Addiction

Addiction is a potent topic for debate in our debate-happy society, but, as with so many of those topics, the debates usually generate more heat than light.  That’s why we are glad that the American Medical Association and the American Psychiatric Association have put out this handy, easy to read guide about addiction, separating fact from myth. Addiction is an …

Marijuana and Bipolar

Marijuana and Bipolar-Yes or No? The use of marijuana in treating many and various illnesses is a hot topic among many of our San Francisco-area patients.  Since legalization for medical uses, and even for recreation, seems to be spreading throughout the country, more and more people are looking into helpful uses for this ancient but little-understood plant. However, medical advice …

Deaths of Despair

Deaths of despair increasing, but only in the USA Mortality rates are rising in the United States, especially among poor, rural populations, and specifically among whites.  Life expectancy in other groups continues its historic rise, and this rising pattern is also found in 16 other countries with comparable economic levels.  This phenomenon has been dubbed “deaths of despair” because the …

Increased Alcohol Use in US

Increased Alcohol Use in the US

A detailed and impressive study finds dramatically increased alcohol use disorders in the US in the past decade. Between 2001-2002 and 2012-2013, regular high-risk drinking increased by almost 30%, and the number of people meeting criteria for alcohol use disorder grew by 49.4%. What else do we know about the health of Americans in the past few years? We know …

12 Steps

There are a few people in my experience who are as impressive in maturity and integrity as those people we have worked with who have been the most involved in 12 Step Programs. I didn’t come to this observation from any pre-conceived bias in favor of 12 Step Program. If anything, my involvement with 12 Step early on was pretty negative. It …

Harm Reduction

Reducing the Harm of Substances in Your Life: A Harm Reduction Approach Have you noticed that your substance use is impacting your mood, relationships, or work? Are you looking to reduce the negative impact substances are playing in your life? Harm Reduction methods can be useful in exploring ways to prevent harm and reduce risks in your life caused by …

Cannabis and Bipolar

More than half of people with bipolar will qualify for a substance use disorder diagnosis at some point. In many places, the most popular drug (other than alcohol) in people with bipolar is cannabis. People with bipolar are almost 7 times as likely to use cannabis than the general population. In the United States, many states have legalized cannabis for medical indications, and two states have legalized its recreational use. …

Medical Marijuana

20 states have laws authorizing the use of medical marijuana, but what is the evidence for the medical effectiveness of marijuana? An exhaustive review of the topic just published in the Journal of the American Medical Association finds that, overall, the evidence for marijuana’s effectiveness is quite poor. And while many of my younger patients tell me that the problem …

Alcoholics Anonymous

Alcoholics Anonymous is many things, and its role changes over time for those who remain involved in it long term. Most importantly, AA can be a life line for those who are suffering from the potentially fatal illness of substance abuse. It is a way of achieving freedom from alcohol and drug addiction with the help of supportive peers who …

Mindfulness Based Substance Abuse Treatment Works

Relapse is common after substance abuse treatment, indicating that there is a clear need for effective followup options. A new study has found that cognitive-behavioral relapse prevention (RP) and mindfulness-based relapse prevention (MBRP) are both effective aftercare interventions for substance abuse treatment, but that the latter may have an especially enduring effect as far as reducing drug-use days and heavy …

Quitting Smoking Improves Mood

A study published in the British Medical Journal reports that quitting smoking had a simillar positive effect on mood as an antidepressant. The researchers did an analysis of 26 studies using a technique called a “meta-analysis” and looked at changes in mental health (anxiety, depression, mixed anxiety and depression, quality of life, positive affect, and stress) at ≥6 weeks’ post–smoking cessation …

Was James Bond a Lush?

Always in search of the latest cutting edge medical knowledge, we happened across a fascinating research article in the December 2013 British Medical Journal that asks the question – “Were James Bond’s drinks shaken because of alcohol induced tremor?” Before going any further and looking at the research methods and conclusions, we have to warn readers that this may be …

Herbal Supplements Often Not What They Claim

A recent study concluded that herbal supplements are often not what they claim to be. The study was published in the journal BMC Medicine and it got front-page coverage on the New York Times website. Using DNA analysis, researchers tested 44 products from a dozen companies. The DNA signatures were compared with samples obtained from horticultural greenhouses. The study was summarized in the New …

Coffee for Depression?

Feeling down? An article in Psychiatric Times suggests that drinking a couple of cups of coffee in the morning might help your mood. The study they cite found that those people who drank two or three servings of coffee per day (8 ounce cups of drip coffee – or shots of espresso) had a 50% lower rate of suicide compared …