POPULARITY
Categories
122 episodes with Harm reduction
48 episodes with Harm reduction
23 episodes with Harm reduction
16 episodes with Harm reduction
7 episodes with Harm reduction
9 episodes with Harm reduction
10 episodes with Harm reduction
9 episodes with Harm reduction
10 episodes with Harm reduction
7 episodes with Harm reduction
11 episodes with Harm reduction
9 episodes with Harm reduction
20 episodes with Harm reduction
7 episodes with Harm reduction
11 episodes with Harm reduction
8 episodes with Harm reduction
14 episodes with Harm reduction
7 episodes with Harm reduction
7 episodes with Harm reduction
14 episodes with Harm reduction
6 episodes with Harm reduction
5 episodes with Harm reduction
6 episodes with Harm reduction
5 episodes with Harm reduction
6 episodes with Harm reduction
13 episodes with Harm reduction
5 episodes with Harm reduction
4 episodes with Harm reduction
5 episodes with Harm reduction
4 episodes with Harm reduction
3 episodes with Harm reduction
3 episodes with Harm reduction
4 episodes with Harm reduction
15 episodes with Harm reduction
2 episodes with Harm reduction
4 episodes with Harm reduction
7 episodes with Harm reduction
5 episodes with Harm reduction
5 episodes with Harm reduction
3 episodes with Harm reduction
3 episodes with Harm reduction
3 episodes with Harm reduction
3 episodes with Harm reduction
7 episodes with Harm reduction
7 episodes with Harm reduction
2 episodes with Harm reduction
4 episodes with Harm reduction
3 episodes with Harm reduction
4 episodes with Harm reduction
4 episodes with Harm reduction
5 episodes with Harm reduction
5 episodes with Harm reduction
2 episodes with Harm reduction
2 episodes with Harm reduction
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.
A July executive order puts restrictions on how federal funding can be spent by harm reduction programs, which provide assistance to people who use drugs or struggle with addiction.Wednesday on Midday Edition, we hear how this might impact outreach in San Diego.Guest:Heidi de Marco, health reporter, KPBS
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
True Crime Psychology and Personality: Narcissism, Psychopathy, and the Minds of Dangerous Criminals
This video answers the question: Can I analyze the case of Mark Stover? 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 we host Laura Guzman- the Executive Director at the National Harm Reduction Coalition and Shakema Straker, human rights organizer and harm reduction advocate at the Coalition on Homelessness. Our guests discuss the basic tenets of harm reduction and the data and research that champions harm reduction as an evidence based practice. We explore the harmful misconceptions and stigma that surrounds the overdose crisis, drug use and substance use disorders and the harmful narratives and policies that we are seeing at a local, state and national level. Our guests end with discussing how we can continue to shape counter narratives and fight the stigma. "Harm Reduction is Loving People Back to Health." Support the show
True Crime Psychology and Personality: Narcissism, Psychopathy, and the Minds of Dangerous Criminals
This video answers the question: Can I analyze the case of Samuel Haskell? 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 Afeni Muhammad? Support Dr. Grande on Patreon: / drgrande Dr. Grande's book Harm Reduction: https://www.amazon.com/Harm-Reduction... Dr. Grande's book Psychology of Notorious Serial Killers: https://www.amazon.com/Psychology-Not... Check out Dr. Grande's merchandise at: https://teespring.com/stores/dr-grand... Learn more about your ad choices. Visit megaphone.fm/adchoices
GUEST - ANDREW CONSTANTINO - FORMER HEROIN ADDICTED HOMELESS ACTIVIST SHARES HIS STORY OF REDEMPTION AND HIS PERSPECTIVE ON SEATTLE’S BIGGEST CRISIS // Seattle’s ‘harm reduction’ approach around drugs perpetuates the harm // ANDREW CONSTANTINO // 12-year-old girl struck by sex toy thrown at WNBA game in Brooklyn; suspect sought by NYPD Series of Dildo-Throwing Incidents at WNBA Games Reportedly Tied to Meme Coin Pump Scheme
When my client, Michele, told me she was going to reintroduce alcohol. I'll be honest — I was nervous. Actually, that's bullshit. I felt like a failure. She'd been sober for 10 months. I was her sobriety coach. And at that time, I was still operating on the mindset that once an alcoholic, always an alcoholic. Because everybody knows you can't unpickle a cucumber. But as we learn in coaching school, the client is the expert on their own lives. Telling people what they should and shouldn't do is condescending, not coaching. So I checked my own fear and anxiety and held space for her. Michele is the first client I coached with a truly open mind — where there is no “right” way to drink, no moral high ground for whoever has the most sober days, and no starting over after you have a drink. Alcohol is neutral–it's not good or bad or right or wrong. It's not the problem and it's not the solution. Working with Michele completely changed the way I think about recovery from alcohol use disorder. She is my patient zero, if you will. This experience laid the foundation for the work I do now as a mindful drinking coach. And she's here today to share her story and talk about what it's really like to learn how to trust yourself again…to heal your relationship with yourself so you don't have to worry about your relationship with alcohol. It's raw. It's honest. It's messy. And for me, it's personal — because this opened my eyes, my mind and my heart to see what's really possible when you stop using the past to predict the future. 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
In this installment of Texas Talks Presents: Hemp in Texas, host Brad Swail speaks with Scott Gates—Law enforcement veteran, farmer, hemp industry advocate, and co-founder of Texas Hemp Growers—about the business, science, and politics shaping hemp's future in the Lone Star State. From soil health to small-town economies, Gates lays out how hemp isn't just an agricultural product—it's a path toward sustainable farming, rural revitalization, and consumer choice. He warns that the proposed SB5 hemp ban threatens not only businesses and jobs, but also the rights of Texans to choose safer alternatives to alcohol and pharmaceuticals. Gates brings a unique blend of farmer's pragmatism and legislative savvy, explaining what's at stake for growers, manufacturers, and everyday Texans if the state outlaws hemp-derived cannabinoids. Check out the rest of the Hemp in Texas series on Youtube: https://www.youtube.com/playlist?list=PL52AXg4M428dkbHAHPN3L_EkibznzbR86
In this episode, Dr. Ryan Paul Liabenow sits down with Kaleb Graves to explore the complex role of psychedelics in mental health treatment and addiction recovery. Together, they unpack the stigmas surrounding these substances. From the "cure all" claims to discrediting users who have become advocates. This conversation dives into harm reduction, spiritual framing, and the need for nuance in an increasingly polarized conversation about psychedelic medicine.
5pm - GUEST - ANDREW CONSTANTINO - FORMER HEROIN ADDICT WRITES SEATTLE TIMES OP-ED ON SEATTLE’S FAILING HARM REDUCTION MODEL. Why Seattle’s ‘harm reduction’ approach around drugs perpetuates the harm // Union-Backed Boston Ordinance Would Require Drivers in Driverless Waymos // So, why doesn’t Seattle have driverless cars yet? // Seattle outlines 7 priorities for autonomous vehicle adoption // LETTERS
In this episode of Psychedelics Today, Joe Moore sits down with Chad Charles — educator, mentor, and practitioner specializing in 5-MeO-DMT therapy. Chad shares his decade-long journey working with 5-MeO-DMT, emphasizing the importance of: Practitioner training and mentorship Personalized, therapeutic alliances The nuanced understanding of dissociative states Ethics in standardized clinical dosing A trauma-informed approach to psychedelic care He also introduces his upcoming research project, analyzing 500+ one-on-one sessions to illuminate best practices and ethical frameworks in the 5-MeO-DMT space. This is a must-listen for anyone passionate about harm reduction, responsible facilitation, and the future of psychedelic therapy.
The Trump Administration is attempting to revamp homelessness policy in the United States. Late last week, the president signed an executive order that, among other things, ends federal support for policies that employ the “housing first” model. It also calls for an increase in involuntary commitments for people with mental health conditions or substance use disorders. The order aims to drastically change how cities and states respond to the homelessness crisis. Guest: Will James, host of KUOW's Lost Patients, an award-winning podcast about homelessness and mental illness in Seattle Relevant Links: NPR: Trump signs an executive order to make it easier to remove homeless people from streets KUOW: Lost Patients Thank you to the supporters of KUOW, you help make this show possible! If you want to help out, go to kuow.org/donate/soundsidenotes Soundside is a production of KUOW in Seattle, a proud member of the NPR Network.See omnystudio.com/listener for privacy information.
6pm: Guest – Katie Wilson – Seattle Mayoral Candidate // Seattle’s ‘harm reduction’ approach around drugs perpetuates the harm
We're honored to welcome back Dr. Claire Wilcox, a trailblazer in the field of food addiction. Claire is an addiction psychiatrist, former internist, and associate professor of translational neuroscience at the Mind Research Network. She's worked in everything from eating disorder treatment centers to general psychiatry and is on the frontlines of research, clinical care, and advocacy. Her academic textbook Food Addiction, Obesity and Disorders of Overeating has helped shape the professional dialogue—but today, we're talking about her newest book, Rewire Your Food-Addicted Brain: Fight Cravings and Break Free from a High-Sugar, Ultra-Processed Diet—a compassionate, research-informed, and accessible guide for individuals navigating food addiction. And here's the wild part: this book was directly inspired by the Food Junkies Podcast.
This week, Gabe and Chris dive into the complex topic of chemsex—the pairing of party drugs and sex—within queer and trans communities. Poet and performer Joss Barton shares how her gender journey began with an acid trip and how exploring pleasure through substances became part of her story. But it wasn’t until she began incorporating her experiences into her wild, hilarious performances that she started to break free from the stigma trans women often face around drug use and reassess her own relationship with it. That’s harm reduction, mama! In a raw and raunchy interview, Joss unpacks the highs and lows of getting high and horny, and how the U.S. government's escalating attacks on trans people are shaping her community’s use of chems. Then, a harm reduction expert joins the conversation to share tips for safer drug use and how to seek support when it’s time to cool it down. Follow Sniffies' Cruising Confessions: cruisingconfessions.com Try Sniffies: sniffies.com Follow Sniffies on Social: Instagram: instagram.com/sniffiesapp X: x.com/sniffiesapp TikTik: tiktok.com/@sniffiesapp Follow the hosts: Gabe Gonzalez: instagram.com/gaybonez Chris Patterson-Rosso: instagram.com/cprgivesyoulife Guests featured in this episode: Joss Barton: https://www.instagram.com/ganjacum_/ Grace Resources: Never Use Alone DanceSafe Lighthouse Learning Collective Drug Checking See omnystudio.com/listener for privacy information.
Psychologists Off The Clock: A Psychology Podcast About The Science And Practice Of Living Well
If you've been feeling like alcohol just doesn't fit your life anymore, this conversation with Casey Davidson, a Life and Sobriety Coach, might really speak to you. Casey opens up about her personal journey of becoming alcohol-free, talks you through the benefits and challenges of sobriety, and clears up some common myths along the way.You'll come away with takeaways about the impact alcohol can have on your mental and physical health, how social norms and marketing can negatively influence drinking habits, and why approaching sobriety with curiosity and self-compassion can make all the difference in your journey. We hope the personal stories combined with practical insights in this episode will be an inspiring and relatable resource for anyone exploring a more mindful relationship with alcohol.Listen and Learn: How Casey broke free from nightly wine, ditched mommy wine culture, and found freedomHow high-functioning people can unknowingly rely on alcohol, and what waking up at 3 AM really meansAlcohol disrupts joy, sleep, and mood. See what changes when you give it up for just 30 daysNavigating sobriety without hitting rock bottom, plus mindset shifts, social fears, and partner dynamicsWhy the term "alcoholic" can be misleading, and how redefining sobriety empowers choiceHow non-alcoholic drinks can fit joyful routines without the triggersThe lasting benefits of 30, 60, and 100 days sober, like better sleep, mood, and self-careWhy trying to moderate drinking often traps you in a craving cycle, and quitting frees your mind and sparks new creativityResources: Casey's website: Hello Someday Coaching - https://hellosomedaycoaching.com/The Hello Someday Podcast For Sober Curious Women - https://hellosomedaycoaching.com/podcast/ Good Morning America asked Casey how I saved $48,000 by not drinking alcohol!: https://www.youtube.com/watch?v=EyrfQMv5waU&authuser=0Connect with Casey on Social Media:https://www.linkedin.com/in/caseydavidson/https://www.instagram.com/caseymdavidson/https://facebook.com/hellosomedayAbout Casey McGuire Davidson: Casey McGuire Davidson is a Life & Sobriety Coach and the host of the Top 100 Mental Health Podcast, The Hello Someday Podcast for Sober Curious Women. As an ex-red wine girl who spent 20 years climbing the corporate ladder while holding on tightly to her love of wine, Casey's passionate about helping busy women stop drinking and create lives they love without alcohol. Her work has been featured on Good Morning America, NPR, HuffPost, The New York Times and NBC News.Related Episodes176. Fair Play with Eve Rodsky202. The Addiction Inoculation with Jess Lahey206. Fair Play Part 2 with Eve Rodsky233. Dopamine Nation with Anna Lembke247. Find Your Unicorn Space with Eve Rodsky286. Not Drinking Tonight with Amanda White316. Understanding Addiction with Judith Grisel402. Harm Reduction for Addiction with Kristin DempseySee Privacy Policy at https://art19.com/privacy and California Privacy Notice at https://art19.com/privacy#do-not-sell-my-info.
© 2020-2025 Ivy Podcast Discovery LLC
