Join me, Dr. Casey Grover, on an eye-opening journey as we tackle the tough questions surrounding addiction medicine.

We start by discovering why cannabis isn't the harmless plant many believe it to be, especially in the context of recovery. Drawing from a compelling study, we reveal how cannabis use in sober living environments may set the stage for relapse into alcohol and other drugs, challenging the notion that it can coexist with sobriety.

But that's just the beginning. We next do a deep dive into dimethyltryptamine (DMT), a powerful hallucinogen stirring curiosity in addiction treatment circles. From its natural origins to its historical significance in traditional ayahuasca ceremonies, we explore DMT's unique effects and how they differ based on how it's taken.

In our quest to understand hallucinogens in addiction treatment, we discuss hallucinogen use disorder. With no medication-assisted treatment available, we emphasize the need to address underlying mental health issues. As we finish the episode, we explore emerging research on the therapeutic possibilities of hallucinogens like psilocybin in the treatment of other substance use disorders.

References:

Madam Noire link: https://madamenoire.com/1331923/everything-you-need-to-know-about-ayahuasca/

Addiction Medicine Textbook link: https://shop.lww.com/The-ASAM-Essentials-of-Addiction-Medicine/p/9781975107956

To contact Dr. Grover: [email protected] 

Imagine battling substance addiction for decades, only to find your path to recovery through personal growth and self-awareness. In this heartfelt episode, I, Dr. Casey Grover, sit down with Paul Giovino, a Monterey resident who courageously shares his transformative journey from dependency to resilience. Paul's story is not just about overcoming addiction; it's about addressing the emotional roots of substance use and finding strength in building self-esteem. Together, we explore the significant hurdles he faced, from professional setbacks to health challenges, and the pivotal role of personal development activities in his recovery process.

As we navigate the complexities of opioid addiction treatment, we uncover the challenges posed by substances like fentanyl and the groundbreaking impact of treatments such as buprenorphine. Our conversation sheds light on the societal stigma surrounding treatments like methadone, which can often hinder recovery efforts. Through personal anecdotes, we discuss how individual differences in brain chemistry influence responses to opioids, and the ongoing struggle to overcome self-shame and societal misconceptions. It's a deep dive into the science and personal stories behind addiction, shedding light on how these factors play into the recovery journey.

Community support emerges as a key theme in our discussion, emphasizing how networks like Alcoholics Anonymous can be instrumental in maintaining sobriety. We highlight the importance of creating compassionate and stigma-free healthcare environments, and how education is crucial in transforming addiction treatment. By sharing Paul's inspirational story, we underscore the life-saving impact of early access to addiction care and the power of a supportive community in fostering resilience and self-awareness. Join us for an episode that reminds us of the profound truth: treating addiction saves lives.

To contact Dr. Grover: [email protected]

Discover the transformative potential of ADHD medications in addiction treatment as we bring you a captivating discussion with Dr. Justin Mohatt, a renowned child and adolescent psychiatrist. Dr. Mohatt joins us to unravel the complexities of using ADHD medications to combat stimulant addiction, shedding light on how these drugs can make a difference. We'll explore a myriad of medications, including guanfacine, clonidine, and atomoxetine, and discuss their respective roles in addressing adult ADHD and substance use disorders. Learn the importance of a meticulous diagnostic process to distinguish ADHD from other mental health conditions like depression and anxiety, ensuring a tailored approach to treatment.

We navigate the nuanced landscape of ADHD in adults with a history of substance use, emphasizing the critical role of family insights to inform diagnoses beyond self-reports. The conversation underscores the careful application of stimulants for ADHD, even in those with stimulant use disorders, while presenting Vyvanse as a potentially safer choice. Non-stimulant medications like atomoxetine receive special attention for their dual role in treating ADHD and co-occurring anxiety, offering a glimpse into strategies for managing side effects and insurance hurdles. Hear how non-addictive alternatives could provide solutions for patients who haven't found success with traditional medications.

As we delve deeper into co-occurring ADHD and trauma, Dr. Mohatt discusses the potential benefits of alpha agonists and other non-stimulant options in treating complex cases involving PTSD and substance use disorders. Together, Dr. Mohatt and I affirm the importance of addressing ADHD within addiction treatment to foster recovery and improve cognitive function, offering a beacon of hope for those navigating these intertwined challenges.

To contact Dr. Grover: [email protected] 

This is a bonus episode. I was asked to speak at several schools in the area around where I work about drugs and alcohol - both to students and to parents. 

I wanted to make the education as impactful and real as possible. So I focused on the substances that are most likely to affect our youth and their families - alcohol, cannabis, nicotine/vaping, and fentanyl. 

To help make my presentation as real as possible, I actually went to a liquor store, a tobacco shop, and a cannabis dispensary to look at how these products are sold and marketed - and how to interpret the labels on them. 

Whether you are a student, a parent, or just a person concerned about substance use, I know you will learn something from this lecture. If you're looking to start a conversation with your loved one about drug and alcohol use, this lecture will help educate you on the current state of addiction, and give you information on how to start that conversation about drugs and alcohol.

To contact Dr. Grover: [email protected] 

Ever wondered if a plant could be both a herbal remedy and a controversial subject in addiction medicine? Join us as we uncover the multifaceted nature of Kratom with Dr. Sonia Del Tredici and Dr. John Keenan from the Addiction Medicine Journal Club podcast for a journal club style episode on Kratom. Together, we explore Kratom's historical uses for pain relief and fatigue management and its growing popularity as an aid in opioid withdrawal. This episode promises to give you a thorough understanding of its pharmacological effects, including interactions with opioid receptors and anti-inflammatory benefits.

Our conversation shifts to the intriguing trends in Kratom usage across the United States. We dissect three recent studies on Kratom, highlighting Kratom's allure as a perceived safer option for managing anxiety, depression, and pain. Despite its benefits, we don't shy away from discussing its potential for addiction and the demographic reach of its users. This episode challenges listeners to consider whether the overlap between Kratom users and those with other substance use disorders is surprising or expected, urging healthcare providers to adopt open-ended dialogues to address patient needs effectively.

In a deep dive into Kratom Use Disorder, our discussion includes a fascinating case series study examining the use of buprenorphine for treatment. We highlight the study's findings on withdrawal management and Kratom metabolite reduction, exploring the effectiveness of buprenorphine in stabilizing patients. With a significant portion of patients remaining in follow-up care, we ponder the subjective effects of using Kratom alongside buprenorphine. Tune in to grasp the complexities of Kratom use and the importance of education and ongoing research, as we prepare for an upcoming interview with an industry professional to continue this enlightening series.

Our episode reviews three studies on Kratom to facilitate our discussion. Here are those studies:

Smith KE, Dunn KE, Rogers JM, Grundmann O, McCurdy CR, Garcia-Romeu A, Schriefer D, Swogger MT, Epstein DH. Kratom use as more than a "self-treatment". Am J Drug Alcohol Abuse. 2022 Nov 2;48(6):684-694.  

Hill K, Grundmann O, Smith KE, Stanciu CN. Prevalence of Kratom Use Disorder Among Kratom Consumers. J Addict Med. 2024 May-Jun 01;18(3):306-312. 

Broyan, V. R., Brar, J. K., Allgaier, Student, T., & Allgaier, J. T. (2022). Long-term buprenorphine treatment for kratom use disorder: A case series. Substance Abuse, 43(1), 763–766. 

To contact Dr. Grover: [email protected]

I'm thrilled to welcome Amity Cooper to the Addiction Medicine Made Easy Podcast! Amity is a mental health professional specializing in equine therapy, to share her unique perspective on the pivotal role of mental health in achieving and maintaining sobriety. Together, we explore the intersection of mental health and addiction recovery, delving into therapies that support individuals on their journey to a fulfilling sober life. Amity's insights provide insight at how equine therapy and holistic approaches can transform the recovery process, offering hope and healing to those in need.

Our discussion then turns to the concept of personal transformation during recovery, focusing on the importance of establishing a guiding "North Star." We highlight strategies like polyvagal therapy and self-awareness practices as essential tools for managing co-occurring mental health and addiction disorders. Finally, we delve into the therapeutic benefits of equine therapy, where horses act as co-partners in therapy, promoting mindfulness and emotional expression. Discover how this innovative approach can empower individuals to redefine their futures, fostering emotional healing and self-awareness in the process.

At the beginning of the episode we look at how early cannabis use can impact academic performance. We discuss the findings of a compelling study published in JAMA Pediatrics. We'll explore how adolescent cannabis use is linked to lower grades and increased dropout rates, setting the stage for a deeper understanding of the long-term effects of substance use. This episode promises to equip listeners with crucial insights into how these early choices can alter life's trajectory, emphasizing the importance of informed decision-making for young people.

Amity's website: https://amitycooper.com/

To reach Dr. Grover: [email protected] 

Join us for a riveting discussion with Chris Terzakos, an insightful author and life coach, who shares his compelling journey from the gritty streets of New York City to finding solace in fitness. Chris opens up about witnessing the widespread impact of drugs like cocaine and LSD in his neighborhood and how he turned to exercise as his lifeline. Discover how the pursuit of a natural high through fitness provided a therapeutic escape, laying the foundation for Chris's message about the healing power of exercise in addiction recovery. Chris discusses how addiction has affected his life, including his experience when his best friend developed addiction. 

Chris candidly discusses his own struggles with anabolic steroids and the path to sobriety. He offers insights into overcoming addiction, emphasizing the role of empathy and support in helping loved ones navigate their journeys. 

This episode covers a wide range of topics from people who have transformed their lives through fitness, challenging the stigma surrounding addiction terminology, and highlighting how addiction affects friends and family. 

Have you ever considered the emotional journey of siblings when they discover a loved one's trauma? This episode invites you to explore this often-overlooked perspective with our special guest, Keeper Catran-Whitney, the author of "Helplessness: What Happens To Brothers When We Learn Our Sisters Have Been Molested By Our Parents?." Keeper opens up about the personal journey of grappling with childhood trauma, poverty, and the complex layers of emotions that arise when a brother learns of his sister's abuse. His story sheds light on the shadows often cast by societal norms, where male vulnerability is frequently stifled.

We navigate through the intricate links between trauma and addiction, unpacking how these experiences shape one's path to healing. Keeper eloquently shares the emotional turmoil of disbelief, guilt, and anger, painting a vivid picture of the internal battles faced by siblings who are often left without a voice. The episode underscores the critical lack of support for brothers and the societal taboos that keep them silent. We also reflect on Keeper's personal confrontation with family issues and his journey towards finding happiness and healing through forgiveness and empathy.

Our conversation doesn't shy away from the raw, unfiltered realities of confronting trauma. Keeper reveals how writing became his therapeutic outlet, allowing him to process and express his vulnerability when professional help was unattainable. He emphasizes the transformative power of storytelling and the necessity of addressing unresolved family issues. Join us as we discuss the ongoing journey of healing, the importance of supportive communities, and the courageous steps towards self-compassion and emotional honesty.

Unlock the complexities of Kratom, a substance both fascinating and misunderstood, as we promise to enrich your understanding with insights from Dr. Sonya Del Tredici and Dr. John Keenan of the Addiction Medicine Journal Club. Join us as we explore Kratom's dual identity as a stimulant and opioid-like substance, its traditional roots, and the reasons behind its rise in popularity. Despite its widespread use, many see Kratom as an herbal supplement rather than a drug, leading to an awareness gap among healthcare professionals. We stress the importance of recognizing Kratom's impact in the field of addiction medicine and why it’s crucial for medical practitioners to inquire about its use in patient assessments.

Peel back the layers of Kratom withdrawal, which shares parallels with opioid withdrawal, but with unique mood-related symptoms like anxiety and insomnia. Through enlightening patient anecdotes and clinical observations, we uncover the personal motivations driving individuals to Kratom, whether it's for anxiety relief or as a stepping stone from other opioid treatments. The varied experiences highlight the need for a nuanced approach to understanding withdrawal and the complex reasons behind Kratom usage, emphasizing the importance of patient-centered care that addresses both physical and emotional well-being.

As we shift our focus to the broader implications of natural substance use, we traverse the cultural and health landscape of Kratom and cannabis. The potential role of Kratom in harm reduction strategies for opioid users is a key topic, alongside its legal advantages and challenges due to its unregulated nature. With a promise of future evidence-based exploration, our collaborative episode the Addiction Medicine Journal Club pledges to shed light on these critical issues, advocating for better regulation, open communication, and long-term patient relationships.

What if the root of America’s deadly opioid crisis lies in a single pharmaceutical company’s marketing strategy? Dr. Casey Grover takes you on a compelling journey through the origins and evolution of this epidemic. From Purdue Pharma's aggressive promotion of OxyContin to the alarming rise of synthetic opioids like fentanyl, we dissect how tolerance and dependence perpetuate the cycle of addiction. You'll also gain historical insights into heroin's early marketing by Bayer Pharmaceuticals as a "non-addictive" remedy, and hear personal stories that underscore the human cost of opioid dependence.

We then shift our focus to the emergence of novel and perilous synthetic drugs that are infiltrating our communities. Discover why carrying Narcan has become essential and learn about the life-saving potential of deregulating buprenorphine. Dr. Grover also highlights the tragic story of Paul, whose life and artwork poignantly reflect the struggles of addiction. Paul's legacy serves as a stark reminder of the importance of effective treatment and education in combating this crisis. Tune in for an essential discussion on the urgent changes needed to address opioid use and overdoses in the United States.