a treatment and professional training center based on Integrative Harm Reduction Therapy (IHRP) for the spectrum of substance misuse and other high-risk behaviors. He earned his doctorate in clinical psychology from the City University of New York and is a graduate of New York University's Postdoctoral Program in Psychotherapy and Psychoanalysis. He is a member of the medical and clinical advisory panels to the Office of Alcoholism and Substance Abuse Services of New York State. Dr. Tatarsky is a founding member and twice past-president of the Division on Addiction of New York State Psychological Association. --- 3 Books Dr Tatarsky Recommends Every Therapist Should Read: — Practicing Harm Reduction Psychotherapy: An Alternative Approach to Addictions, Second Edition — Patt Denning & Jeannie Little - https://amzn.to/3Q2BxL6 — Over the Influence: The Harm Reduction Guide to Controlling Your Drug and Alcohol Use Second Edition — Patt Denning & Jeannie Little - https://amzn.to/3Ojmr2u — Harm Reduction Psychotherapy: A New Treatment for Drug and Alcohol Problems — Andrew Tatarsky - https://amzn.to/3O3Ge4G
True Crime Psychology and Personality: Narcissism, Psychopathy, and the Minds of Dangerous Criminals
This video answers the question: Can I analyze the case of Jon Ganz? Support Dr. Grande on Patreon: https://www.patreon.com/drgrande Dr. Grande's book Harm Reduction: https://www.amazon.com/Harm-Reduction-Todd-Grande-PhD/dp/1950057313 Dr. Grande's book Psychology of Notorious Serial Killers: https://www.amazon.com/Psychology-Notorious-Serial-Killers-Intersection/dp/1950057259 Check out Dr. Grande's merchandise https://teespring.com/stores/dr-grandes-store Learn more about your ad choices. Visit megaphone.fm/adchoices
Subscribe on Patreon and hear this week's full patron-exclusive episode here: https://www.patreon.com/posts/142198757 Beatrice speaks with Shira Hassan about reclaiming harm reduction from public health, reclaiming formations of "peer work" from the nonprofit world, and building the politics and practice of surviving together. Find Shira's book, Saving Our Own Lives, here: https://www.haymarketbooks.org/books/1938-saving-our-own-lives Runtime 1:32:43 Show links: Get Health Communism here: https://open-books-a-poem-emporium.myshopify.com/products/w4g-adler-bolton-beatrice-artie-vierkant-health-communism Find Tracy's book Abolish Rent here: www.haymarketbooks.org/books/2443-abolish-rent
True Crime Psychology and Personality: Narcissism, Psychopathy, and the Minds of Dangerous Criminals
This video answers the question: Can I analyze the case of Laken Snelling? Support Dr. Grande on Patreon: https://www.patreon.com/drgrande Dr. Grande's book Harm Reduction: https://www.amazon.com/Harm-Reduction-Todd-Grande-PhD/dp/1950057313 Dr. Grande's book Psychology of Notorious Serial Killers: https://www.amazon.com/Psychology-Notorious-Serial-Killers-Intersection/dp/1950057259 Check out Dr. Grande's merchandise https://teespring.com/stores/dr-grandes-store Learn more about your ad choices. Visit megaphone.fm/adchoices
True Crime Psychology and Personality: Narcissism, Psychopathy, and the Minds of Dangerous Criminals
This video answers the question: Can I analyze the case of Lorenz Kraus? Support Dr. Grande on Patreon: https://www.patreon.com/drgrande Dr. Grande's book Harm Reduction: https://www.amazon.com/Harm-Reduction-Todd-Grande-PhD/dp/1950057313 Dr. Grande's book Psychology of Notorious Serial Killers: https://www.amazon.com/Psychology-Notorious-Serial-Killers-Intersection/dp/1950057259 Check out Dr. Grande's merchandise https://teespring.com/stores/dr-grandes-store Learn more about your ad choices. Visit megaphone.fm/adchoices
True Crime Psychology and Personality: Narcissism, Psychopathy, and the Minds of Dangerous Criminals
This video answers the question: Can I analyze the case of Jerry Westrom? Support Dr. Grande on Patreon: https://www.patreon.com/drgrande Dr. Grande's book Harm Reduction: https://www.amazon.com/Harm-Reduction-Todd-Grande-PhD/dp/1950057313 Dr. Grande's book Psychology of Notorious Serial Killers: https://www.amazon.com/Psychology-Notorious-Serial-Killers-Intersection/dp/1950057259 Check out Dr. Grande's merchandise https://teespring.com/stores/dr-grandes-store Learn more about your ad choices. Visit megaphone.fm/adchoices
“There is a pathway to recovery. There's a pathway forward for everybody.” Ashley F. Railey On this episode of The HPP Podcast, Ashley F. Railey discusses a social marketing campaign designed to address stigma regarding substance use in Indiana. She shares the context for the study and offers insights into the design, acceptability, and utility of the campaign. Additionally, shares the role of the community, and more specifically, the intended audience in making this campaign sustainable and successful.To read the article in its entirety, visit: https://journals.sagepub.com/doi/abs/10.1177/15248399251369501Connection Café in Fayette County, Indiana: https://harmreductioncafe.org/ Description of large-scale dataset used to inform community discussions: https://irsay.iu.edu/tools-resources/data-resources/p2p-health-interview-study/
At 21 years old, Lucas has never had a legal drink—yet he's already survived alcohol addiction, Kratom dependence, and the brutal withdrawals that followed. His story begins in a chaotic household where nightly drinking and fighting were the norm. By 19, Lucas was mixing alcohol with pills, throwing up blood, and blacking out behind the wheel. That night at home became his rock bottom—and the start of change.But when he stopped drinking, Kratom slid in to fill the void. Sold right next to the energy drinks at gas stations, it seemed harmless—“all natural.” In reality, it's a partial opioid agonist that hooks into the brain's mu receptors. Lucas thought it was helping him stay functional—until he couldn't go a day without it. Lucas shares what recovery looks like when you do it on your own, the painful truth about “functional” addiction, and how community ultimately helped him heal. If you or someone you love is experimenting with Kratom, this episode is a wake-up call. 00:00–Meet Lucas (21 )& early sobriety dates00:00:53–Rock-bottom night at mom's house00:02:40–Vomiting blood, drunk driving, half-handle a day00:04:06–From quitting alcohol to “dabbling” in kratom00:05:00–What kratom is; 7-OH & partial opioid agonist00:08:20–Gas-station access, concentrates, no ID check00:11:16–The “functional” phase (school/work on kratom)00:12:44–Extracts arms race:“Feel Free,” kava mix, escalation00:16:03–Physical dependence & morning withdrawals00:21:13–Choosing to quit & what helped (and what didn't)00:24:58–Early-recovery anxiety & doing it alone vs.support00:29:15–Finding community (AA/RCO) as a young person00:31:42–Day-one advice:“It gets better one day at a time” ----Across the Web----
True Crime Psychology and Personality: Narcissism, Psychopathy, and the Minds of Dangerous Criminals
This video answers the question: Can I analyze the case of Eugene Gligor? Support Dr. Grande on Patreon: https://www.patreon.com/drgrande Dr. Grande's book Harm Reduction: https://www.amazon.com/Harm-Reduction-Todd-Grande-PhD/dp/1950057313 Dr. Grande's book Psychology of Notorious Serial Killers: https://www.amazon.com/Psychology-Notorious-Serial-Killers-Intersection/dp/1950057259 Check out Dr. Grande's merchandise https://teespring.com/stores/dr-grandes-store Learn more about your ad choices. Visit megaphone.fm/adchoices
True Crime Psychology and Personality: Narcissism, Psychopathy, and the Minds of Dangerous Criminals
This video answers the question: Can I analyze the case of Amanda Riley? Support Dr. Grande on Patreon: https://www.patreon.com/drgrande Dr. Grande's book Harm Reduction: https://www.amazon.com/Harm-Reduction-Todd-Grande-PhD/dp/1950057313 Dr. Grande's book Psychology of Notorious Serial Killers: https://www.amazon.com/Psychology-Notorious-Serial-Killers-Intersection/dp/1950057259 Check out Dr. Grande's merchandise https://teespring.com/stores/dr-grandes-store Learn more about your ad choices. Visit megaphone.fm/adchoices
True Crime Psychology and Personality: Narcissism, Psychopathy, and the Minds of Dangerous Criminals
This video answers the question: Can I offer an update on the case of Lucy Letby? Support Dr. Grande on Patreon: https://www.patreon.com/drgrande Dr. Grande's book Harm Reduction: https://www.amazon.com/Harm-Reduction-Todd-Grande-PhD/dp/1950057313 Dr. Grande's book Psychology of Notorious Serial Killers: https://www.amazon.com/Psychology-Notorious-Serial-Killers-Intersection/dp/1950057259 Check out Dr. Grande's merchandise https://teespring.com/stores/dr-grandes-store Learn more about your ad choices. Visit megaphone.fm/adchoices
About three months ago the City of Richmond began a new program, offering harm reduction and personal hygiene products for free at vending machines across the city. It got off to a bit of a rocky start. Brad Kutner has this report on how things are going now.
Why has America struggled so much to effectively manage the opioid use crisis? One of the answers, as you'll learn in this eye-opening episode of Raise the Line, is rooted in laws and attitudes from the early 20th century that removed addiction from the realm of medicine and defined it as a moral failing. “The federal Harrison Act of 1914 forbade any physician from prescribing opioids to people with addiction, so it became more the purview of law enforcement or behavioral health or religion,” says Dr. Melody Glenn, who regularly confronts the consequences of this history during shifts in the emergency department at Banner-University Medical Center in Tucson, Arizona. And as Glenn explains to host Caleb Furnas, the resulting stigma associated with addiction has extended to the treatments for it as well, especially methadone, despite its effectiveness. Drawing on her dual expertise in emergency and addiction medicine, Glenn dispels misconceptions that medication-assisted treatment merely replaces one addiction with another, and emphasizes that harm reduction is critical to saving lives. Her desire to break prevailing stigmas led her to discover the story of Dr. Marie Nyswander, who pioneered methadone maintenance therapy in the 1960s and is featured in Dr. Glenn's new book, Mother of Methadone: A Doctor's Quest, a Forgotten History, and a Modern-Day Crisis. You'll leave this instructive interview understanding the roots of our flawed approach to addiction treatment, meeting an overlooked pioneer in the field, and admiring a devoted and compassionate physician who is following in her footsteps. Mentioned in this episode:Banner-University Medical CenterMother of Methadone book If you like this podcast, please share it on your social channels. You can also subscribe to the series and check out all of our episodes at www.osmosis.org/podcast
True Crime Psychology and Personality: Narcissism, Psychopathy, and the Minds of Dangerous Criminals
This video answers the question: Can I analyze the case of Natalie Cochran? Support Dr. Grande on Patreon: https://www.patreon.com/drgrande Dr. Grande's book Harm Reduction: https://www.amazon.com/Harm-Reduction-Todd-Grande-PhD/dp/1950057313 Dr. Grande's book Psychology of Notorious Serial Killers: https://www.amazon.com/Psychology-Notorious-Serial-Killers-Intersection/dp/1950057259 Check out Dr. Grande's merchandise https://teespring.com/stores/dr-grandes-store Learn more about your ad choices. Visit megaphone.fm/adchoices
True Crime Psychology and Personality: Narcissism, Psychopathy, and the Minds of Dangerous Criminals
This video answers the question: Can I analyze the case of Loretta Burroughs? Support Dr. Grande on Patreon: https://www.patreon.com/drgrande Dr. Grande's book Harm Reduction: https://www.amazon.com/Harm-Reduction-Todd-Grande-PhD/dp/1950057313 Dr. Grande's book Psychology of Notorious Serial Killers: https://www.amazon.com/Psychology-Notorious-Serial-Killers-Intersection/dp/1950057259 Check out Dr. Grande's merchandise https://teespring.com/stores/dr-grandes-store Learn more about your ad choices. Visit megaphone.fm/adchoices
True Crime Psychology and Personality: Narcissism, Psychopathy, and the Minds of Dangerous Criminals
This video answers the question: Can I analyze the case of Qinxuan Pan? Support Dr. Grande on Patreon: https://www.patreon.com/drgrande Dr. Grande's book Harm Reduction: https://www.amazon.com/Harm-Reduction-Todd-Grande-PhD/dp/1950057313 Dr. Grande's book Psychology of Notorious Serial Killers: https://www.amazon.com/Psychology-Notorious-Serial-Killers-Intersection/dp/1950057259 Check out Dr. Grande's merchandise https://teespring.com/stores/dr-grandes-store Learn more about your ad choices. Visit megaphone.fm/adchoices
Alan discusses the significant differences between his intensive, abstinence-based path to recovery in 2002 and the current standards of addiction treatment. Prompted by renewing his DEA license and taking a required CE on opiate prescribing, Alan contrasts his successful, disruptive model (therapy and 12-step programs) with the modern focus on Medication-Assisted Treatment (MAT), such as buprenorphine (Suboxone), and harm reduction. He grapples with his past skepticism of these newer methods but shares a patient's story and discusses the Sinclair Method (using naltrexone for alcohol recovery) which have opened his mind to various effective ways of getting well. Alan invites listeners to discuss these evolving approaches in the Very Dental Facebook group and the smaller, recovery-focused group, Dentists That Don't. Some links from the show: Drink Your Way Sober, by Katie Herzog The Sinclair Method Join the Very Dental Facebook group using the password "Timmerman," Hornbrook," "Gary," "McWethy," "Papa Randy" or "Lipscomb!" The Very Dental Podcast network is and will remain free to download. If you'd like to support the shows you love at Very Dental then show a little love to the people that support us! -- Crazy Dental has everything you need from cotton rolls to equipment and everything in between and the best prices you'll find anywhere! If you head over to verydentalpodcast.com/crazy and use coupon code “VERYDENTAL10” you'll get another 10% off your order! Go save yourself some money and support the show all at the same time! -- The Wonderist Agency is basically a one stop shop for marketing your practice and your brand. From logo redesign to a full service marketing plan, the folks at Wonderist have you covered! Go check them out at verydentalpodcast.com/wonderist! -- Enova Illumination makes the very best in loupes and headlights, including their new ergonomic angled prism loupes! They also distribute loupe mounted cameras and even the amazing line of Zumax microscopes! If you want to help out the podcast while upping your magnification and headlight game, you need to head over to verydentalpodcast.com/enova to see their whole line of products! -- CAD-Ray offers the best service on a wide variety of digital scanners, printers, mills and even their very own browser based design software, Clinux! CAD-Ray has been a huge supporter of the Very Dental Podcast Network and I can tell you that you'll get no better service on everything digital dentistry than the folks from CAD-Ray. Go check them out at verydentalpodcast.com/CADRay!
True Crime Psychology and Personality: Narcissism, Psychopathy, and the Minds of Dangerous Criminals
This video answers the question: Can I analyze the case of Kimberly Sullivan? Support Dr. Grande on Patreon: https://www.patreon.com/drgrande Dr. Grande's book Harm Reduction: https://www.amazon.com/Harm-Reduction-Todd-Grande-PhD/dp/1950057313 Dr. Grande's book Psychology of Notorious Serial Killers: https://www.amazon.com/Psychology-Notorious-Serial-Killers-Intersection/dp/1950057259 Check out Dr. Grande's merchandise https://teespring.com/stores/dr-grandes-store Learn more about your ad choices. Visit megaphone.fm/adchoices
True Crime Psychology and Personality: Narcissism, Psychopathy, and the Minds of Dangerous Criminals
This video answers the question: Can I analyze the case of Donna Scrivo? Support Dr. Grande on Patreon: https://www.patreon.com/drgrande Dr. Grande's book Harm Reduction: https://www.amazon.com/Harm-Reduction-Todd-Grande-PhD/dp/1950057313 Dr. Grande's book Psychology of Notorious Serial Killers: https://www.amazon.com/Psychology-Notorious-Serial-Killers-Intersection/dp/1950057259 Check out Dr. Grande's merchandise https://teespring.com/stores/dr-grandes-store Learn more about your ad choices. Visit megaphone.fm/adchoices
True Crime Psychology and Personality: Narcissism, Psychopathy, and the Minds of Dangerous Criminals
This video answers the question: Can I analyze the case of Erik Van Conover? Support Dr. Grande on Patreon: https://www.patreon.com/drgrande Dr. Grande's book Harm Reduction: https://www.amazon.com/Harm-Reduction-Todd-Grande-PhD/dp/1950057313 Dr. Grande's book Psychology of Notorious Serial Killers: https://www.amazon.com/Psychology-Notorious-Serial-Killers-Intersection/dp/1950057259 Check out Dr. Grande's merchandise https://teespring.com/stores/dr-grandes-store Learn more about your ad choices. Visit megaphone.fm/adchoices
The emergency department offers critical access to health care in our broken system. An important skillset of the modern emergency medicine physician is a set of low-risk, low-time commitment, high-benefit interventions for the management of chronic diseases. In this episode, we discuss the diagnosis and management of hypertension, type 2 diabetes, asthma, alcohol use disorder, and tobacco use disorder from the emergency department.
True Crime Psychology and Personality: Narcissism, Psychopathy, and the Minds of Dangerous Criminals
This video answers the question: Can I analyze the case of Nikita Casap? Support Dr. Grande on Patreon: https://www.patreon.com/drgrande Dr. Grande's book Harm Reduction: https://www.amazon.com/Harm-Reduction-Todd-Grande-PhD/dp/1950057313 Dr. Grande's book Psychology of Notorious Serial Killers: https://www.amazon.com/Psychology-Notorious-Serial-Killers-Intersection/dp/1950057259 Check out Dr. Grande's merchandise https://teespring.com/stores/dr-grandes-store Learn more about your ad choices. Visit megaphone.fm/adchoices
The harm reduction approach aims to reduce the negative impact of substance use disorder. In Portage County, health officials and Kent State University community members are working toward shared goals by distributing tools such as Naloxone.
True Crime Psychology and Personality: Narcissism, Psychopathy, and the Minds of Dangerous Criminals
This video answers the question: Can I analyze the case of Bethany Deaton? Support Dr. Grande on Patreon: https://www.patreon.com/drgrande Dr. Grande's book Harm Reduction: https://www.amazon.com/Harm-Reduction-Todd-Grande-PhD/dp/1950057313 Dr. Grande's book Psychology of Notorious Serial Killers: https://www.amazon.com/Psychology-Notorious-Serial-Killers-Intersection/dp/1950057259 Check out Dr. Grande's merchandise https://teespring.com/stores/dr-grandes-store Learn more about your ad choices. Visit megaphone.fm/adchoices
True Crime Psychology and Personality: Narcissism, Psychopathy, and the Minds of Dangerous Criminals
This video answers the question: Can I analyze the case of Clayton Weatherston? Support Dr. Grande on Patreon: https://www.patreon.com/drgrande Dr. Grande's book Harm Reduction: https://www.amazon.com/Harm-Reduction-Todd-Grande-PhD/dp/1950057313 Dr. Grande's book Psychology of Notorious Serial Killers: https://www.amazon.com/Psychology-Notorious-Serial-Killers-Intersection/dp/1950057259 Check out Dr. Grande's merchandise https://teespring.com/stores/dr-grandes-store Learn more about your ad choices. Visit megaphone.fm/adchoices
In this episode of ChopTalk, we recognize National Hazing Prevention Week and explore Lambda Chi Alpha's longstanding commitment to creating a safe and supportive Brotherhood.Our guests, Jacob Mueller, Associate Director of Chapter Support, and Hailey Flavin, Director of Harm Reduction & University Relations, discuss Lambda Chi's history as one of the first fraternities to eliminate pledging, the ongoing work to prevent hazing, and how members and chapters can continue to lead by example.
True Crime Psychology and Personality: Narcissism, Psychopathy, and the Minds of Dangerous Criminals
This video answers the question: Can I analyze the case of Miriam Elisheva Yarimi? Support Dr. Grande on Patreon: https://www.patreon.com/drgrande Dr. Grande's book Harm Reduction: https://www.amazon.com/Harm-Reduction-Todd-Grande-PhD/dp/1950057313 Dr. Grande's book Psychology of Notorious Serial Killers: https://www.amazon.com/Psychology-Notorious-Serial-Killers-Intersection/dp/1950057259 Check out Dr. Grande's merchandise https://teespring.com/stores/dr-grandes-store Learn more about your ad choices. Visit megaphone.fm/adchoices
True Crime Psychology and Personality: Narcissism, Psychopathy, and the Minds of Dangerous Criminals
This video answers the question: Can I analyze the case of Faylene and Doug Grant? Support Dr. Grande on Patreon: https://www.patreon.com/drgrande Dr. Grande's book Harm Reduction: https://www.amazon.com/Harm-Reduction-Todd-Grande-PhD/dp/1950057313 Dr. Grande's book Psychology of Notorious Serial Killers: https://www.amazon.com/Psychology-Notorious-Serial-Killers-Intersection/dp/1950057259 Check out Dr. Grande's merchandise https://teespring.com/stores/dr-grandes-store Learn more about your ad choices. Visit megaphone.fm/adchoices
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/.
True Crime Psychology and Personality: Narcissism, Psychopathy, and the Minds of Dangerous Criminals
This video answers the question: Can I analyze the case of Joseph Sonnier and Mike Dixon? Support Dr. Grande on Patreon: https://www.patreon.com/drgrande Dr. Grande's book Harm Reduction: https://www.amazon.com/Harm-Reduction-Todd-Grande-PhD/dp/1950057313 Dr. Grande's book Psychology of Notorious Serial Killers: https://www.amazon.com/Psychology-Notorious-Serial-Killers-Intersection/dp/1950057259 Check out Dr. Grande's merchandise https://teespring.com/stores/dr-grandes-store Learn more about your ad choices. Visit megaphone.fm/adchoices
About this episode: This July, a dangerous influx of opioids triggered two mass overdose events in the Penn North neighborhood of Baltimore. A swift and nimble response from the city and community stakeholders resulted in zero fatalities. In this episode: Dr. Letitia Dzirasa and Sara Whaley from the City of Baltimore explain what happened, detail the multipronged emergency response, and share how the city plans to move forward in addressing the opioid crisis. Guest: Dr. Letitia Dzirasa is the Deputy Mayor of Health and Human Services with the City of Baltimore. Sara Whaley, MPH, MSW, is the executive director of the City of Baltimore's Overdose Response Team. Host: Lindsay Smith Rogers, MA, is the producer of the Public Health On Call podcast, an editor for Expert Insights, and the director of content strategy for the Johns Hopkins Bloomberg School of Public Health. Show links and related content: Overdose Response Strategic Plan—City of Baltimore Community leaders, experts address Baltimore's overdose crisis—WEAA Baltimore mass overdose: 'Coordinated neighborhood stabilization response' launched in Penn-North—WBAL Transcript information: Looking for episode transcripts? Open our podcast on the Apple Podcasts app (desktop or mobile) or the Spotify mobile app to access an auto-generated transcript of any episode. Closed captioning is also available for every episode on our YouTube channel. Contact us: Have a question about something you heard? Looking for a transcript? Want to suggest a topic or guest? Contact us via email or visit our website. Follow us: @PublicHealthPod on Bluesky @JohnsHopkinsSPH on Instagram @JohnsHopkinsSPH on Facebook @PublicHealthOnCall on YouTube Here's our RSS feed Note: These podcasts are a conversation between the participants, and do not represent the position of Johns Hopkins University.
True Crime Psychology and Personality: Narcissism, Psychopathy, and the Minds of Dangerous Criminals
This video answers the question: Can I analyze case of David and Karen Swift? Support Dr. Grande on Patreon: https://www.patreon.com/drgrande Dr. Grande's book Harm Reduction: https://www.amazon.com/Harm-Reduction-Todd-Grande-PhD/dp/1950057313 Dr. Grande's book Psychology of Notorious Serial Killers: https://www.amazon.com/Psychology-Notorious-Serial-Killers-Intersection/dp/1950057259 Check out Dr. Grande's merchandise https://teespring.com/stores/dr-grandes-store Learn more about your ad choices. Visit megaphone.fm/adchoices
True Crime Psychology and Personality: Narcissism, Psychopathy, and the Minds of Dangerous Criminals
This video answers the question: Can I analyze the case of Maxwell Anderson and Sade Robinson? Support Dr. Grande on Patreon: https://www.patreon.com/drgrande Dr. Grande's book Harm Reduction: https://www.amazon.com/Harm-Reduction-Todd-Grande-PhD/dp/1950057313 Dr. Grande's book Psychology of Notorious Serial Killers: https://www.amazon.com/Psychology-Notorious-Serial-Killers-Intersection/dp/1950057259 Check out Dr. Grande's merchandise https://teespring.com/stores/dr-grandes-store Learn more about your ad choices. Visit megaphone.fm/adchoices
True Crime Psychology and Personality: Narcissism, Psychopathy, and the Minds of Dangerous Criminals
This video answers the question: Can I analyze the case of Maggie Locascio? Get 40% off your first Hungryroot box PLUS get a free item of your choice in every box for life with code DRGRANDE at https://bit.ly/44l9BsU Support Dr. Grande on Patreon: https://www.patreon.com/drgrande Dr. Grande's book Harm Reduction: https://www.amazon.com/Harm-Reduction-Todd-Grande-PhD/dp/1950057313 Dr. Grande's book Psychology of Notorious Serial Killers: https://www.amazon.com/Psychology-Notorious-Serial-Killers-Intersection/dp/1950057259 Check out Dr. Grande's merchandise https://teespring.com/stores/dr-grandes-store Learn more about your ad choices. Visit megaphone.fm/adchoices
You know that feeling after you push through a big event or deadline—the letdown that leaves you tired, unmotivated, and maybe even sick ? Most women assume it's either “burnout” or “laziness.” But according to my guest, Dr. Aimee Apigian, it's actually a trauma response. Dr. Aimee is a medical physician, trauma expert, and host of The Biology of Trauma podcast is here to explain why our bodies store trauma and how that trauma quietly drives brain fog, fatigue, autoimmune disorders, and even nightly drinking habits. In this conversation, we unpack: How to tell the difference between a stress and trauma response based on what you're thinking Why extended periods of stress without recovery cause trauma What it actually looks like to complete the trauma response instead of storing it Simple ways to give your body time, safety, and energy so it can reset I'm also going to share my own story of the crash I had after a recent retreat I hosted, and what changed when I treated my trauma response with compassion instead of my usual bullwhip. You'll hear Dr. Aimee break it down in real time. If you've been blaming yourself for not having enough willpower, for being “too tired,” or for never getting it together… you need to hear this. Your body isn't broken, it's protecting you. You just have to learn how to return the favor. Click here to order Dr. Aimee Apigian's book The Biology of Trauma: How the Body Holds Fear, Pain and Overwhelm, and How to Heal It. 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 and YouTube: https://www.youtube.com/@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!
On today's episode of "This Is Nashville," we dive into the work of sanctioned harm reduction.Needle exchanges, distributing drug overdose reversal medication and fentanyl test strips — these tactics to limit the damage of the opioid crisis were once broadly illegal in Tennessee, and now they're being used by certain groups to, essentially, help people use drugs more safely without necessarily trying to get them to stop. It's all about keeping someone alive, even if it does little to treat the drug addiction that is leading to so many deaths.We're exploring ways through the opioid crisis this week by focusing on a philosophy known as “harm reduction.” Monday was all about underground tactics to avoid regulation. Today we're going above ground with physicians, social workers, and locals with lived experience to understand what's allowed under Tennessee law. And we'll hear that even among addiction experts, there are still questions about what's the best path forward.You can also see us live at noon streaming on YouTube.Today's episode was produced by Josh Deepan. Guests Lyle Cooper, Meharry Medical College Associate Professor, Director of Meharry Harm Reduction Center Peter Hossler, Rhodes College Associate Professor of Urban Studies Mary Owens, retired HIV/AIDS advocate Dr. Reid Finlayson, Vanderbilt University Medical Center Professor of Clinical Psychiatry
True Crime Psychology and Personality: Narcissism, Psychopathy, and the Minds of Dangerous Criminals
This video answers the question: Can I analyze the case of Phoebe Bishop? Remove your personal information from the web at https://joindeleteme.com/DRGRANDE and use code DRGRANDE for 20% off DeleteMe international Plans: https://international.joindeleteme.com Support Dr. Grande on Patreon: https://www.patreon.com/drgrande Dr. Grande's book Harm Reduction: https://www.amazon.com/Harm-Reduction-Todd-Grande-PhD/dp/1950057313 Dr. Grande's book Psychology of Notorious Serial Killers: https://www.amazon.com/Psychology-Notorious-Serial-Killers-Intersection/dp/1950057259 Check out Dr. Grande's merchandise https://teespring.com/stores/dr-grandes-store Learn more about your ad choices. Visit megaphone.fm/adchoices
Tenderloin residents are sick of city money going to passing out needles and pipes to drug addictsSee omnystudio.com/listener for privacy information.
Tracey Helton Mitchell writes about living in San Francisco with an addiction in her memoir "The Big Fix" and now works in harm reduction in the city. The Big Fix: Hope After Heroin https://sfpl.bibliocommons.com/v2/record/S93C3207933 Tracey on YouTube https://www.youtube.com/@traceyh415. Tracey on TikTok https://www.tiktok.com/@traceyh415 Black Tar Heroin: The Dark End of the Street - HBO documentary released in 2000, following Tracey and others around San Francisco https://archive.org/embed/blacktarherointhedarkendofthestreet Update on the cast from Black Tar Heroin https://www.youtube.com/watch?v=1jQSpNmLVeM
True Crime Psychology and Personality: Narcissism, Psychopathy, and the Minds of Dangerous Criminals
This video answers the question: Can I analyze the case of Travis Decker? Support Dr. Grande on Patreon: https://www.patreon.com/drgrande Dr. Grande's book Harm Reduction: https://www.amazon.com/Harm-Reduction-Todd-Grande-PhD/dp/1950057313 Dr. Grande's book Psychology of Notorious Serial Killers: https://www.amazon.com/Psychology-Notorious-Serial-Killers-Intersection/dp/1950057259 Check out Dr. Grande's merchandise https://teespring.com/stores/dr-grandes-store Learn more about your ad choices. Visit megaphone.fm/adchoices
True Crime Psychology and Personality: Narcissism, Psychopathy, and the Minds of Dangerous Criminals
This video answers the question: Can I update the case of Barry and Suzanne Morphew? Support Dr. Grande on Patreon: https://www.patreon.com/drgrande Dr. Grande's book Harm Reduction: https://www.amazon.com/Harm-Reduction-Todd-Grande-PhD/dp/1950057313 Dr. Grande's book Psychology of Notorious Serial Killers: https://www.amazon.com/Psychology-Notorious-Serial-Killers-Intersection/dp/1950057259 Check out Dr. Grande's merchandise https://teespring.com/stores/dr-grandes-store Learn more about your ad choices. Visit megaphone.fm/adchoices
We listen to the LA County Board of Supervisors react to losing millions of dollars in funding for their failed policies, plus a ray of hope when it comes to Expanding mental health facitlitesSee omnystudio.com/listener for privacy information.
In this episode of Pain Matters, Shravani Durbhakula, MD, MPH, MBA, speaks with Maia Szalavitz, award-winning New York Times opinion writer and AAPM 2025 Featured Speaker. Recorded April 4, 2025, at the AAPM PainConnect 2025 meeting, their conversation explores themes from Szalavitz's recent writing on addiction, harm reduction, and drug policy. Maia shares her personal journey through addiction and recovery, and offers insights into the critical distinction between dependence and addiction. They also discuss the effectiveness of harm reduction strategies when it comes to opioids, the potential of emerging treatments like Ozempic, and the role of media in shaping public understanding of addiction. Throughout, Szalavitz challenges traditional narratives and advocates for evidence-based, compassionate approaches to drug policy and treatment. She also offers tips for how medical professionals can make their voices heard. *Views expressed by our guests are their own and do not necessarily reflect those of the hosts, their institutions, or the American Academy of Pain Medicine. About the Guest: Maia Szalavitz Maia Szalavitz is an acclaimed journalist and author known for her expertise in addiction, harm reduction, and drug policy. Having personally experienced addiction, Szalavitz's work draws deeply from her own journey to recovery. Her celebrated books include "Unbroken Brain: A Revolutionary New Way of Understanding Addiction" and "Undoing Drugs: The Untold Story of Harm Reduction and the Future of Addiction." Szalavitz frequently contributes to major publications with opinion pieces that challenge traditional views on addiction and advocate for science-based approaches to drug policy. Episode Summary:
True Crime Psychology and Personality: Narcissism, Psychopathy, and the Minds of Dangerous Criminals
This video answers the question: Can I analyze the case of David Sconce. He is the topic of an HBO documentary series titled “The Mortician.” Support Dr. Grande on Patreon: https://www.patreon.com/drgrande Dr. Grande's book Harm Reduction: https://www.amazon.com/Harm-Reduction-Todd-Grande-PhD/dp/1950057313 Dr. Grande's book Psychology of Notorious Serial Killers: https://www.amazon.com/Psychology-Notorious-Serial-Killers-Intersection/dp/1950057259 Check out Dr. Grande's merchandise https://teespring.com/stores/dr-grandes-store Learn more about your ad choices. Visit megaphone.fm/adchoices
True Crime Psychology and Personality: Narcissism, Psychopathy, and the Minds of Dangerous Criminals
This video answers the question: Can I offer an update on the case of Bryan Kohberger? Support Dr. Grande on Patreon: https://www.patreon.com/drgrande Dr. Grande's book Harm Reduction: https://www.amazon.com/Harm-Reduction-Todd-Grande-PhD/dp/1950057313 Dr. Grande's book Psychology of Notorious Serial Killers: https://www.amazon.com/Psychology-Notorious-Serial-Killers-Intersection/dp/1950057259 Check out Dr. Grande's merchandise https://teespring.com/stores/dr-grandes-store Learn more about your ad choices. Visit megaphone.fm/adchoices
Our culture teaches that when someone is struggling with substance use, the correct response is tough love. It's better to let them hit rock bottom than to enable their behavior. My guest today is Heather Ross, host of the Living While Loving Your Child Through Addiction podcast. She's also a dear personal friend. We're letting you eavesdrop on one of the many raw conversations we've had about the devastating impact the “tough love” mindset has on both the giver and the receiver. And why compassion is not the same as enabling. You'll hear Heather's first-hand account of what happened when she shifted her goal from controlling the situation to connecting with her daughter. Her story is both heartbreaking and inspiring, because despite losing her daughter to a fentanyl overdose, she will never regret that she was a safe place for her daughter–and a source of unconditional love. Buckle up, because this one's a tear jerker. But whether you're a parent, partner or just wondering how to show up for someone you love, you'll walk away with a clear understanding of how to release fear, find your ground and support your person without losing yourself. Click here to get Heather's free guide: A New Perspective about “Enabling”--A guide for parents who want to help their kids but aren't sure how. Find Heather on social media @HeatherRossCoaching, and listen to her podcast Living While Loving Your Child Through Addiction. If you are ready to get support from a community of women who are co-creating this change with intention and clarity— Click here to BOOK A DISCOVERY CALL. 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
True Crime Psychology and Personality: Narcissism, Psychopathy, and the Minds of Dangerous Criminals
This video answers the question: Can I analyze the case of Raul Valle? Support Dr. Grande on Patreon: https://www.patreon.com/drgrande Dr. Grande's book Harm Reduction: https://www.amazon.com/Harm-Reduction-Todd-Grande-PhD/dp/1950057313 Dr. Grande's book Psychology of Notorious Serial Killers: https://www.amazon.com/Psychology-Notorious-Serial-Killers-Intersection/dp/1950057259 Check out Dr. Grande's merchandise https://teespring.com/stores/dr-grandes-store Learn more about your ad choices. Visit megaphone.fm/adchoices
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