by Thaddeus Camlin, Psy.D. We know that self-efficacy is vital to successful recovery from addictive problems.  We know that feelings of helplessness and hopelessness are cornerstones of depression.  We know that underlying issues like depression tend to fuel addictive problems.  Yet, mainstream addiction treatment continues to promote language that encourages and reinforces feelings of helplessness and an external locus of control, two things that are consistently associated with poor outcomes in the treatment of most mental health concerns.  Here, we will set our targets upon one of the most widely used and rarely questioned terms in addiction that reinforces feelings of helplessness, ‘triggers.’     Encouraging an individual working to overcome addictive problems to ide...

by Thaddeus Camlin, Psy.D. Drugs are bad, therefore, people who use drugs are bad, or so the faulty groupthink of our epoch goes.  For people who seek decency and efficacy in addiction treatment, obtaining results in the realm of positive change often feels like beating one’s head against a wall of misstatements, misinformation, and misanthropy.  First of all, if drugs were bad why are there truckloads of drugs in every hospital, grocery store, and bathroom medicine cabinet around the world?  Drugs are not bad, they are medicine, and people who take drugs are not bad, they are people in search of healing, relief, and/or growth. Many of the most brilliant minds and important figures throughout human history loved drugs.  If people who use drugs are bad, then it’s time to cut ti...

by Thaddeus Camlin, PsyD The American Psychological Association (APA) recently published an article offering advice from leading professionals on effectively treating and preventing addictive problems during the COVID-19 pandemic.  Our own Dr. Horvath is quoted multiple times in the APA article, speaking about the value of telehealth during pandemic and the importance of fostering resilience through adversity.  The APA article’s endorsement of harm-reduction practices is also a subtle but revealing sign of the shifting landscape of addiction treatment.   For nearly a century the tyranny of abstinence dominated the zeitgeist of American thinking on treating addiction.  A major, national organization like the APA weaving in a concrete endorsement of harm-reduction as a v...

by Thaddeus Camlin, PsyD Leading harm-reduction experts, April Smith and Kenneth Anderson, recently released an article outlining harm-reduction tips for safer drinking amidst shelter-in-place restrictions.  Many are choosing to abstain entirely, others, not so much.  Many, many industries are hit hard by the societal shutdowns, however, the adult beverage industry is not one of them.  Alcohol sales are up, way up, during the COVID-19 crisis.  Nothing like heroic doses of uncertainty and boredom to drive one to drink!  For those who may be struggling to adhere to their drinking goals, Smith & Anderson offer tips to help maximize drinking safety. Lack of structure is one of the biggest challenges many people face in the era of shelter-in-place.  With external structure no longe...

by Thaddeus Camlin, Psy.D. Self-care is frequently pushed as a key to wellbeing.  In the realm of addictive problems, family members are encouraged to put ‘self-care’ first as a way of curbing over-involvement in the lives of someone with addictive problems.  People with addictive problems are encouraged to find healthier ways to practice self-care.  Therapists are trained to implement self-care to manage the stresses and pressures of clinical practice.  Few argue against the merits of taking care of oneself, but simple and effective techniques for how to practice self-care often leave much to be desired.  This article will explore what is perhaps the most effective and simple tactic of practicing self-care – a healthy dose of 'Vitamin-N,' aka, saying no. The simplicity of sayin...

by Thaddeus Camlin, Psy.D.   If a loved one is struggling with addictive problems and not interested in treatment, the overwhelming message from society is that staging an addiction intervention is the best way to help.  Interventions, like the ones depicted on television, generally involve a paid interventionist who coaches family members and friends on how to confront so-called ‘addicts’ and get them to agree to go to rehab.  For some, it may be surprising to learn that addiction interventions are only successful in encouraging a loved one to enter treatment around 30% of the time.  Furthermore, when interventions are not successful they can backfire in truly horrific ways.  Thus, it might be helpful to consider these five factors before staging an intervention. You migh...

by Thaddeus Camlin, Psy.D. Milestones are opportunities to reflect and refine.  Each New Year many resolve to make important changes, and such resolutions can carry even more weight when years stack up and we move into new decades and new centuries.  The 21st century has already seen significant change when it comes to understanding and treating addiction, much of which has been related to broadening access to multiple pathways of treatment as the tyranny of abstinence-only slowly and steadily decays.  As we move into the 2020’s, it's worth considering what positive changes the decade will bring as we continue to improve the treatment available to people who aim to change addictive behaviors. One significant change to understanding and treating addiction that will continue to gain...

by Thaddeus Camlin, Psy.D. There are no known examples of addiction in the natural world.  There are, however, ample examples of animals shifting their consciousness with substances, a favorite of which is the infamous drunken moose who got himself stuck in an apple tree.  Even though animals often experiment with substances, the only examples of animals getting addicted are found in labs run by humans.  If addiction then is conspicuously absent from the natural world, it follows that addiction is a product of an unnatural world. Scientists widely agree that the human brain’s evolution has not had time to catch up to human society’s evolution since the onset of the industrial revolution.  Once a daily necessity, our fight or flight response is rarely needed now that we hit the eje...

by Thaddeus Camlin, Psy.D. Addiction is frequently mischaracterized in binary terms – us and them, normies and addicts.  The truth is that addictive behavior is universal and is, in a very basic sense, one of many manifestations of the way the brain naturally learns and develops.  The more we accurately understand addiction as normal, universal human behavior the more we’ll help people who struggle with addiction to see themselves as normal, not defective, human beings.  Technology addiction, manifest by the attachment to the electronic leash in our pocket, is perhaps the most glaring example of the universality of addictive behaviors. Modern society seems to have traded a purpose driven life for a device driven life.  Phones, laptops, desktops, tablets and phablets infiltrated al...

by A. Thomas Horvath, Ph.D., ABPP As part of my celebration of SMART Recovery’s 25th Anniversary, this blog is devoted to considering the recently released SMART Recovery USA Position on Goals: “SMART Recovery is abstinence oriented. Our meetings and tools are designed to help participants stop problematic addictive behavior.” I offer the following interpretation of this position.  Isn’t all addictive behavior problematic? Addictive behaviors are normal human behaviors, including eating, sexuality, and connecting with others. For some individuals these behaviors become problematic. Involvement with pleasurable psychoactive substances or activities is also common, including with alcohol, caffeine, gambling, video games, and many others. For some individuals these involvements becom...