Cravings and the Coronavirus

Cravings and the Coronavirus

One of the trademarks of Alcohol and Opioid Use Disorders are cravings. The Merriam Webster dictionary defines cravings as: “an intense, urgent, or abnormal desire or longing.” In people with substance use disorders, cravings are not “abnormal” but actually the result...
Naltrexone Therapy During the COVID-19 Pandemic

Naltrexone Therapy During the COVID-19 Pandemic

Naltrexone is a non-addictive medication that can be used for Medication-Assisted Treatment (MAT) for both Alcohol Use Disorder (AUD) and Opioid Use Disorder (OUD). The Coleman Institute for Addiction Medicine offers two specially formulated Naltrexone options for...
PART 5: What Feels Better Than Heroin?

PART 5: What Feels Better Than Heroin?

The 4th and final law in James Clear’s Atomic Habits refers to the final part of the habit loop, the reward. In order for a new habit to form and be sustained, any reward must be satisfying. The difficult thing about this step speaks to our biology and evolution. As...
My Patient’s Most Shameful Secret

My Patient’s Most Shameful Secret

One of the most troubling aspects of my job as a medical addiction professional reared its head last week as I entered the exam room for a follow-up visit with Gordon.* Gordon has had a very successful career in banking. He is the 64-year old divorced father of three...
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