

Understanding Co-Occurring Disorders: Why Integrated Treatment Is Essential for Recovery
It's a core feature of the human experience...not a flaw. Photo by Sydney Latham on Unsplash What Are Co-Occurring Disorders? Co-occurring disorders—also known as dual diagnoses—refer to the presence of both a substance use disorder (SUD) and a mental health condition in the same individual. This combination is far more common than most folks realize. In fact, more than half of those who experience a substance use disorder will also experience a mental illness during their l


Buprenorphine in the ED: Why Aren’t We Doing More?
The data is there. But the drive to implement is lacking. Photo by Dre Nieto on Unsplash Emergency departments (EDs) are often ground zero in the opioid overdose crisis. Yet despite growing awareness of Medications for Opioid Use Disorder (MOUD) as the gold standard treatment for opioid use disorder (OUD), buprenorphine remains vastly underutilized in acute care settings where our patients need it the most. The 72-Hour Rule Many clinicians are still unaware that any provider


Is Ketamine A Miracle Medicine or Misused Molecule?
With great reward comes great risk. -Thomas Jefferson Photo by Micah & Sammie Chaffin on Unsplash In recent years, ketamine has taken center stage as one of the most promising treatments for individuals suffering from treatment-resistant depression (TRD). As an addiction psychiatrist, I’ve seen the way it transforms lives—quickly lifting people out of a suicidal spiral when nothing else works. Administered in carefully controlled settings like IV infusion clinics, Spravato o


What TikTok Doesn’t Tell You About Mental Health Meds
What you won't find in the algorithm... Photo by Alexander Shatov on Unsplash If you scroll through TikTok and Instagram long enough, you’ll likely find mental health content—some of it funny, some raw, some deeply relatable. Mental health awareness is trending. That’s a good thing. But more coverage is not always evidence-based coverage. Here are four of the most common social media inspired myths about meds: 💊 “Meds Are a Last Resort Option” One of the most damaging myths


The Deadliest ‘Legal’ Drug You’ve Never Heard Of
Lawmakers and health officials warn that this over-the-counter opioid could be the next fentanyl-level crisis. 7-OH sold in a local gas station with colorful packaging and designs. Nicknames like “Perks” allude to the street nickname for Percocet (Percs) As an addiction psychiatrist, I’ve seen so many misconceptions about substances perceived as “natural” or harmless. The emergence of 7-hydroxymitragynine (7-OH)—a potent, concentrated derivative of kratom— is the latest playe







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