Continual use of drugs (including alcohol) despite detrimental consequences
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Guests Amanda Leith SHiFT, Recovery By Acorn and Esther Helga Guðmundsdóttir, INFACT School both experienced the misery of obesity and countless failed diets—until they discovered their real problem: food addiction, a brain disease. Like many late-stage food addicts, they used food to cope with life, consuming far more food than their bodies needed. Once they recognized their addiction, they began abstinent food plans and recovery programs, shedding excess weight and doing the emotional work required to heal. Today, they live at healthy body weights and enjoy freedom from food addiction—one day at a time. Today, they devote their lives to helping others understand and recover from this illness.Food addiction is a substance use disorder involving ultra-processed foods, similar to alcohol or drug addiction. Amanda and Esther assess clients using food use history and tools like the Yale Food Addiction Scale. Sugar—technically not a food but an additive—has over 260 names and is often hidden in products through deceptive labeling by food companies.Many of their clients have tried everything to control their food use and/or lose weight, often arriving desperate and willing to try something new. At SHiFT, Amanda guides clients toward abstinence from addictive foods while addressing the emotional drivers behind food use. As cravings and withdrawal pass, clients gain relief from the addiction and obsessive food thoughts and learn to enjoy eating whole, nourishing foods.Unlike drug or alcohol addiction, we cannot abstain from food entirely, which makes food addiction more complex. Yet the solution lies in abstaining from addictive foods and engaging in emotional recovery work.Phil Werdell, website, a pioneer in the field, greatly influenced Amanda and Esther. His teachings on powerlessness and denial are foundational to their treatment approach, and they credit him for shaping their understanding and protocols.Amanda explains the difference between emotional eating and true food addiction in this episode. While emotional eaters may recover through therapy alone, food addicts must first remove addictive substances and engage in structured recovery with support. At SHiFT, Recovery By Acorn, food and emotional issues are treated concurrently.With chronic disease and metabolic dysfunction at crisis levels—primarily driven by poor nutrition, food addiction, and obesity—Esther Helga argues that food companies knowingly exploit this addiction for profit.The International Food Addiction Conference will hold its second event in London, September 4–5, 2025, highlighting food addiction and its comorbidities. At the 2024 London conference, an influential group of professionals reached a Consensus: Ultra-Processed Food is a Substance Use Disorder. Advocacy continues to classify food addiction within the ICD (World Health Organization) and the DSM (American Psychiatric Association), paving the way for insurance coverage of treatment.Don't miss this powerful episode as we explore food addiction—its root causes, and the hope of recovery.
In this episode of the Recovery Matters podcast, Michelle Ketchum celebrates her first year of sobriety. Michelle discusses her journey from a toxic relationship and substance use to finding the strength to seek help and enter rehab. She shares her experiences of personal growth, the importance of community, and her involvement in sober living and activities through organizations like The Phoenix and Smart Recovery. Michelle also talks about fulfilling her lifelong dream of becoming a published author. Her story is an inspiring example of overcoming adversity and finding hope and support in recovery. 00:00 Introduction and Host Introductions00:38 Early Life and Family Support01:30 High School and First Encounters with Drugs06:28 College Life and Denial of Addiction13:54 Toxic Relationships and Hitting Rock Bottom22:28 Facing Rehab Fears22:57 The Rehab Experience24:18 Building New Friendships27:31 Life After Rehab28:31 Managing a Sober House30:13 Discovering New Passions38:05 Becoming an Author43:36 The Phoenix and Smart Recovery46:24 Advice for Newcomers ----Across the Web----
On this episode, we are joined by Kimberly Masker, an occupational therapist and certified hand therapy, and Tauni Bird, also an occupational therapist who have been researching and educating others on treating patients in the context of substance use. They share with us what substance use disorder is, the stigma that surrounds these patients, and what we as hand therapists can do to mitigate that stigma and provide harm reduction. Welcome to Hands in Motion, Kim and Tauni.Guest bio: Kimberly Masker, OTD, OTR/L, CHT received her undergraduate degree from ETSU in 1995, her Master's in OT degree from Washington University in 2000, and received her post-professional doctorate in OT from Rocky Mountain University of Health Professions (RMUoHP) in 2015. She earned her Certified Hand Therapist (CHT) specialty certification in 2007. She is an assistant professor in the Doctor of Occupational Therapy Program at East Tennessee State University. Kim's clinical practice is as senior therapist at The Hand Center at Bristol Regional Medical Center in Tennessee. Her professional interests have focused on hypermobility, wound care, upper extremity multi-trauma, substance use disorders and stigma, and treatment of musicians. She enjoys writing for various hand therapy related publications and blogs. She serves as a consultant for Axogen on studies such as pain and peripheral nerve injuries. She currently serves as Secretary Treasurer of the Northeast District of the Tennessee Occupational Therapy Association. She has volunteered for many years with the American Society of Hand Therapists (ASHT), is co-editor of the 4th edition of the CHT Test Prep Book and Clinical Reference (2022), and is the current President of ASHT.Tauni Bird, OTD, OTR/L (she/her) is an occupational therapist and hand and upper extremity therapist. She is a member of the American Society of Hand Therapists, American Association for Hand Surgery, and American Occupational Therapy Association. She is interested in harm reduction and health equity. Her work on these topics includes conference presentations, non-research articles, and special grant projects. The views and opinions expressed in the Hands in Motion podcast are those of the guests and do not necessarily reflect the official policy or position of ASHT. Appearance on the podcast does not imply endorsement of any products, services or viewpoints discussed.
In this episode, the team from Department of Veterans Affairs discusses their award winning submission to the ASHP Best Practices. They will share how their utilized a Clinical Pharmacist Practitioner model to improve access to medication for opioid use disorder and provided care to patients where they prefer to be treated. The information presented during the podcast reflects solely the opinions of the presenter. The information and materials are not, and are not intended as, a comprehensive source of drug information on this topic. The contents of the podcast have not been reviewed by ASHP, and should neither be interpreted as the official policies of ASHP, nor an endorsement of any product(s), nor should they be considered as a substitute for the professional judgment of the pharmacist or physician.
Palm Beach County, Florida, was the epicenter of the state's opioid crisis for many years as pill mills and malfeasance plagued the county's communities. Since 2017, the county has been addressing the crisis, forming an advisory committee, appointing a drug czar and shifting its response toward a strategy centered on long-term recovery. With opioid settlement money to allocate over the next 20 years, the latest plan looks to spend 90% on social determinants of health—like job training, stable housing, and community support—and 10% on acute care. This paradigm shift is rethinking traditional approaches to addressing substance use disorders (SUD), placing recovery at the heart of government response. Palm Beach County Drug Czar John Hulick joins this episode to discuss this bold action and how other local governments can draw from the county's playbook to inform their own work on SUD. John Hulick was Palm Beach County's Office of Behavioral Health and Substance Use Disorders senior program manager and drug czar. He began serving in this position in 2018. He previously had focused on policy in New Jersey, being tapped to serve as former Governor Chris Christie's executive director of the Governor's Council on Alcoholism and Drug Abuse and serving as policy advisor to the governor for Human Services, Children, and Families in the Office of the Governor. He is an individual in long-term recovery and has also supported his daughter throughout her journey in recovery from addiction.More Links and InformationCheck out more Fors Marsh Media Connect or partner with Fors Marsh Read the Palm Beach County Behavioral Health and Substance Use Disorder Plan
In this episode of Ditch the Lab Coat, Dr. Mark Bonta sits down with Dr. Dov Gebien for a deeply personal and raw conversation about addiction, stigma, and redemption within the medical profession. Dr. Gebien, an emergency physician, shares his courageous story of opioid addiction—tracing his journey from the initial dependency that crept in after multiple back surgeries, through the devastating fallout of withdrawal, arrest, and prison, to his eventual recovery and fight to reclaim both his medical license and sense of self.The episode explores the culture of medicine and the harsh judgment often faced by healthcare professionals struggling with substance use. Dr. Gebien opens up about the profound shame and isolation that accompany addiction, explaining how secrecy and fear of exposure perpetuate suffering. He discusses how his turning point came when he finally “came clean,” recounting the unexpected compassion from some colleagues, but also the widespread mistreatment and lack of understanding he encountered—especially compared to how the system treats those with alcohol use disorder or physical illness.Dr. Gebien and Dr. Bonta delve into how the medical system, historically complicit in the opioid crisis, continues to stigmatize opioid addiction in its ranks, and they candidly address the punitive versus rehabilitative paths offered to healthcare workers in crisis. Dr. Gebien reflects on how recovery transformed his approach to medicine, fostering empathy and changing the way he relates to patients facing addiction.Now a community physician, public speaker, and researcher with published work on Sudden Infant Death Syndrome, Dr. Gebien unpacks his reinvention and the ongoing challenges of regaining trust and credibility within his field. The episode is a powerful meditation on perseverance, accountability, and hope—the “hard-won kind” forged through adversity.Episode Highlights1. The Power of Honesty : Telling the truth about addiction, even when it's painful, is the starting point for recovery and lightens the emotional burden.2. Compassion Over Judgment : Healthcare needs more compassion and less stigma toward addiction—judgment only deepens isolation and suffering for both patients and clinicians.3. Addiction Knows No Boundaries : Opioid addiction can affect anyone—doctors, professionals, or neighbors—not just the stereotypical “skid row” population.4. Burnout Breeds Judgment : Compassion fatigue and harsh attitudes in emergency medicine can lead to diminished empathy for those with addiction struggles.5. Redefining Professional Redemption : Recovery and return to practice after addiction require perseverance, transparency, and a willingness to rebuild credibility from scratch.6. Forgiveness and Second Chances Reintegration into medicine is possible, but it demands humility, hard work, and meeting rigorous requirements to ensure public safety.7. Continuous Recovery Accountability Structured support systems—therapy groups, monitoring, and regular check-ins—are vital in maintaining long-term recovery and reducing relapse risk.8. Experience Builds Better Doctors Personal hardship, including addiction and recovery, can foster stronger empathy, better listening skills, and more effective patient care.Episode Timestamps3:32 – Resilient Hope Amid Adversity9:32 – Addiction's Story: A Broader Insight10:54 – Opioid Dependency Misunderstanding17:12 – Compassion in Addiction Treatment21:07 – Forgiveness and Reintegration in Healthcare23:39 – Challenges Reveal True Character27:13 – Recovery: Holistic Approaches Versus Cure29:38 – Expressing Myself Through Recovery33:20 – Challenges of Reintegration for Felons37:01 – Healthcare Workers' Untreated Disorders Insight39:10 – Diaphragm Cramp Research Breakthrough42:33 – Rediscovering Purpose in Medicine45:00 – Secrets, Addiction, and Consequences48:44 – Finding Hope After DisgraceDISCLAMER >>>>>> The Ditch Lab Coat podcast serves solely for general informational purposes and does not serve as a substitute for professional medical services such as medicine or nursing. It does not establish a doctor/patient relationship, and the use of information from the podcast or linked materials is at the user's own risk. The content does not aim to replace professional medical advice, diagnosis, or treatment, and users should promptly seek guidance from healthcare professionals for any medical conditions. >>>>>> The expressed opinions belong solely to the hosts and guests, and they do not necessarily reflect the views or opinions of the Hospitals, Clinics, Universities, or any other organization associated with the host or guests. Disclosures: Ditch The Lab Coat podcast is produced by (Podkind.co) and is independent of Dr. Bonta's teaching and research roles at McMaster University, Temerty Faculty of Medicine and Queens University.
Recovery Matters Podcast Episode 181 | TJ and Mickey delve into Mickey's personal journey of long-term recovery. Mickey shares her raw and inspiring story, starting from her early exposure to alcohol and drugs, leading up to a DUI that became the turning point in her life. She speaks candidly about her struggles with addiction to various substances, including alcohol, cannabis, and prescription medications. Mickey also discusses her traumatic childhood experiences, which included abuse and neglect, and how these influenced her path toward addiction. Through sheer determination and multiple therapeutic approaches, including AA, holistic practices, and therapy, Mickey has transformed her life. She reflects on the spiritual experiences that reconnected her with a higher power and the importance of community support in her recovery journey. Mickey's story is a testament to resilience and the transformative power of seeking help and building a new life, free from substances. 00:00 Introduction and Host Backgrounds00:22 Mickey's Early Exposure to Substances01:05 High School and Early Drug Use02:57 Struggles with Addiction and Employment06:16 Family and Childhood Trauma09:46 Return to Connecticut and Continued Addiction13:46 The Turning Point: DUI and Therapy16:30 Journey to Sobriety and AA Meetings19:52 Exploring Alternative Recovery Paths21:17 Spiritual Awakening and Nature's Influence23:24 Ongoing Recovery and Therapy25:36 Final Thoughts and Advice for Newcomers ----Across the Web----
In this episode, we hear from Deb Russell, RN, MSN, FNP-BC, APRN-CNP, ACHPN® with over 20 years in the field, currently leading care in an outpatient, harm-reduction-based palliative clinic. She provides palliative support to patients undergoing active cancer treatment who are also living with substance use disorders—a population with complex and often unmet needs. Deb shares firsthand insight into: Navigating symptom management during cancer treatment in patients with active addiction Building trust through a harm-reduction approach Collaborating closely with an interdisciplinary team including a physician and pharmacist Deb shares the unique challenges and clinical considerations—of meeting this patient population where they are—safely managing pain, communication, and care coordination. This conversation offers practical insights and compassionate strategies for anyone caring for patients with co-occurring serious illness and SUD. Deb Russell, RN, MSN, FNP-BC, APRN-CNP, ACHPN® Deb Russell, RN, MSN, FNP-BC, APRN-CNP, ACHPN® is a dedicated Nurse Practitioner specializing in Palliative Care, with a focus on cancer and addiction. With a deep commitment to patient-centered care, Deb provides compassionate support to patients battling both cancer and substance use disorders. With over 18 years of experience mostly inpatient, now in the ambulatory setting, Deb works closely with the interdisciplinary team to develop care plans that improve patient outcomes. Deb is passionate about bridging the gap between oncology and addiction, advocating for treatment approaches that empower patients throughout their journey. Deb has co-authored a paper “Creating a Palliative Care Clinic for Patients with Cancer and Substance Use Disorder” and presented a poster at the Oncology Nursing Congress on” Nurse Practitioner Integration in a Multidisciplinary Team Caring for Patients with Cancer and Addiction”. Brett Snodgrass, DNP, FNP-C, ACHPN®, FAANP Dr. Brett Snodgrass has been a registered nurse for 28 years and a Family Nurse Practitioner for 18 years, practicing in multiple settings, including family practice, urgent care, emergency departments, administration, chronic pain and palliative medicine. She is currently the Operations Director for Palliative Medicine at Baptist Health Systems in Memphis, TN. She is board certified with the American Academy of Nurse Practitioners. She is also a Fellow of the American Association of Nurse Practitioners and an Advanced Certified Hospice and Palliative Nurse. She completed a Doctorate of Nursing Practice at the University of Alabama – Huntsville. She is a nationally recognized nurse practitioner speaker and teacher. Brett is a chronic pain expert, working for more than 20 years with chronic pain and palliative patients in a variety of settings. She is honored to be the HPNA 2025 podcast host. She is married with two daughters, two son in laws, one grandson, and now an empty nest cat. She and her family are actively involved in their church and she is an avid reader.
Episode 142: The ADA and Employment Rights for Employees with Alcohol or Substance Use Disorders by Southeast ADA Center
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Did you know that 17% of individuals in the US live with substance use disorder (SUD)? Nursing curricula may not adequately address SUD, and stigma can impact patients' care. Their project measured stigma toward people with SUD among prelicensure nursing students. Students with personal experience had lower stigma scores than those without this experience. In this podcast, Drs. Jennifer Crook and Sarah Febres-Cordero explain the importance of preparing students to care for patients with SUD and how to do this in the curriculum. Learn more about this project and strategies you can use in your own programs. You can read the full article (it is open access): share with colleagues!
This episode includes extended Q&A sessions that address your unanswered questions from the following presentations delivered at the 2025 Spring Congress in Philadelphia, Pennsylvania: (00:20) All the Tea on ADHD: Guidance for Developing Effective Treatment Strategies for Patients With ADHD by Andrew Cutler, MD (20:20) You and I and an LAI: Benefits, Early Adoption, and Options for Patients With Serious Mental Illness Desiree Matthews, MSN, PMHNP-BC and Jonathan Meyer, MD (Q&A with Desiree Matthews) (38:53) A Practical Guide to Ordering and Interpreting Kidney Function Tests by Rajnish Mago, MD (59:13) Preventing the Progression From Casual to Casualty: An Update on Interventions for Substance Use Disorders by Hara Oyedeji, APRN, PMHNP-BC, MSN, MSEd and Andrew Cutler, MD (Q&A with Hara Oyedeji) Never miss an episode!
There are many factors that go into the overdose epidemic of opioids and other drugs that kill thousands of North Carolinians each year. As a pair of law and medicine experts explained, however, in a recent NC Newsline op-ed, there are some increasingly successful strategies that deserve public support. And topping the list is […]
In this episode Dr. Gillian Beauchamp sits down with Dr. Albert Garcia Romeu to discuss the history of psychedelic use, current treatment protocols and research on using psychedelics to support recovery from substance use disorders.