Summary:

On this episode, Jared Miller and Dr. Terry Sellers discuss the complicated reality of medication management in addiction recovery, with a focus on the dangerous rise of gabapentin or Lyrica co-prescribed with opioids. They talk about how these combinations can increase the risk of overdose and relapse, and the need for informed prescribing and patient education. 

Main Topics:

Chapters:

00:00 - Introduction and overview of episode focus on prescription medications in recovery

02:00 - Discussing the emotional and physical effects of sleep medication

02:59 - The background and initial FDA approval of gabapentin for nerve pain

04:53 - Trends in detox and treatment centers' approaches and resources

05:23 - Gender-specific treatment approaches and their significance

06:21 - Rise-up supplements for brain health and their benefits

07:42 - The importance of fueling the brain and supplementing nutrition

09:28 - Personal reflections on playing golf and gratitude for recovery milestones

10:24 - The impact of sports and competition on mental health

11:17 - Updates on personal life, family, and upcoming plans

12:42 - New treatment centers and mental health initiatives

14:03 - The rise in mental health issues and co-occurring disorders in recovery

14:54 - The risks of psychotic episodes in treatment groups

15:25 - Medication misuse and the importance of trust in treatment

16:21 - Why active psychosis should exclude someone from substance abuse treatment

17:19 - Pharmacology of gabapentin, including receptor activity

17:49 - FDA-approved uses of gabapentin and its off-label misuse

19:44 - Dosage recommendations and the pharmacological ceiling of gabapentin

20:12 - Data on decreasing opioid prescriptions and increasing co-prescriptions with gabapentin

22:03 - The risks of co-prescribing opioids and gabapentin

23:29 - Analysis of prescription trends and their implications for relapse

24:22 - Dangerous interactions between gabapentin and opioids

25:41 - The rising co-prescription rates and overdose concerns

26:10 - The dangerous combination of gabapentin and opioids leading to respiratory depression

27:40 - The physical and psychological dependency concerns with prescribed opioids

29:07 - Responsible use and the importance of dosing within FDA guidelines

30:28 - The role of doctor responsibility and prescribing practices

32:49 - How social and medical systems may contribute to medication misuse

33:46 - Recognizing therapeutic intent versus misuse

35:40 - The importance of self-awareness and a moral inventory

36:38 - Managing pain responsibly and the risk of hyperalgesia

38:36 - The consequences of long-term opioid use and the increased risk with age

39:46 - The importance of community and proper prescribing in preventing overdose

41:10 - The clinical significance of prescription length and dependency risk

43:01 - The myth of hooks in opiates and the realities of dependence

44:58 - Dependency statistics and the impact on older adults

46:52 - The dangers of combining benzodiazepines and opioids

48:14 - The global age trend and the rising average age of prescription users

50:26 - The importance of moral inventory and intentional medication use

52:20 - The influence of stimulant medications like Adderall

55:41 - Summary of gabapentin's danger and misuse in recovery

56:08 - Encouragement to empower oneself through knowledge and accountability

58:16 - Physician responsibilities and the importance of medical oversight

59:44 - The cultural shift and the need for better medical education on addiction

61:12 - Personal stories emphasizing the importance of prescriber accountability

62:37 - The role of self-awareness, honesty, and spiritual inventory in recovery

64:02 - Balancing medication use with intention and responsibility

65:23 - Final thoughts on responsible medication management and community support

66:22 - The sobering reality of deterioration due to substance use

68:42 - Closing remarks, trusted resources, and importance of ongoing support.

Summary:

In this episode, HR Brown shares his inspiring journey in recovery, the founding and growth of Renaissance Ranch, and his insights on addiction treatment, spirituality, and the importance of community support. Discover practical advice and spiritual principles that can transform lives.

Key Topics:

HR Brown's personal recovery story

Sound Bites:

"If you do the work, you are recovered."

Chapters:

00:00 Introduction and Guest Introduction

Summary:

In this episode, Jared Miller interviews Zach Scott, director of operations at Diamond Detox, exploring the nuances of addiction, detox processes, and recovery strategies. They discuss the importance of community, honesty in treatment, and the role of medical support in overcoming substance use disorders.

Key Topics:

The role of detox in recovery

Chapters:

00:00 Introduction and Personal Background

Summary:

In this episode, Jared Miller interviews Sarah Kappos about her recovery journey, creative expression in recovery, and her innovative projects like Mentor and Muse. They explore the importance of art, community, and curiosity in healing and personal growth.

Key Topics:

Recovery journey and spiritual awakening

Chapters:

00:00 The Journey of Podcasting and Recovery

Summary:

This episode, ShayLynn and Kelsey from Diamond Detox join the hosts to discuss the heart-warming story of how ShayLynn helped Kelsey get into detox four years ago. Today, Kelsey now works at Diamond Detox! The four of them also discuss their experiences working in the field of treatment. Definitely check out this episode. 

Key Topics:

The role of compassion in recovery

Chapters:

00:00 Introduction and Episode Overview

Summary:

In this episode, host Jared Miller engages in a candid conversation with fellow recovery advocate Jaerden, who shares his transformative journey from addiction to recovery. The discussion begins with Jaerden recounting his chaotic early life, marked by family struggles and substance abuse that escalated from marijuana to harder drugs like OxyContin and heroin. He reflects on the pivotal moments that led him to a life of crime, including a series of pharmacy robberies driven by desperation and addiction. After facing significant legal consequences, including time in jail and prison, Jaerden's path takes a turn when he enters a treatment program that offers him the support and community he desperately needed. As the conversation unfolds, Jaerden emphasizes the importance of accountability, community, and the willingness to embrace change. He discusses the challenges of early recovery, including the struggle to reconnect with his emotions and the ongoing journey of self-discovery. Through his experiences, he highlights the significance of mentorship and the power of sharing one's story to inspire others. The episode concludes with a message of hope, underscoring that recovery is a continuous process that requires commitment, openness, and the courage to face one's past.

Takeaways:

-"I was always the compassionate individual, but addiction took me away from that person completely."

Chapters:

00:00 Recording Challenges and Introductions

Summary:

In today's episode, the hosts discuss the significant impact of smoking on recovery from substance use disorders. They explore statistical data that highlights the correlation between quitting smoking and improved recovery outcomes, emphasizing that individuals who quit smoking are statistically more likely to remain sober. The conversation delves into the addictive nature of nicotine, the higher smoking rates among those with substance use disorders, and the importance of addressing smoking in treatment plans. The hosts also share personal anecdotes and reflections on their goals for the new year, encouraging listeners to share their own resolutions.

Takeaways:

-Smoking is a significant health risk that can impact recovery outcomes.

Chapters:

00:00 Introduction and Episode Overview

Summary:

In this episode, Jared Miller discusses the challenges of maintaining sobriety during the holiday season. He highlights the increased risk of relapse, particularly for those in early recovery, and offers practical strategies for navigating social events, setting boundaries, and coping with holiday stress. The conversation emphasizes the importance of social connections, service work, and creating new memories to foster a positive holiday experience. Jared shares personal anecdotes and encourages listeners to reach out to others for support during this challenging time.

Takeaways:

Relapse rates increase significantly during the holiday season.

Chapters:

00:00 Holiday Season and Sobriety Awareness

Summary:

In this episode, Evan Done discusses the opioid litigation funds and their implications for recovery and community support. He shares insights on the role of USARA, the importance of personal experiences in advocacy, and the challenges of fund allocation. The conversation emphasizes the need for community engagement, the impact of housing on recovery, and the importance of treating substance use as a health crisis rather than a legal issue. Evan calls for action and involvement from listeners to ensure that funds are used effectively to support those affected by the opioid crisis.

Takeaways:

Chapters:

00:00 Introduction to Opioid Litigation Funds

Resource Website:

https://nashp.org/state-tracker/state-opioid-settlement-spending-decisions/

Summary:

In this episode of We Do Recover, Matt Borget shares his journey through addiction and recovery, discussing the pivotal moments that led him to seek help and the importance of family support. He reflects on his experiences with treatment, relapse, and the lessons learned along the way. Matt emphasizes the significance of community, gratitude, and the ongoing journey of recovery, while also providing insights into the New Roads Treatment Center and its approach to mental health care.

Takeaways:

Chapters:

00:00 Introduction and Context of the Podcast