Leading Edge Psychotherapy: The Psychotherapy Team
A psychotherapy team involves multiple therapists who meet successively with the same client for individual therapy. Leading edge psychotherapy teams have begun to emerge, in varying degrees, in a few state-of-the-art addiction treatment facilities. Their emergence may have occurred somewhat serendipitously but as Pasteur remarked “chance favors the prepared mind.” To my mind, the experience […]
Addiction and Youth
Addiction, Recovery and Society How society should view addiction Ending recoveryism Let’s stop insisting addiction is a disease Will insurance cover addiction treatment if addiction is not a disease? AA’s dominance in the US is harmful Court-ordered 12-step attendance is illegal CRAFT: An alternative to addiction “intervention” Substance abuse evaluations in child custody cases Addiction […]
Herbal Remedies and Acupuncture for Addiction Recovery
Traditional Chinese medicine revolves around herbal remedies and acupuncture for addiction recovery. Might these ancient therapies be successfully used in modern addiction treatment? Chinese and American researchers studied the existing evidence and concluded that, although more testing is need, some traditional remedies can compliment modern medicine for promoting addiction recovery (Lu et. al., 2009). What We […]
Residential Addiction Treatment: Possibly Helpful, Probably Not Essential
Residential addiction treatment: Possibly helpful, probably not essential A. Tom Horvath, Ph.D., ABPP The reason almost all health insurance companies have stopped paying for residential addiction treatment is that the effectiveness of residential treatment and outpatient treatment has been compared many times, with no advantage being found for residential treatment. The July 1986, issue of the American Psychologist contains […]
Levels of Care in Addiction Treatment
A. Tom Horvath, Ph.D., ABPP There are many places you might receive assistance for overcoming addiction. These places are generally referred to as “levels of care.” By understanding the levels available you can choose the level most suitable for you. We start with the least complicated and expensive level and work up. We leave out detoxification […]
Drug Treatment & Drug Rehab for Individuals with Disabilities
Research shows that substance abuse is a significant problem for individuals with physical, mental, or psychological disabilities. In fact, as a whole, individuals with disabilities use alcohol and other drugs as much or more than the general population, and they are at greater risk for problems associated with substance abuse (Moore, 1991). However, little research […]
Melancholia and Stimulant Drug Recovery
Major depressive disorder (MDD), or clinical depression, is characterized by low mood, low self-esteem, and loss of interest or pleasure. The DSM-IV recognizes five subtypes of MDD. Could different subtypes of MDD affect drug recovery for different substances? If so, drug rehab would need to consider these subtypes when treatment plans are formulated regarding melancholia […]
How Personality Disorders Might Affect Drug Rehab & Addiction Recovery
Cluster B personality disorders (e.g., borderline personality disorder) and substance use disorders (SUD) are both marked by impulsivity and poor behavioral control. Previous studies (e.g., Taylor, 2005) have found evidence that symptoms of cluster B personality disorder and SUD are significantly and positively correlated. Because of accumulating evidence which suggests that personality disorders are prevalent […]
Modafinil with CBT May Improve Drug Rehab for Gay Men with HIV
Methamphetamine use has been linked to increased risk of human immunodeficiency virus (HIV) among gay men. Methamphetamine is a highly addictive stimulant that may lower inhibitions, increase sexual arousal, and lead to risky sexual behavior such as unprotected sex. Further, methamphetamine may be injected, and needle-sharing is also a risk factor for HIV. These two […]
Drug Rehab May Soon Include Pharmacogenetics
Pharmacogenetics looks at genetic variation to predict individual differences in response to medications. Individuals may metabolize the same medication in different ways, and their genotype may indicate some of these differences in drug metabolism. Proponents of pharmacogenetics hope that this relatively new field of study will lead to increased efficacy and safety for a wide […]