Archives for Stigma

addiction

What we’re missing in treating addiction

Addiction is a disease of the brain. Over and over and over we heard this at the recent National RX Drug Abuse & Heroin Summit in Atlanta.

The president said it. His drug czar Michael Botticelli, said it. Dr. Nora Volkow, head of the National Institute on Drug Abuse, said it, along with the heads of the Centers for Disease Control, the Substance Abuse and Mental Health Service Administration,...
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General

Buprenorphine: How many patients is too many?

Last week the Department of Health and Human Services published in the Federal Register a notice of rulemaking for medication assisted treatment - MAT - for opioid abuse that would increase the maximum number of patients a practitioner can treat from 100 to 200.

The proposed rule would apply specifically to buprenorphine, also known as "bupe"among drug users. The drug is used to wean addicts off prescription and street opioids, such as oxycodone...
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Alcoholism

How private are a drug addict’s treatment records?

The confidentiality of alcohol and drug abuse patient records is under the government's microscope.

The Substance Abuse and Mental Health Services Administration - SAMHSA - has filed notice of rule-making for such records. The proposed changes to 42 CFR Part 2- HIPPA - were published in Federal Register on Feb. 9.

It's been 29 years since there have been any substantive updates to the Confidentiality of Alcohol and Drug Abuse Patient Records regulations. A...
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General

Why you don’t know how much mental illness and drug abuse is really in your community

It's Sunday night. I am sitting at my desk in the newsroom. I am a reporter and every couple of months I pull a weekend shift. The newsroom is quiet and I can hear the police scanners clearly.

During the day, with all that's going on in the newsroom, the scanners are just white noise. The cop reporters pay attention but to the rest of us, they are annoying.

If you want an idea of how much...
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Alcoholism

Top 5 comebacks when asked why I don’t drink alcohol

For some reason, people want to know why I don't drink.

If you offered me Brussels sprouts and I said "no thanks" and you said, "are you sure I can't get you some Brussels sprouts?" and I said, "No thank you, I don't eat Brussels sprouts," would you ask, "How come you don't eat Brussel sprouts?"

Probably not. But when I say I don't drink alcohol, people what to know why.

Why is that? I haven't figured that out yet, but...
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Public Policy

Mental health groups ask Kenneth Cole to remove billboard

Twenty-three mental health organizations delivered a letter to fashion designer Kenneth Cole this morning, protesting the bizarre billboard Cole posted on a New York City highway in August that was supposed to support  mental healthcare reform and gun reform.

Two comments:

1. Thank God the country's most prestigious mental health organizations have taken a strong, united stand in urging Cole to take down the billboard.

2. What the hell was Cole thinking?

When the words mental illness...
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Alcoholism

How my depression nearly killed my sobriety

This month I celebrate 17 years of sobriety. Let me say that again. This month I celebrate 17 years of sobriety.

I can't believe I just said that because it seems so impossible and sounds so weird coming from my mouth.

17 years.

How the heck did that happen?

One day at a time. I also followed suggestions, especially from a doctor friend who told me about 12 years ago that I was in a major depression and needed...
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Coping with Depression

Crying to prevent my depression

My life improved when I accepted crying as a body function - like blowing your nose or peeing. I never worried that someone might think I was a wuss because I blew my nose. So, why is water coming from my eyes considered a weakness and peeing is not?

I got to pondering this enigma after a major depression that followed the death of my parents - 16 months apart - and then the death of my dog 8 months...
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Alcoholism

Government scrubs substance-abuse data but doesn’t tell researchers

What if the government decided to withhold the data it gathers on an insidious mental illness that affects nearly one in ten Americans and did not bother to tell researchers it had done so?

It happened. The data are collected by the Centers for Medicare and Medicaid Services. The mental illness - substance abuse.

The New England Journal of Medicine exposed these shenanigans and explained the consequences in an article published in April: Protection or Harm? Suppressing Substance-Use...
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