Everyone Is For Harm Reduction…Except For Addiction

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3 min read…Addiction is a chronic disease. It has a ‘lifestyle’ factors, i.e. it relies on apparently voluntary choices by its victim for its perpetuation. One can argue about how ‘voluntary’ those choices really are during different phases of the

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War On Drugs Or A War on People With Drug Addiction?

2 min read…A few days ago, while reading Staten Island Law Enforcement Won’t Stop Fighting the War on Drugs I found myself again asking whether the war on drugs was always a war on people with addiction. We are in the midst

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Conversations About Psychiatric Beds – Part 3: Inpatient Vs. Outpatient

A fictionalized conversation about the arguing for more outpatient mental health resources instead of more inpatient ones. Third of a 3-part series.

Conversations About Psychiatric Beds – Part 2: State Hospital Dilemma

A fictionalized version of conversations in which I argued for reduction in psychiatric beds at a state hospital. Second of a 3-part series.

Beyond The Headlines: America’s Rising Suicide Rates

Digging deeper into the CDC report regarding suicides, I find that the factors that appear to be significantly correlated with suicides today are the same as I was taught on the first day of my psychiatry residency training – male gender, access to firearms and current substance use.

Conversations About Psychiatric Beds – Part 1: Critical Access Hospitals

A fictionalized conversation about the implications of seeking and successfully getting a Critical Access Hospital designation. It saves the hospital but forces bed reductions. First of a 3-part series.

The Historical Irony Of Chinese Fentanyl

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The beginning of history of modern China is marked by the US supporting the British in forcing China to allow the unfettered sale of opium. Ironically, now we seek to stop the flow of illegal synthetic opioids from China.

John Oliver Is Spot On Regarding The Problems With Rehab

John Oliver explores the various problems with addiction rehab as it exists today in this biting video, every bit of which is true.

How A “Functional Addict” Manages To Skate On Thin Ice “Forever”

Often elements of their social support system that help a person with addiction maintain the illusion that the ice they are skating on is thicker than it actually is.

The Functional Addict

Functional Addict: A self-descriptive term often used by a person with addiction who has somehow managed to keep his job while the rest of his world lies in ruins.