Articles

It’s an essential truth that people with alcoholism think about changing for a long, long time before they seriously attempt it. They’re ambivalent about change, and struggle to make up their minds.

There’s this big group we lump under the heading ‘precontemplation’. But in practice, there are precontemplators, and pre-pre-contemplators, and pre-pre-pre-pre-pre-contemplators.

For the most part, if you are hoping that insurance, Medicare or Medicaid, or another third-party payor will help with–or pick up entirely–the costs of treatment, you’ll be running into ASAM criteria that control who gets what kind of treatment.

A model generally supersedes other models not because it is perfect in every respect, but because it seems to explain certain aspects better than its predecessors.

People have abused opiates for 5,000 years. As much as medicine depends on them, they’ve always created problems for a percentage of users.

Blogs by recovering folks, about sobriety, sober living, and the perils of taking yourself seriously.

Whatever problem we’re facing at our 2:00 am relapse decision point, it’s an almost certain bet that another recovering person has been there.

A budget, after all, is just a detailed prediction about the future. Human beings are not that good at predicting the future.

We can’t always predict which problem will require attention first — or indeed, when opening a door in therapy will introduce a whole new set of emotional needs and issues.

As a judge once put it: it was clear to him that psychiatrists got together and defined various disorders, and a few years afterwards, they got together and redefined them.