---------------------------The Value of Drug Addiction Research---------------------------

Michael Nader from the Wake Forest Primate Center presents his talk titled The Value of Drug Addiction Research. He suggests that we are approaching the problem of drug addiction in the wrong manner, and we need to reassess our current policies.

Sunday, June 14, 2015

 I believe that physicians and other prescribing providers, such as dentist and physician assistants, are too eager to write narcotics. Often it is due to little medical knowledge about substance use disorders and the prevalence of genetic predispositions to these disorders. It is often due to drug-seeking behavior of patients who are very persuasive. Fortunately, being North Carolina Medical Board (North Carolina Medical Board, 2014) has outlined specifics for appropriate prescribing of narcotic pain medication. The rampant problem of opiate misuse and overdose has made applying the ease evidence-based practices not only important in the care of patients, but mandatory. Many patients that come to us for you substance use disorder treatment started with one simple prescription for a sprained ankle or a toothache. They had no idea the misery of addiction that would follow after filling that simple prescription.
Add to the conversation!!  What are your thoughts???


North Carolina Medical Board. (2014). Policy for the use of opiates for the treatment of pain. Retrieved from http://www.ncmedboard.org/images/uploads/other_pdfs/Policy_for_the_Use_of_Opiates_for_the_Treatment_of_Pain_June_4_2014.pdf

If you liked this article, please sign up as a Follower and leave a comment.


A discussion on triggers is very important in recovery. My work with patients who are struggling with their substance use disorders proves this. They really have an eye-opening experience when we discuss their triggers. The trigger worksheet that we start with moves across the spectrum. It includes craving and withdrawal, the belief that one can use “just one” drink or pill, or maybe the sneaky thought that they can one day use moderately. It may be boredom, anger, and so on that causes them to crave a drink or drug.
As we move up and down the 20 different possible triggers, patients figure out that they are checking almost every single trigger listed!!! This means that essentially we may be finding excuses to use drugs and alcohol. Now, some of these triggers for certain patients are very powerful. Many will get to a triggers such as stress and stop. They look up at me with this look that says, “This is definitely a trigger for me!”

            Dopamine is a very powerful neurotransmitter. The pleasure centers in our brain do not care about our lives, jobs, and families. I tell people that that part of your brain doesn’t care if you sleep under a bridge. It only wants to get drunk or high, and set you anything just like the used car salesman to get you to buy. Years of drug use have created certain neural pathways that are highly activated by drug use. For many patients, just knowing that they are on their way to pick up drugs relieves much of their craving and withdrawal. These triggers can light up that narrow pathway once again causing us to want to use. Identifying triggers, avoiding them when possible, thinking through possible consequences as a result of use, and so on are all powerful components of any relapse prevention plan. With abstinence and an active recovery program, many triggers that formerly would drive patients to relapse lose their power to influence over time.

If you liked this article, please sign up as a Follower and leave a comment.

Bath Salts and Designer Drugs are NOT legal

“Bath Salts” are Synthetic Cathinones, an amphetamine-like stimulant found naturally in the khat plant. Unscrupulous chemists are creating these designer drugs. They continue to alter in small ways the chemical makeup of the legal drugs, thereby making them legal…. Or so it would seem. While these substances may be legal on the state level, they are still illegal on the federal level. The Controlled Substances Analogue Enforcement Act of 1986 (Analogue Enforcement Act) outlaws any substances or chemicals that are “substantially similar” to it illegal or controlled substances. The Synthetic Drug Abuse Prevention Act of 2012 (SDAPA) also strengthen the laws against designer drugs. And as we all know federal law supersedes any state laws that may apply. The difficulty does occur when these drugs are marketed as products not for human consumption, such as bath salts. We have seen that in many instances false labeling have not been effective in circumventing federal laws written to stop designer drugs.

Lowe, M. (2014, May 31). Synthetic drug busts: Federal arrest for fake pot and designer drugs that are legal under state law. Dallasjustice.com.  Retrieved from http://www.dallasjustice.com/synthetic-drug-busts-federal-arrests-for-fake-pot-and-designer-drugs-that-are-legal-under-state-law/

If you liked this article, please sign up as a Follower and leave a comment.

Sunday, November 02, 2014


Corey Richardson of Rudisill Family Practice gave a talk to the
Blue Ridge Foothills Regional Medical Meeting on 10/21/14 on
Integrated Care focusing on appropriate Chronic Pain
Management and Substance Use Disorder Treatment. After the
talk, he participated in an expert panel discussion. Thanks to all
of the doctors, PAs, NPs, administrators, and other who drove
from the surrounding region to participate in the program.

Wednesday, October 01, 2014

Sunday, June 01, 2014

Dear Mr. President!!!

Dear Mr. President!!!

Haven't you ever wanted to give the man who runs this country a piece of your mind??

Well, the latest issue of Spotlight on Recovery does that. A varied selection of authors present their perspectives, including Mr. Richardson.

He addresses the War on Drugs in a way you may not have thought of before - and how our Commander in Chief could have been the one behind bars had things been different.

To read more, order your copy today from Spotlight on Recovery by clicking this link.

A Single Step........

Our country has been torn apart by gun violence. Corey Richardson offers a balanced approach on

this issue in the latest issue of Spotlight on Recovery, Spring 2014. For more on Gun Violence and other recovery issues - click this link to go to Spotlight on Recovery

InsideOut ABC Training

InsideOut is a cognitive-based (CBT) program for substance abuse treatment in correctional settings.

Developed with NIDA support, InsideOut can help your facility quickly deliver a high-quality, secular, and engaging substance abuse treatment program. Based on SMART Recovery, InsideOut trains counselors, has versions for male and female populations, teaches offenders the SMART Recovery Four-Point Program, and works to lower recidivism.

Visit http://www.smartrecovery.org/resource... for more information on InsideOut.

♦ An Eye On Our Kids ♦


♦ Drug Laws ♦