Statute of Limitations

May 31, 2018 by C. Scott McMillin

It’s sometimes said that the justified ones are by far the most dangerous. They’re the most difficult to let go of, and the most likely to develop into an obsession.

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Addictive Delusions

December 21, 2017 by C. Scott McMillin

A reasonably good rule of thumb for differentiating results of substance addiction from other illnesses: When the substance use stops for an extended period, the symptoms improve dramatically or go away entirely.

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Depression Update

December 7, 2017 by C. Scott McMillin

Patients with severe substance disorders may experience depression as a result of the cumulative effects of their substance use.

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Searching for a Substitute

November 30, 2017 by C. Scott McMillin

If addiction really is a brain disorder based in complex adaptations to a substance, then who’s to say those adaptations won’t occur with a different drug?

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Getting Drugs From Docs Part Three: Prevention

September 7, 2017 by C. Scott McMillin

Try thinking of the interaction between drug seeker and practitioner as type of negotiation where the  two parties have very different goals.

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The Inoculation Effect

June 1, 2017 by C. Scott McMillin

Our goal is to reframe the discussion in a way that supports rather than undermines change.

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Is it Recovery Yet?

May 18, 2017 by C. Scott McMillin

It may seem to the individual as if it happens by itself– the result of an autopilot, set to return home.

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The Medicine They Don’t Take…

May 11, 2017 by C. Scott McMillin

But given the experience in other fields of healthcare, a return to the old lifestyle, however destructive, may be little more than human nature.

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Crime- the Lifestyle

March 9, 2017 by C. Scott McMillin

Young man wearing handcuffs, sitting back againts a wall, looking angry.

That’s why drug treatment may reduce crime, but doesn’t always eliminate it.

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Don’t Forget Denial

February 20, 2017 by C. Scott McMillin

It seems to me that it’s entirely possible for one person to be lying, ambivalent, and in denial at the same time.

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