by Thaddeus Camlin, Psy.D. Dr. Horvath and I, along with a team of colleagues, recently published an article on ibogaine treatment for addiction.  In the context of the psychedelic treatment renaissance, it is worth summarizing our findings to provide an overview of what one can expect when taking ibogaine. While much variation between individual experiences exists with all psychedelics, some consistent themes emerged in our study. Here, the themes from our study are organized into the hypothetical presentation that follows (any particular individual’s experience may differ drastically). Ibogaine Treatment: What to Expect Your ibogaine experience may begin with a buzzing.  The sound of a swarm of bees over your head or a motorcycle outside might clue you in to the journey that awai...

by Thaddeus Camlin, Psy.D. The abating cannabis prohibition was dealt a stifling blow this week as Canada became to first G7 nation to legalize the plant. President Trump recently said that he would back a bipartisan bill for federal cannabis legislation reform in the United States. The U.S. bill stops short of federal legalization, but it does protect state’s rights to determine their own laws about the plant. While the headline now is 'Canada Legalizes Cannabis,' it seems that a similar headline for the United States is cooking. Given President Trump’s support of cannabis reform and the legal precedent set by our northern neighbors, it is time to revisit the topic of legal cannabis and its implications for addiction and recovery. Benefits and Risks of Cannabis One of the most...

by Thaddeus Camlin, Psy.D. The greatest trick the puritanical tyranny of abstinence ever pulled was convincing the world that moderate drug use doesn’t exist.  For over a century addiction recovery, despite the facts, successfully fought and relegated moderate substance use to the shadows of quackery.  As is often the case, we only fight what we fear, and clearly an industry built on abstinence would have just cause to fear the truth of moderation’s viability.  However, after decades of devoted work that didn’t come without significant costs to professional reputations and quarterly profit margins, the efforts of addiction pioneers (see below) are, at long last, finally paying off.  Alcohol.org recently posted an article discussing alcohol moderation in an unbiased and straightforwar...

by Tom Horvath, Ph.D., ABPP. Clients often attempt to choose addiction treatment carefully. Typically, they search for a “program” suitable to their problems, at least as they understand their problems. Unfortunately, most clients are uneducated about addiction. They are not professionals, and the addiction treatment industry and media often present inaccurate information. Consequently, clients can end up in facilities that harm them rather than help them, primarily because in these facilities substandard practices are common (U.S. Department of Health and Human Services, Office of the Surgeon General, 2016). Almost daily in our offices at Practical Recovery we hear about what goes wrong in addiction treatment. Here are some examples. Treatment sessions are not conducted by psychoth...

As one of the first rehabs that began offering non 12 step treatment, we’ve been around long enough to hear just about every misperception out there regarding this non-traditional approach to treatment. If you’ve been searching for addiction treatment, or have gone to a non 12 step rehab program, you’ve likely come across some of these misunderstandings yourself. Below, we give you the top 14 misperceptions about non 12 step rehab and, hopefully, set the record straight. 1. Non 12 step rehabs are anti-AA/NA. Not true!  Non 12 step is in favor of options, and powerlessness based approaches are an important and helpful option for some. 2. Non 12 step rehabs tell “alcoholics” to drink. Nonsense!  Self-empowering approaches, as a general rule, don’t tell anyone what to do. 3. Non 12 st...

by Thaddeus Camlin, Psy.D. This week we look at how to be unpopular in the addiction treatment industry - a topic we at Practical Recovery are certainly experts in! 1. Treat Addiction in Stages, Not Steps To be unpopular in the addiction treatment industry, the first step is to treat addiction in stages, not steps.  Framing addiction within the stages of change (precontemplation, contemplation, preparation, action, maintenance) helps treatment providers match interventions to each individual’s level of motivation.  With the stages of change as a framework for treatment a higher power, character defects, and spiritual maladies are optional and not emphasized.  While emphasizing self-guided recovery through fluid, often non-linear stages of change creates individualized and flexible ...

by Thaddeus Camlin, Psy.D. There is a litany of terms in the addiction world – including addiction – that need to go.  Recently, noted author and leading thinker in the field of substance use, Anne Fletcher, M.S., R.D., L.D., wrote an article pointing out the flaws in the term ‘harm-reduction.’  I’ve been guilty of slinging the HR term around all over the place without questioning it, but Fletcher’s article gave me cause for pause. Is the Term Harm Reduction Harmful? Why is it that with any other “disorder” (another term that deserves the axe?) symptom reduction is considered success, but with substance use symptom reduction is described in the negative terms of reducing harm?  A harm reduction plan could just as easily be called a health improvement plan.  Once again, the normal r...

How to Quit Drinking? Self-Guided Change by Thaddeus Camlin, Psy.D. For those who wonder how to quit drinking problematically, it is important to understand that seeing through the cultural brainwashing is arguably the most challenging aspect of overcoming addiction. For starters, most people who have a “problem” according to family and society are not “addicts” at all. Most people know what’s best for them. When it comes to substance use a culture of shame and ostracizing often fosters unwarranted self-doubt. A comprehensive research review was published this week by Michler Bishop and the results are striking: The culmination of 50 years of research shows that 80-90% of people successfully moderate or stop unhealthy patterns of substance use, and that most people achieve success...

Updated November 9, 2021 Addiction is a Social Construct by Thaddeus Camlin, Psy.D. The perpetually changing understanding of addiction provides clear evidence of its social construction. With rare exception, the infectious agents that cause a disease don’t change, the pathological biological processes of a disease don’t change, and the biologically degenerative conditions of a disease don’t change. If left untreated, diseases generally worsen. Addiction has no infectious agent, no biologically degenerative condition, there is no agreed upon definition, the diagnostic criteria constantly change, and perhaps most strikingly, when left untreated most people recover from addiction. However, when addiction is treated with leading methods – criminal records, jail time, and shame-based r...

Alternatives to Abstinence Will Be Mainstream by Thaddeus Camlin, Psy.D. Step aside ‘abstinence-only,’ your monopoly on addiction treatment is finally coming to an end.  It has taken some time, decades even, for practical approaches to recovery to gain respect and prominence.  Finally, with an opioid epidemic in full swing, treatment rooted in approaches that are nearly a century old, and rehabs crumbling under the scandal of insurance scams, the climate in addiction treatment is on a fulcrum tipping towards change.  This article explores some of the exciting changes on the horizon of addiction treatment. For nearly a century, addiction treatment has been plagued by the erroneous beliefs that most people fail, that only one outcome is viable (total abstinence), and that only one ...