ThinkingAcross the Spectrum of Policy, Practice, Research & Reality

A blog about anything related to addiction, treatment, or recovery, all the way from prevention to building recovery-friendly communities. We also welcome guest bloggers here!


Pot and the NFL Draft

May 4, 2015 by C. Scott McMillin

A key trait of the addict is a weird ability to function despite the presence of high concentrations of a drug.

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Pills, Pills, and More Pills

April 27, 2015 by C. Scott McMillin

The increasing prevalence of polypharmacy is a concern due to the potential for adverse drug interactions but also because the use of multiple meds often results in a lower quality of life for the patient.

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XR-Naltrexone: Too Expensive to Help?

April 20, 2015 by C. Scott McMillin

Naltrexone maintenance is a lot cheaper than prison. But it’s a lot more expensive than methadone maintenance, which dulls some of its luster.

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Pills by Default

April 13, 2015 by C. Scott McMillin

Besides, your insurance company probably loves them. It’s cheaper than extended psychotherapy.

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The Pot Docs

April 9, 2015 by C. Scott McMillin

If I walked into a physician’s office convinced I had had high blood pressure and he prescribed medication based solely on my belief without bothering with an assessment, that’d be malpractice.

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The EBP Conundrum

April 6, 2015 by C. Scott McMillin

When a clinician uses an EBP, she’s reassuring herself that it’s likely to be more helpful than if she sat on her hands and did nothing.

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More Politics of Pot

March 30, 2015 by C. Scott McMillin

The debate over marijuana is so polarized that any opposition to a candidate’s stand on the issue is likely to carry over to his or her future campaigns.


Both Chronic, But Different: Addiction and Diabetes

March 9, 2015 by C. Scott McMillin

We haven’t corrected any identified physical deficiency. We’ve simply substituted a medical opioid for an illicit one.

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Risky Decision Case Study: Quarterback Derby

March 2, 2015 by C. Scott McMillin

To a seasoned counselor, there’s another way to view it. For one thing, these aren’t isolated incidents.

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Requisition for an Alcoholism Cure

February 23, 2015 by Cecile

Please get back to us as soon as you’ve perfected this cure. We can promise you massive profits, guaranteed.

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