A brief look at the nature of addiction, the main types of help that facilitate recovery from addiction, the stages of behavioural change, and some of the features of addiction treatment. (1,911 words)
‘Doctors with addictions: double standards?’ by djmac
‘Doctors get addicted to alcohol and other drugs; there’s plenty of evidence of that. My question is: Do doctors with addictions get the same kind of treatment and outcomes as their patients? The British Medical Association estimates that there are 10,000 to 13,000 addicted doctors in the UK. Most of them will be in practice.
What is the expectation for doctors coming to treatment in the UK? Well, the goal of abstinence is pretty much accepted as a given (even for IV opiate addicts) and their access to quality treatment of adequate duration is greater.
Outcome studies from the USA consistently show recovery rates of 80% and there is evidence from the Practitioner Health Programme (PHP) in London this is also true in the UK. Most doctors in recovery return successfully to work.
‘Recovery is too hard and dangerous. Solution: methadone for life’ by DJ Mac
Well worth checking out excellent new blog, Recovery Review, by DJ Mac. Here’s a sample:
‘Berlin, like many big cities has a heroin problem. People presenting for help are being prescribed opioid replacement therapy (ORT) in greater numbers. That’s a good thing isn’t it? Well it depends on what you think is the end goal of treatment.
At the start of this interesting recent German paper “Why do patients stay in opiod maintenance treatment?”, Dr Stefan Gutwinski and colleagues say that the scientific literature indicates the point of ORT is: “to increase survival and bring stabilization to patients, in order to enable them to reach abstinence of opioids.” The Scottish Government’s drugs policy and the UK policy agree.
‘Today is the best day of my life’ by Braveheart
An inspirational blog from WITR, written mid-2009:
‘The reason I write, “Today is the best day of my life”, is yesterday has gone and tomorrow is still to come. It it comes at all?
I awoke at 7.30 this morning and I’m in recovery from the disease of active addiction. I had no desire to use and there was no obsessing over what was my drug of choice. Today, I am FREE to make self-caring choices.
My day begins with me having a conscious contact with my Higher Power, who I ask to guide and direct me throughout the day and help me to stay safe.