Continual use of drugs (including alcohol) despite detrimental consequences
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ABM protocolAcademy of Breastfeeding Medicine Clinical Protocol #21: Breastfeeding in the Setting of Substance Use and Substance Use Disorder (Revised 2023)Infant Risk CenterTennessee Breastfeeding Hotline at 1-855-4BF-MOMS (1-855-423-6667)Post Partum Support InternationalBreastfeeding is not contraindicated for mothers in stable medication-assisted treatment; modern ABM protocols support initiation with appropriate multidisciplinary follow-up including SUD care, lactation, and mental health services.Breast milk's unique benefits for opioid-exposed infants—including colostrum's protective properties and comfort during withdrawal—make it particularly valuable; however, exclusive breastfeeding may not be realistic given these infants' high metabolic needs, requiring planned supplementation.The amount of MAT transferred through breast milk is negligible and not bioavailable; educating mothers and families on this fact directly counters the primary misconception preventing breastfeeding initiation.Perinatal mood and anxiety disorders require careful assessment; breastfeeding can support recovery or worsen mental health depending on individual circumstances—flexible, individualized approaches prioritize maternal wellbeing as essential to infant wellbeing.Accessible resources (Infant Risk Center, Tennessee Breastfeeding Hotline, LactMed, insurance-covered in-home lactation visits) enable clinicians without IBCLC support to make evidence-based decisions; establishing hospital protocols and escalation pathways prevents outdated blanket restrictions.Quotable Moments"My main goal is helping women to be the best mother that they can be. I want to decrease stigma and definitely improve child outcomes.""Breast milk is what will comfort those symptoms. That in the early days, that colostrum is such a protective factor. It's thick, it's rich, it coats the intestine, and it's so easy to digest that it requires less work of the gut.""You can't give from an empty cup. And you've got to take care of yourself and your baby needs a completely healthy mom, mentally and physically.""Addiction is a disease, not a moral failing... MAT allows these women to lead normal, happy lives. It's what helps them be a good mother."Show Notes by BarevalueNo content or comments made in any TIPQC Healthy Mom Healthy Baby Podcast is intended to be comprehensive or medical advice. Neither healthcare providers nor patients should rely on TIPQC's Podcasts in determining the best practices for any particular patient. Additionally, standards and practices in medicine change as new information and data become available and the individual medical professional should consult a variety of sources in making clinical decisions for individual patients. TIPQC undertakes no duty to update or revise any particular Podcast. It is the responsibility of the treating physician or health care professional, relying on independent experience and knowledge of the patient, to determine appropriate treatment.
We are excited to kick off season 5 of the Just Us: Before, Birth, and Beyond podcast with two peer support extraordinaries, Cassie York and Cassie Burleson. This episode dives deeply into what it means to be a peer support specialist, discussing the unique role they fill in supporting people through recovery. Listen in to learn about how the Cassies' lived experience has allowed them to be such incredible advocates for their patients, processes for becoming a peer support specialist, and more! Resources: North Carolina Certified Peer Support Specialist Program https://www.ncdhhs.gov/cpssapplicationprocess20240425/open North Carolina Certified Peer Support Specialist Program: https://pss.unc.edu/ Scannell C. (2021). Voices of Hope: Substance Use Peer Support in a System of Care. Substance abuse : research and treatment, 15, 11782218211050360. https://doi.org/10.1177/11782218211050360 Center for Health Care Strategies (Jan 2026). Peer Recovery Support Services in Substance Use Treatment. Retrieved from https://www.chcs.org/resource/peer-recovery-support-services-in-substance-use-treatment/ Eddie, D., O'Connor, J.B., George, S.S. et al. Peer Recovery Support Services and Recovery Coaching for Substance Use Disorder: A Systematic Review. Curr Addict Rep 12, 40 (2025). https://doi.org/10.1007/s40429-025-00645-8We would love your feedback on our podcast! Please take our listener survey to provide your comments. Music credit: "Carefree" Kevin MacLeod (incompetech.com) Licensed under Creative Commons: By Attribution 4.0 License http://creativecommons.org/licenses/by/4.0/Please provide feedback here:https://redcap.mahec.net/redcap/surveys/?s=XTM8T3RPNK
Photo by Marlon Lara on Unsplash Stigma surrounding substance use disorders (SUD), including addictions, is a major barrier to people seeking treatment. Many healthcare providers can also consciously or unconsciously contribute to the stigma that people with SUDs may feel, including through the language they use, images, and how they treat their patients. Addictions are physiological states, not flaws in one’s character. While we seldom treat people with insulin-dependent diabetes with disdain, we are not as likely to try to rid ourselves of stigmatizing language or behaviors when working with people with SUDs. HealthCetera producer and host, Diana J. Mason, RN, talks with Beth Rutkowski, an Epidemiologist and Director of Training for the UCLA Integrated Substance Use and Addiction Programs, and Co-Director of the Pacific Southwest Addiction Technology Transfer Center, about the evidence confirming that stigma around SUD is prevalent and harmful, as well as how to help clinicians, family members, friends, healthcare providers, and even the people with SUDs themselves to reduce and eliminate stigma. This interview first aired on HealthCetera in the Catskills on WIOX Radio on July 8, 2026. The post Stigma Surrounding Substance Use Disorders appeared first on HealthCetera.
Listen without ads on patreon at: www.patreon.com/dopeypodcast SUMMARY: This week on Dopey, Dave marks eight years since the death of his original co-host and close friend, Chris O'Connor. After celebrating members of Dopey Nation—including brothers Brian and Matt, Laren, Steve Schneider and Jessica—Dave reflects on recovery, character defects and the strange experience of hearing Chris again every week through the Total Dopey Replay. The heart of the episode is an intimate conversation with Chris's former fiancée, Annie, who is now a surgeon, a wife and the mother of two young children. Annie looks back on finding Chris after his fatal overdose, the trauma that followed and the years it took before that memory stopped feeling frightening and became simply, painfully sad. Dave and Annie discuss the life Chris never got to live, whether he wanted children, the secrecy surrounding his relapse and the possibility that nobody close to him knew he was using. Annie explains why she ultimately walked away from a planned career treating substance use disorder and why Dopey may offer comfort to some people while remaining too painful for members of Chris's family. Annie shares a powerful analogy she received shortly after Chris died: in the beginning, grief is the only room in the house. As life continues, you add new rooms—relationships, children, work, friendship and purpose. The grief room never disappears, but it is no longer the only place you can go. That realization leads Dave and Annie to an unexpected connection: recovery from addiction can also be a form of grief. You may never erase the loss or forget the feeling you once chased, but you can build a life large enough that it no longer consumes everything. PLease listen to this very special ChrisMiss Episode. Hosted by Simplecast, an AdsWizz company. See pcm.adswizz.com for information about our collection and use of personal data for advertising.
Thank you for joining ACOEM for another episode of OccPod. In this timely conversation, host Dr. Ismail Nabeel is joined by Dr. Dominik Dabrowski to discuss substance use disorder in the workplace. Dr. Nabeel is a Professor in the Department of Environmental Medicine and the Department of Artificial Intelligence and Human Health at the Icahn School of Medicine at Mount Sinai.Dr. Dabrowski is the Medical Director at the Naval Nuclear Laboratory, with a background in both occupational and addiction medicine — he completed his occupational medicine residency at HealthPartners and an addiction medicine fellowship at Rutgers University Behavioral Health Care, and most recently served as an attending physician at Mount Sinai Health System.In this episode, Drs. Nabeel and Dabrowski discuss emerging synthetic opioids – including fentanyl analogs, xylazine, and Medetomidine – and what occupational medicine physicians, MROs, and DOT providers need to know about detection, treatment, and the evolving landscape of substance use in the workplace.
In this episode of the Love Mia Vita podcast, host Gerianne DiPiano sits down with licensed therapist and sex expert Dr. Juliana Hauser to examine the rising prevalence of substance use disorder (specifically alcohol use) among women. The conversation sheds light on the often-ignored sex-based and biological differences in how female bodies absorb alcohol, particularly during life transitions like perimenopause and menopause. They explore the psychological drivers that lead women to self-medicate for anxiety or life overload, how to honestly evaluate your own relationship with drinking, and the critical need to destigmatize the disease of addiction. Finally, the duo highlights pathways to recovery, emphasizing the profound benefits of combining medical detox and counseling with modern support systems like recovery coaching to build essential life skills and reclaim control. To connect with Dr. Juliana Hauser visit https://dr-juliana.com/ For more information on women's health advocacy, visit the FemmePharma website www.femmepharma.com
WHO THIS EPISODE HELPSAnyone grieving the loss of a child, supporting someone through addiction, living with complicated grief, carrying guilt after loss, or struggling with the silence and stigma surrounding substance use disorder. This episode is also for parents, caregivers, healthcare professionals, and anyone searching for hope after unimaginable loss. WHAT LISTENERS WILL GETA deeply honest conversation about losing a child to addiction, breaking through shame, learning to carry grief instead of outrunning it, and discovering that healing doesn't mean forgetting. Katie shares practical ways she's survived the darkest days through community, creativity, movement, vulnerability and continuing her relationship with her son, Nicholas. DESCRIPTIONBefore there was addiction, there was Nicholas.That simple truth becomes the foundation of one of the most honest conversations ever shared on Grief Is Not A Dirty Word.Katie Rizzo joins Nick Gaylord to tell the story of her son Nicholas—not as an addict, but as a shy, funny, athletic young man who loved soccer, superheroes, his brothers, and his family. Together they explore the devastating reality of addiction, the stigma families face after an overdose, and why addiction should be treated as a medical condition instead of a moral failing.Katie speaks openly about the six-year battle to save her son, the day everything changed forever, the crushing weight of parental guilt, and how she's slowly learned to give herself the same grace she so freely gives other grieving parents.The conversation also explores Katie's powerful "Trimesters of Grief" framework, why movement and creativity became essential to her healing, the importance of continuing to say a loved one's name, and how grief doesn't have to disappear in order for hope to exist.This is a conversation about love, addiction, shame, resilience, and learning that the people we lose never stop being part of our lives.THIS EPISODE ANSWERS How do you survive losing a child to addiction? Why is addiction a disease instead of a moral failure? How do parents cope with guilt after losing a child? Why do grieving families need us to continue saying their loved one's name? Can grief and joy exist at the same time?THIS EPISODE ANSWERS How do you survive losing a child to addiction? Why is addiction a disease instead of a moral failure? How do parents cope with guilt after losing a child? Why do grieving families need us to continue saying their loved one's name? Can grief and joy exist at the same time?KATIE'S LINKSWEBSITE: https://www.katierizzo.comCONTACT: https://www.katierizzo.com/contactINSTAGRAM: https://www.instagram.com/katierizzo007/Support the showGIVE THE SHOW A 5-STAR RATING ON APPLE PODCASTS! FOLLOW US ON APPLE OR YOUR FAVORITE PODCAST PLATFORM! BOOKMARK OUR WEBSITE: www.griefisnotadirtyword.com FOLLOW OUR DEAD DADS ON SOCIAL MEDIA: Facebook: https://www.facebook.com/griefisnotadirtyword Instagram: https://www.instagram.com/griefisnotadirtyword TikTok: https://www.tiktok.com/@griefisnotadirtywordYouTube: https://www.youtube.com/channel/UCmmv6sdmMIys3GDBjiui3kw LinkedIn: https://www.linkedin.com/in/nick-gaylord/
Tom Viola brings fun and humor to the subject of licit and illicit drugs. What is being bought at the corner market that is more dangerous than we realized. Resources: Youtube: @chairsideconfidential Email: tom@tomviola.com Website: tomviola.com
This year, West Virginia lawmakers made significant changes to drug and alcohol treatment programs funded by Medicaid, which many people use. The new legislation ties Medicaid payments to patient outcomes rather than the number of patients served.The Mountain State has the nation's highest overdose rates, and overdose death rates among Black residents exceed those of any other group. In this episode of Us & Them, host Trey Kay learns how Medicaid funding supports organizations working in recovery and what that work looks like on the ground.This episode of Us & Them, recently honored with a Regional Edward R. Murrow Award for Excellence in Diversity, Equity and Inclusion, is presented with support from The Greater Kanawha Valley Foundation.
A UC clinic is embedding addiction treatment into primary care to address substance use disorders.
In this repurposed episode of BS Free MD, Dr. May Hindmarsh shares a powerful conversation with Steve Feldman, CEO of Feinberg Consulting, whose personal journey from addiction to more than three decades of sobriety transformed his life's mission. After achieving sobriety in 1992, Steve dedicated his career to helping individuals and families navigate addiction, mental health crises, and the complex road to lasting recovery. Together, they have a candid, stigma-free conversation about substance use disorders, emotional pain, family dynamics, treatment misconceptions, and what true recovery actually requires. Steve offers a deeply human perspective on why addiction is not a moral failure, why the right support system matters, and how individuals can rebuild meaningful, purpose-driven lives. Whether you're a healthcare professional, someone navigating your own recovery journey, or supporting a loved one through addiction or mental health struggles, this episode offers hope, compassion, and practical insight into healing. In This Episode, You'll Learn: How Steve Feldman's personal experience with addiction shaped his work in recovery and advocacy Why addiction should be viewed through a lens of compassion rather than shame The connection between mental health challenges, trauma, and substance use Common barriers that prevent people from seeking help What families can do when supporting a loved one experiencing addiction Why individualized treatment and long-term support are essential to sustainable recovery How purpose, accountability, and connection play a major role in healing About Steve Feldman Steve Feldman is the CEO of Feinberg Consulting, a recovery support and behavioral healthcare consulting organization that helps individuals and families facing addiction, mental health, and complex healthcare crises. Drawing from his own sobriety journey that began in 1992, Steve has spent decades helping people find the right path to recovery and reclaim their lives. Connect with Steve Feldman LinkedIn: https://www.linkedin.com/in/steve-feldman-1a501825
FILM FESTIVAL TICKETS: https://buytickets.at/thedopeyfoundation/2216905 PATREON: www.patreon.com/dopeypodcast Summary On this Dopey Monday Total Replay, Dave looks back at Dopey Episode 28, one of the strangest and creepiest early episodes of the show. It features Dave, Chris, and graphic-design Ryan — the guy who made the original Dopey logo — talking through old Lower East Side drug energy, the first major Dopey fan emails, weird ego stuff, drug stories, recovery, Rob Reiner, Nick Reiner, and a whole lot of eerie foreshadowing. Dave reflects on how painful it is to hear Chris again, knowing he died in 2018, and uses the episode to make a simple but brutal point: if Chris had stayed in recovery, he probably wouldn't have died. The replay itself is classic early Dopey: messy, funny, dark, uncomfortable, and weirdly prophetic. Ryan tells a story about refusing to leave a drug pickup even after a guy puts a gun to his head. Chris talks about addiction, genetics, rats drinking heroin water, and recovery. Dylan randomly calls in right as Dave is talking about Dylan from 90210, which feels like Dopey synchronicity. The episode also includes the first big fan email from Tina in Philadelphia, Dave getting wounded by being called “Dan,” and a long, now-haunting conversation about Rob Reiner and Nick Reiner before Nick ever appeared on Dopey. It's funny, painful, and very Dopey. PLUS Drugs, addiction and dumb shit on the new/old 10 year anniversary of this episode!(of Dopey) Hosted by Simplecast, an AdsWizz company. See pcm.adswizz.com for information about our collection and use of personal data for advertising.