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...
How Do I Get Off Methadone?

How Do I Get Off Methadone?

I had the pleasure of seeing my patient Isabel (not her real name, but I love this name) in the office for her regular monthly Vivitrol injection. Vivitrol is a long-acting, injectable form of naltrexone. Naltrexone is an opiate blocker, also called an opiate...