Listen to "TAP45 Medication Assisted Treatment with Marc Burrows" on The Addictive Podcast via spreaker.com/user/addictist…
Glen and Seth review some popular nutritional supplements being used in psychotherapy to improve outcomes, optimize self-care, and provide additional options for mood management. It’s nutritional uppers, downers, and all arounders, on today’s Addictive Podcast.
Families for Sensible Drug Policy (FSDP) is a 501(c)(3) non-profit organization representing an international coalition of families, professionals, organizations and public health advocates dedicated to implementing innovative public health initiatives with the goal of empowering families to increase access to effective substance use disorder treatment and reduce the harmful consequences of oppressive drug policies.
Scott D. Miller, Ph.D. is the founder of the International Center for Clinical Excellence an international consortium of clinicians, researchers, and educators dedicated to promoting excellence in behavioral health services. Dr. Miller conducts workshops and training in the United States and abroad, helping hundreds of agencies and organizations, both public and private, to achieve superior results. He is one of a handful of “invited faculty” whose work, thinking, and research is featured at the prestigious “Evolution of Psychotherapy Conference.” His humorous and engaging presentation style and command of the research literature consistently inspires practitioners, administrators, and policy makers to make effective changes in service delivery.
Cheryl Sharp holds the unique perspective of a person who has recovered from significant mental health challenges, a trauma survivor, a family member of a loved one who died as a result of mental illness, and a provider of substance abuse and mental health services. Sharp has worked with adult trauma survivors for over 28 years and trains and speaks nationally on trauma-informed care. She is a Master WRAP Trainer, Mental Health First Aid USA instructor, and trainer of Intentional Peer Support. Sharp is also an ordained minister. She has worked as a hospice/medical social worker and as a director of social services for a skilled nursing facility. She received a Substance Abuse and Mental Health Services (SAMHSA) Voice Award for her work and personal stories educating the public about behavioral health and the Lou Ann Townsend Courage Award for her contributions to persons with psychiatric disabilities. As the leader of the National Council’s Trauma-Informed Care Learning Communities, Sharp has led many behavioral health organizations in preparing to offer trauma-informed care.
Kratom, MAPS, couples therapy, people who come to addiction treatment, MDA, supplementation for alcohol, Duterte, the crackdown on opioids, increased death, cannabis Prop 64, other states, new data, and Seth’s adventures in the great white north were covered.
Matt Edwards grew up in the Northwoods of Wisconsin, where the winters are long, they call the mosquito the state bird, and his hometown was so small that it didn’t have a single store. His first high came from pills prescribed by a doctor for a botched toe surgery.
For ten years he sweat out shift after shift in restaurant kitchens, working twice as many hours as anyone else so he could pay rent and feed his addiction.
Matt was driven by a desperate need to get a fix – more often to avoid withdrawal than to get “high” in a recreational sense. To get what he needed he spun a web of fiction. He was a magnificent liar – smart, creative, persuasive – his lies fed his addiction as much as the actual drugs.
But Matt told the truth to himself in two spiral bound journals. He chronicled his daily drug use – sort of like the Bridget Jones of addiction but in cc’s, milligrams and dollars instead of pounds, drinks and cigarettes. His journals also tell the story of his countless attempts to quit.
Everyday there is another front page tragedy detailing another spectacular fall from grace. What is missing is real understanding of the complicated personal experience within addiction. How does a smart, loving, promising kid move from acting in the high school play to putting a needle in his arm? WRITTEN OFF reveals that journey, in Matt’s own words. Behind the addiction, there is a person – all at once lovable and despicable, funny and pathetic, young and old, destructive and aware of his failings.
Molly Hermann is a producer, director and writer whose documentary work spans genres, continents and centuries. Over the past 20 years, Molly has produced award-winning work for PBS, National Geographic Channel, Discovery Channel, Smithsonian Network, Animal Planet, Discovery Science and BBC America. Her work has taken her from the floor of the New York Stock Exchange to a Casablanca mosque, from red rock Utah canyons to the favelas of Rio de Janeiro, and searching for birds of paradise in the jungles of Papua New Guinea. Molly received the CINE Awards Special Jury Prize for the Smithsonian Channel program “9/11: Stories in Fragments” and an Emmy nomination for “Jefferson’s Secret Bible,” both produced in collaboration with the National Museum of American History. Molly is a founding partner of the Falls Church, Virginia-based company, The Biscuit Factory, which has been producing factual programming for the past 9 years.
Stanton Peele, Ph.D., J.D., is a seminal figure in the addiction field. All Treatment awarded him the Best Academic Addiction Blog for 2012. Dr. Peele has developed the on-line Life Process Addiction Program. His most recent book (with Ilse Thompson) is Recover! Stop Thinking Like an Addict and Reclaim Your Life with The Life Procss Program. Since the publication of Love and Addiction in 1975, Dr. Peele has been a pioneer in applying addiction beyond the area of drugs and alcohol, social-environmental causes of addiction, harm reduction, and self-cure of addiction. He has presented these ideas and data in a series of twelve books—including Love and Addiction, The Meaning of Addiction,Diseasing of America, The Truth About Addiction and Recovery, 7 Tools to Beat Addiction, and Addiction-Proof Your Child—and over 250 professional and popular articles. Recognition for his academic achievements in addiction has included the Mark Keller Award from the Rutgers Center of Alcohol Studies and the Lifetime Achievement Award from the Drug Policy Alliance. Dr. Peele lectures internationally on the meaning, treatment, and future of addiction.
With experience in both corrections and substance abuse counseling, Patrick Heintz has worked with incarcerated populations for over 20 years. Beginning as a child care worker in a maximum security Department of Youth Services facility, he spent the majority of his career at the Hampden County Sheriff’s Department as a counselor/corrections officer.
As a substance abuse counselor licensed by the State of Massachusetts working in a variety of corrections settings, he was witness to what he calls the “revolving door and intergenerational nature of the offender population”. Patrick explains, “Early on in my career, it became apparent that to a large extent, this revolving door phenomenon was a direct result of the prevailing laws associated with the war on drugs. It became a daily frustration that no matter how service-oriented and well intentioned treatment attempts were in a corrections setting, nonsensical drug laws such as mandatory minimum sentencing, school zone violations and other punitive consequences of drug arrests kept us from being optimally effective.”
As a human service worker in corrections, it was obvious to Patrick that substance abusing and addictive personality disorders were more mental health issues than a law and order problem. He experienced an avalanche of realizations upon first hearing a LEAP presentation where the speaker pointed out that after 40 years of being at war with drugs, the percentage of the population abusing drugs remains at approximately the same level as in 1971, when the war on drugs began. Patrick contends that “Sociologically there will always be deviations from the norm including substance abuse, but they cannot be legislated or enforced away.”
HAMS is a peer-led and free-of-charge support and informational group for anyone who wants to change their drinking habits for the better. The acronym HAMS stands for Harm reduction,Abstinence, and Moderation Support. HAMS Harm Reduction strategies are defined in the 17 elements of HAMS. HAMS offers support via an online forum, a chat room, an email group, a facebook group, and live meetings. We also offer harm reduction information via the HAMS Book, the articles on this web site, and the HAMS podcast. HAMS supports every positive change. Choose your own goal – safe drinking, reduced drinking, or quitting alcohol altogether.
It does not matter how much or how little you drink; if you want to make a change you are welcome here. If you are concerned that you might have withdrawal symptoms if you quit drinking all at once, please visit our taper page for information about how to taper off alcohol.
The emergence of new psychoactive substances (NPS) – often called “synthetic drugs,” “legal highs,” or “research chemicals” – pose a number of challenges for policymakers, media covering these issues, medical and social service providers, and people who use these substances.
Unfortunately, current media and policy responses to NPS – a broad category that includes everything from synthetic cannabinoids such as “K2”, to synthetic opioids such as fentanyl, to traditional plants such as kratom – have been largely fueled by misinformation rather than facts. For example, in New York City, concerns about synthetic cannabinoids led to misleading media coverage and targeted policing in communities of color and among the homeless, missing a critical opportunity to lead with harm reduction and public health strategies instead of criminalization.
These substances often come on the market as legal alternatives to illicit drugs. In the U.S., they are routinely banned, leading chemists to come up with slightly new formulations to evade existing laws. This cat-and-mouse game has led to a proliferation of these substances, whose potential harms (and benefits) are largely unknown.
Seth Fitzgerald from The Drug Classroom attended an important conversation about novel psychoactive substances on the evening of June 9th – 10th in New York City hosted by the Drug Policy Alliance. At New Strategies for New Psychoactive Substances: A Public Health Approach, the discussion included what is currently known about these substances, strategies for intervening when use becomes harmful, exploring new forms of drug regulation, and examining how messaging and media about NPS can become more constructive. The gathering laid the foundation for a series of recommendations for policymakers, medical and social service providers, researchers, and media.
Sheila Vakharia earned her doctorate at Florida International University’s School of Social Work. She received her Master’s in Social Work from Binghamton University and a Post-Master’s Certificate in the Addictions from New York University. She was most recently employed as a social worker at a grassroots HIV/AIDS and homelessness advocacy organization in Manhattan, where she provided harm reduction-based substance use counseling, facilitated harm reduction support groups, and conducted quality assurance activities. She was also a SIFI certified field instructor for B.S.W. students from New York University at that time. Prior to that, she worked at an OASAS-licensed rural outpatient substance use treatment facility where she conducted diagnostic assessments, made level-of-care treatment determinations, and facilitated aftercare groups for individuals with co-occurring disorders.
Jeannie Little has been at the forefront of developing harm reduction therapy for people with co-occurring substance use and mental health disorders since 1990. Beginning with her work at the Department of Veterans Affairs, she developed the harm reduction therapy group model and has trained therapists nationally and abroad. She teaches and consults with staff in outpatient clinics, drop-in centers, and supportive housing programs. She directs a national group of researchers and harm reduction therapists that is working to bring harm reduction therapy into the mainstream of substance abuse treatment. She has authored many papers and, with Dr. Denning, she co-authored Practicing Harm Reduction Psychotherapy and Over the Influence, a self-help book for consumers.
Frances first got involved with SSDP in 2011, when she co-founded the Northwestern University chapter as a freshman. Although she had known that the War on Drugs was irrational and ineffective before attending college, it wasn’t until she attended her first Midwest Regional Conference at Roosevelt University that she learned that drug policies were also unjust and inhumane. Since then, harm reduction has been a guiding principle behind all of her professional and personal pursuits, and she strives to educate people about the intersectionalities associated with the War on Drugs.In the drug policy world, Frances has served on SSDP’s Board of Directors, and has worked with cannabis law and industry organizations to research cannabis policy in various states, and write and review applications for cannabis cultivation centers and dispensary licenses. On campus, she was involved with Sexual Health and Assault Peer Educators (SHAPE), Alpha Chi Omega sorority and and has served as the President of the Panhellenic Association.
Goals for SSDP Peer Education Program
SSDP Peer Educators achieve this goal through three primary activities
Andrew G. Ahearn is the founder of the Pills That Kill Foundation.
Adam Lowery is a mental health counselor, trainer, speaker, podcaster, activist and coach whose passion is helping others change and optimize their lives. Through an abusive childhood, he focused on his dream to play college football. But at age twenty-two, injury ended his NFL dreams. Disheartened and angry, he chose a life of addiction and crime. He survived the world of drug dealing and quickly became successful in the nightclub business. But the success did not fill the void. He walked away from it all and went on walkabout for two years — traveling from the Florida Keys to the Acoma Native American Reservation in New Mexico Adam was on his Spiritual Rampage.
Adam returned home on a mission to help others and obtain a masters mental health counseling. Before even graduating he was hired as a clinical therapist in a public rehabilitation facility. Within three years Adam founded Transrational Structural Behavior Theory, authored The Cognitive Rampage, a dose of authentic revelation (as the application of TSBT), launched TCR podcast now in 110 countries and all 52 United States and will be releasing his first documentary in the Winter of 2016 “Chemical Incarceration, addicted to the process” detailing the dark side of the addiction treatment industry.
America continues to try and address the massive overdose epidemic occurring nationally by waging war against her own citizens, the Centers for Disease Control and Prevention (CDC) attempts to provide helpful guidelines through labeling and education, and it’s a thrilling time to be a drug treatment provider with maintenance therapies, replacement therapies, and conventional abstinence therapies all being available. Seth Fitzgerald from The Drug Classroom and drug treatment provider Glen Marshall explore the real cause of prescription drug overdose and how prohibition and adulteration continue to be fatal. I’m looking at you Fentanyl. Finally, we conclude with this gem from the Nixon administration and his favorite drug marijuana.
“We knew we couldn’t make it illegal to be either against the war or black, but by getting the public to associate the hippies with marijuana and blacks with heroin. And then criminalizing both heavily, we could disrupt those communities, We could arrest their leaders. raid their homes, break up their meetings, and vilify them night after night on the evening news. Did we know we were lying about the drugs? Of course we did.” — Nixon domestic policy chief John Ehrlichman
Cannabis Substitution: Marijuana Maintenance as Addiction Treatment
The Drug Classroom
Alcohol (ethanol) as a drug of intentional use has existed in cultures across the world dating back to as early as 10,000 BC where Stone Age jugs were used to intentionally ferment fruit for the purpose of human consumption. Its psychoactive properties were taken advantage of in medicine as shown in the Hebrew Bible which recommends giving alcoholic drinks to those who are infirmed to decrease the sense of misery and despair. Modern uses of alcohol continues to include its presentation as a sacrament within the Catholic Church who considered it “a gift of God” to be used in moderation for pleasure and enjoyment while at the same time viewing drunkenness as “sinful” behavior. Modern drug treatment and our concepts of addiction stem largely from Alcoholics Anonymous which was the original twelve-step model for addressing what was considered to be an allergy to alcohol.
Alcohol continues to be closely related to violence and harm in society due to its inhibitory mechanisms on the central nervous system, rational choice making, and diminished consideration of future consequences. Alcohol is a factor in 40% of all violent crimes and 50% of all sexual assaults involve alcohol consumption by the perpetrator, victim, or both. Despite this, alcohol continues to be one of the most widely used recreational drugs in the world with 89% of adults having tried alcohol and over 50% consuming it monthly.
Alcohol has an effective to lethal dose ratio (ED/LD) of 1 to 20. It is destructive to tissue at high and consistent doses and results in serious physiological and psychological harm when used excessively over time. These effects have not been demonstrated with low to moderate use. The potential benefit to the cardiovascular system and blood pressure reduction has recently been demonstrated to be offset by the increased potential of gastrointestinal cancers that result from using alcohol. About one in eight people will experience a substance related disorder with alcohol in their lifetime.
Please take great care with this drug. Its popularity and promotion in modern society greatly skew the actual harms and violence associated with it. Alcohol is inherently more destructive to the body and society than other drugs of recreation like cannabis (in places where prohibition is not a factor) particularly when consumed in excessive quantities which often go unchecked and unchallenged due to the normalization of alcohol in Western culture. At any given time, an average of 40% of hospital beds (when discounting for maternity and intensive care) are being used for alcohol related disorders.
Seth Fitzgerald from The Drug Classroom and addiction therapist Glen Marshall explore synthetic cannabinoids which were made popular in the media by their commercial name Spice, K2, along with many others. This class of substance appears to have a moderate potential for abuse as well as a high potential for undesirable and dangerous effects due to the widely varying mixture used to create the final products. Synthetic cannabinoids have resulted in a number of deaths and hospitalizations as a result of the extremely potent and unpredictable compounds used to make them as well as the varying and unregulated degree of each concentration. These drugs are inexpensive, targeted and vulnerable populations, and are difficult to detect making them another unintended consequence of prohibition based policies where more moderate compounds like cannabis are replaced with more potent and dangerous ones in the name of profit.
Synthetic cannabinoids appear to have a terrible safety profile and while an objective position is warranted in evaluating all drugs, there seems to be very little to warrant choosing these potentially deadly compounds over more benign substances like natural cannabis where casual or recreational use is concerned. The term “synthetic marijuana” and even its association with natural marijuana is a complete misnomer and should not be used as it promotes the belief that the two substances have similar effects and safety profiles which for more naive users may have deadly consequences. Glen also talks about the first step in quitting drugs and addiction as well as Students for Sensible Drug Policy and his recent moves in advocacy towards improving drug education in secondary schools.
Ibogaine, the primary psychoactive ingredient in the Tabernanthe iboga plant, has increasingly been used as a detoxification treatment from opiates since the 1980s. Today, ibogaine is administered under compassionate access or experimental legal frameworks in hospitals, medical centers, retreats, and private therapeutic settings around the world.
Jonathan Dickinson is the Executive Director of the Global Ibogaine Therapy Alliance (GITA). He has worked with ibogaine in therapeutic and sacramental contexts in Canada, Mexico, Costa Rica and Panama, and has published and presented on his work globally. Jonathan functions as a liaison between academics, government officials, researchers, not-for-profits, and care providers in regard to ibogaine research and practice. During his tenure, Jonathan has organized two international conferences on ibogaine and in 2014, was initiated into Bwiti, a spiritual discipline and psychoactive practice involving iboga by the forest-dwelling peoples of Gabon.
Between March 14-16th, 2016 in Tepoztlan, Mexico, Jonathan and GITA will convene the 2016 Global Ibogaine Conference which includes experts from around the world to discuss ibogaine therapy, the climate of global drug policy, and the sustainability and traditional uses of T. iboga.
Not all illicit drugs are used for pleasurable recreational purposes. Some substances hold great promise in helping to heal conditions like addiction, dysphoria, and other mental and physical health ailments. Ayahuasca is one such substance. This brew made from a combination of leaves and vines from specific plants found in South America is offered at a number of shamanic retreat centers for those seeking healing and catharsis through the reprocessing of trauma and past issues that may be interfering with present-day life functioning.
Seth Fitzgerald from The Drug Classroom and your host and counselor Glen Marshall provide a look down the rabbit-hole and walk-through of the Ayahuasca experience as well as what to consider in regards to best practices and safe decision-making when seeking and using this very powerful psychedelic.
Today’s episode explores the life of “Andrew”, a highly functional student, substance enthusiast, and artist whose life became confounded by the prescription psycho-stimulant Adderall. Learn about his journey and the techniques he incorporated to reduce the harms caused by daily amphetamine use, and the self-reflection mechanisms that helped him move beyond the condition of addiction.
I sit down with mental health advocate Adam Lowery who inspired me to start The Addictive Podcast through his courage to confront the treatment establishment publicly, and ongoing efforts to make change in the lives of those who need it most. Adam has been featured on The Joe Rogan Experience and is a thought leader on science based approaches to addiction care and health. Listen in to our discussion on the drug war, treatment, and alternative models of therapy in this free flowing wild ride of a podcast.
All of these popular drug myths have been pitched and pressed by the media, drug policymakers, users, or reformers alike. The fog of the drug war is thick and all sides push their agendas with a variety of propaganda. Drug education advocate Seth Fitzgerald along with addiction therapist and host Glen Marshall dispel each one and provide the facts behind the headlines so you can make better choices for yourself and your community.
The Addictive Podcast was created to save lives by providing scientifically based information in this pursuit. A special focus and rant is paid to the American Medical Association (AMA) and the American Society of Addiction Medicine (ASAM) who I believe failed their membership, misrepresented addiction, ignored best practices, and passively stood by while national policy dictated patient care that led to the deaths of 40,000+ Americans in 2014.
Resources and Further Reading:
“Everything I believed about drug prohibition was wrong. My violent actions enforcing those laws harmed others and injured my own moral fiber.”
That tweet sits pinned to the top of former South Carolina police officer turned Law Enforcement Against Prohibition (LEAP) Member, Raeford Davis. In this compelling podcast, Raeford takes us on his journey as a boy growing up in a conservative South Carolina christian home, to achieving his dream of being a police officer following drug laws as they are written, to recognizing his own moral authority and letting it guide him to a better life. Raeford is now dedicated to helping other officers who have been used as instruments in the drug war which not only hurt others, but themselves in the process.
Glen also contributes his own experiences on being a treatment provider and the tie in of treatment to the criminal justice system. We also discuss Dr. Carl Hart’s book High Price and the alternatives it offers. It’s healing for all those that suffer as a result of the drug war on The Addictive Podcast.
The conventional thinking about addiction is wrong. Addiction is not a disease nor has it ever been one. Find out the evidence behind what addiction is and isn’t from experiences in the Vietnam war to personal experiences in addiction to various drugs. The brain is flexible and I hope after listening to this podcast you will be too in understanding that addiction is not a static permanent brain state for most but a condition that can affect anybody under the right bio-psycho-social circumstances.
What many people don’t know is that a drug’s effect not only has to do with the person’s biological system but also what the person thinks the drug will do to them as well as the environment they are in. When these things change, the entire drug experience can change.
You’ll also learn about what makes a drug addictive despite all the branding and bull ship around them. Learn to identify drugs by the three characteristics that make them addictive rather than the headlines.
Meet your host Glen Marshall, family and addictions counselor and explore drugs from a post drug-war perspective using science, objectivity, and experience as your guide. If you are looking for accurate honest information to make safe informed decisions about using drugs or addiction, this podcast welcomes you to “take the red pill.” (poor audio quality)
Credits to Joe Rogan, Duncan Trussell, Joey Diaz, and Joe Sanok for providing the inspiration, Stanton Peele and Ethan Nadelmann for your timeless service and fight over the years, and Dr. Gary D. Jaworski whose “Drugs in American Society” class started me down this slippery slope.
Next week, we explore one Gulf War veteran’s experience with drugs and post-traumatic stress disorder both in and out of the military. Soldiers looking to stay safe wont want to miss TAP002 A Soldiers Guide to Drugs in the Military. Now with real microphones!