Mitragyna speciose or Kratom is a plant in the coffee family (Rubiaceae) native to Southeast Asia and Thailand . Their leaves have caused opioid-like and stimulant responses upon ingestion. Kratom is also known as Biak, Ketum, Kakuam, or Ithang or Thom. The principle pharmacologically active compounds present in Kratom are the indole alkaloids, mitragynine, and [...] Read More
The stigma attached to addiction is extensive and shameful for those who struggle with substance use particularly for professionals with addiction. Society has a way of seeing people as labels. When someone is faced with addiction, there is the fear of being labeled as an “addict” or “junkie,” rather than a person who is struggling [...] Read More
Throughout my career, I have heard various experts suggest that Alcoholics Anonymous (AA) did not work or that 12-Step programs were not evidence-based treatments. My mentor, while a leader in the use of medications in opioid use disorders, taught me to take patients from the Yale Emergency Room to AA meetings for alcohol problems. He [...] Read More
Asking yourself, “Do I have a problem with pain relievers and substance abuse?” is one of the first steps to getting help. Because addiction to pain relievers usually begins through the use of a prescription given by a doctor, and for those misusing pain relievers, it can be difficult to tell when the problem first [...] Read More
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