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Recovery Works When Coverage Does: The Lifesaving Impact of Medicare’s IOP Expansion
Closing a Critical Coverage Gap in Medicare In 2024, following stalwart efforts by Congress, the Centers for Medicare & Medicaid Services, providers, advocacy organizations, and directly-impacted communities alike, Medicare closed a gap in its addiction treatment coverage by adding a benefit...
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The Hidden Face of Methamphetamine Addiction: Why We Need to Talk About America’s Silent Crisis
Methamphetamine addiction doesn’t discriminate. It reaches into suburban homes and rural communities with equal devastation, yet it remains one of the least understood and most stigmatized forms of substance use disorder in America today. While opioids have dominated national headlines and...
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Addiction, Treatment, and the Evolution of Therapeutic Communities: The Legacy of Dr. David A. Deitch
David A. Deitch, PhD, is one of the most influential figures in the modern history of addiction treatment. A clinical and social psychologist, he currently holds the title of Emeritus Professor of Clinical Psychiatry at the University of California, San Diego, where he founded the Center for...
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Relapse Is Part of Recovery, Shame Shouldn’t Be: What I Wish More Families Understood
When someone returns to treatment after a relapse, it’s often with a heavy heart. They walk through our doors carrying the weight of shame, disappointment, and fear of judgment, not just from others, but from themselves. Families often ask, “what went wrong,” and wonder why their loved one...
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The Connection Between Tobacco, Depression, and Anxiety
Despite decades of public health efforts, tobacco use remains a persistent public health issue, especially for individuals experiencing depression and anxiety. These two common mental health conditions are closely linked to tobacco use, both in terms of higher smoking prevalence and the emotional...
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Reframing Residential Treatment: Preventing Family Separation and Supporting Women with Substance Use Disorders
According to the 2023 National Survey on Drug Use and Health, 70.5 million people used illicit drugs in the past year, and 48.5 million of them met the criteria for a substance use disorder (SUD). In 2022, 32.6 million women reported illicit drug use, and while men have historically shown higher...
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The Impact of Childhood Separation: Parallels Between Children of Parents with Mental Illness and Children of Incarcerated Parents
Family separation is a traumatic experience for children, regardless of the cause. When separation occurs due to parental mental illness or incarceration, children face unique psychological and systemic challenges that are often overlooked. Both groups experience disenfranchised grief, attachment...
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Methadone Offers Hope, Not Harm
For more than a decade, I’ve been caring for patients who struggle with opioid addiction and have seen firsthand the devastating toll it takes on their lives. For many, medications for addiction treatment, including methadone, have given them their lives back. Yet, I see time and again the...
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Understanding the Link Between Trauma and Substance Use in Adolescents
Adolescence is a critical period of development, and exposure to trauma during this stage can impact mental health and behavior. Research consistently shows a strong connection between trauma and substance use among adolescents, with trauma often acting as a risk factor for developing substance use...
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Brain Disease or Moral Failure? Why the Label Matters for Addiction Recovery
When I went to treatment 15 years ago, I was convinced that addiction wasn't a disease. And that, if it were a disease, it was self-inflicted. Many of the patients I care for today often have the same feelings, blaming themselves and living with shame despite the knowledge we have today. If more...
