Three Basic Questions

September 16, 2012 by C. Scott McMillin

Diabetics and heart patients are asked to make changes in lifestyle to reduce the risk of future crisis. Therapy is sometimes used to support those changes.

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Preventing Adolescent Cannabis Abuse

August 4, 2012 by C. Scott McMillin

Imagine a student sitting in the school auditorium listening to a teacher or police officer insist that cannabis makes you less intelligent. Meanwhile, he knows that the kid in front of him, an honor student, smokes pot every weekend.

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Treatment Outcomes: Does it Work?

July 1, 2012 by C. Scott McMillin

Signpost with arms pointing to good, better, best

Our longstanding practice of branding anyone who drank again a ‘failure’ kept us from recognizing very real success right under our noses.

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Quick Onset: “One Drink” Alcoholism

June 17, 2012 by C. Scott McMillin

One large survey of alcoholics found that some 14% had actually become dependent within a year of the first drink. The percentage almost doubled when the time period was extended to two years.

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Is there an “alcoholic/addictive” personality?

May 29, 2012 by Cecile

Suffering victim and destructive asshole, all wound up in the same person. That’s the “alcoholic/addictive” personality. But who is the “real person” underneath the disease?

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Environment & Expectations: Do They Influence Addiction?

May 22, 2012 by C. Scott McMillin

Much of the anxiety the addicted person feels is anticipatory, based not on actual withdrawal symptoms but on the fear of not being able to find an adequate supply of the drug when they arrive.

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The “Rules” About Drugs

May 9, 2012 by C. Scott McMillin

Kids like to bring up the fact that alcohol kills many times more Americans than marijuana (or heroin, or cocaine). So why are those drugs illegal, their use subject to harsh punishment, when alcohol isn’t?

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Waiting (and Waiting…) for Inpatient Beds

April 30, 2012 by C. Scott McMillin

If your inpatient provider determines eligibility using ASAM patient placement criteria, don’t forget to describe the patient’s need in those terms. Makes your case a little stronger by making their job a little easier.

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If You’re Really Recovering, Why Do You Need AA?

April 29, 2012 by C. Scott McMillin

Motivation springs from external as well as internal sources. Our internal desire for change is rarely enough to get us all the way through to our stated goals.

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Shopping for Treatment

April 22, 2012 by C. Scott McMillin

Current research suggests that an optimal treatment episode is in the neighborhood of three months. That doesn’t mean it must be all in residence.

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