Detox is not enough

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One of the problems with treatment outcome research is that it’s typically not really recovery research. Often treatment outcome studies for opiate addiction will focus on opioid replacement, measuring reduction of harms over time using baseline measurements against eventual outcomes. If they compare treatment types then ORT is often compared against detox, which is arguably […]

Unmissable addiction and recovery resources

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There are hundreds, perhaps thousands, of blogs and websites offering information, news, opinion and research findings on addiction and recovery. Navigating them can be bamboozling. I wanted to share a few of my favourites with you, but also to hear about any other sites that deserve the description ‘not-to-be-missed’. If you have any to highlight, […]

Moderate drinking or abstinence for alcoholics?

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There is evidence that treatment seekers favour abstinence when they come for help, but what does abstinence offer in terms of quality of life (QOL), compared to continued heavy drinking or moderate drinking? My own experience is that many dependent drinkers will first seek to try out controlled drinking. However some have already realised that […]

Addicts Don’t Recover

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Addicts don’t recover That’s what I was told once, admittedly a long time ago, on a visit to a service in a different locality. The reasons were twofold according to the addiction worker I was talking to. Firstly this was her observed experience over years of working in the field and secondly, she said, if you don’t […]

Top five addiction and recovery blogs

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Well, we’re just at the end of the first full month of posting on Recovery Review. There’s been plenty of traffic with over 6000 pages viewed in May. I’m always interested to see what topics attract the most attention and thought you might be too. Interestingly, though I suppose not a huge surprise, the subjects are all […]

Chasing sexual pleasure – ‘chemsex’ and its risks

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More on ‘chemsex’ and its risks from a  public health warning put out by European experts. The practice of injecting stimulants (mostly novel psychoactive substances in the cathinone group) prior to sex parties where high risk behaviour takes place is causing concern for Europe’s drug agency. Keeping track of these ‘legal highs’ is tough. Says the Guardian […]

Poor performance: sexual dysfunction on ORT

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Opiates seem to reduce the libido, it’s a common complaint in opiate users and those on replacement treatment. They seem to do this through suppressing testosterone and other key hormones. SMMGP reviews a couple of papers on the association between opioid replacement therapy (ORT) and sexual dysfunction. In the first, relatively small, Indian study, 60 sexually active men […]

What can doctors in long term recovery teach us?

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We can no more do without spirituality than we can do without food, shelter or clothing – Bruce Lipton Despite the fact that there are plenty of them about, we don’t have a lot of information on people in long term recovery. The researchers behind this study took the opportunity to interview doctors in long […]

Legal high problems – time to wake up

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Legal high problems Legal highs, or novel psychoactive substances (NPS), have been causing unusual presentations at A&E (Emergency Room) departments in European cities. Because these are relatively new drugs, doctors and other healthcare professionals are not always familiar with them. They are not easy to test for either, requiring specialist forensic laboratories in the main. […]

Addiction brain science – the dangers

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A week or so back I was exploring the potential benefits of framing addiction as a brain disease. Addiction brain science is a contentious issue and more so in the UK than in the USA. Over at Addiction & Recovery News, Jason Schwartz takes a look at an editorial in the journal Addiction which outlines some of the […]