All Things Substance Podcast

The place for therapists
to hear about substance use
from a mental health perspective.

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Addiction Information

Where do Mental Health Therapists Fit Into Substance Use Recovery?

Where do Mental Health Therapists Fit Into Substance Use Recovery?

Episode 95 Substance use treatment isn’t just about dealing with the substance. That would be like treating a cavity but not dealing with underlying disease. People in long-term recovery know that their mental health is a vital part of their recovery and needs to be...

How to Repackage Your DBT Skills to Work with Substance Use

How to Repackage Your DBT Skills to Work with Substance Use

Episode 92 Therapists love tools. We love learning new ways to help our clients live more skillfully and have more ability to manage their symptoms. There is no shortage of tools either. We can choose from a multitude of modalities from every kind of theoretical...

Assessment

How to Take a Substance Use History

How to Take a Substance Use History

Episode 83 Taking a drug use history can sometimes feel like guessing. What questions should you ask? What do the answers mean? Did you ask the right things? In today’s episode we will be going over the questions I feel are necessary in getting a good history on...

Good Therapy-Protecting the Therapy Hour

Good Therapy-Protecting the Therapy Hour

Episode 81 Good therapy depends on both us and our clients. We need to show up ready to work, but our clients need to show up ready also. Substance use can get in the way. There are two ways that substance use interferes with our work. One is when a client’s brain and...

Adding a Substance Use Lens

Adding a Substance Use Lens

Episode 80 Adding  a substance use lens for our work is at the heart of my message. We already use a mental health lens, a trauma-informed lens and a lens for whatever our main theoretical orientation is. Adding a substance use lens is looking at the presenting...

All Substances

What is Normal Marijuana Use?

What is Normal Marijuana Use?

Episode 86 So far we don’t have a determination about what is “normal” marijuana use.  We have very little direction on marijuana use at all. Even medical marijuana doesn’t have a dosing or recommended amount. It doesn’t have anything saying don’t use more than this...

Marijuana Issues and Therapy

Marijuana Issues and Therapy

Episode 85 Marijuana gets a lot of press coverage in the United States. The federal government still has it as an illegal substance, schedule 1 (which means it's on par with heroin). States are starting to legalize recreational marijuana. Medical marijuana has been...

What is normal drinking?

What is normal drinking?

Episode 84 What is  normal drinking? This is a very common question. I was asked a couple of different versions of this question from colleagues. In today’s episode I’ll talk about what government entities say is “moderate” and talk about a few scenarios that I’ve...

Recovery Stories

A Recovery Story: Jean

A Recovery Story: Jean

Episode 93 I had the privilege of “meeting” Jean McCarthy as a guest on her podcast, The Bubble Hour. She was a gracious host, providing a place for people to tell their stories of recovery. It was after the interview that we talked, not as two podcasters or content...

A Recovery Story: Natalie

A Recovery Story: Natalie

Episode 87 Natalie is a mom of two, wife to her husband and a therapist specializing in treating trauma and substance use. Her use history  is a little different from the things we usually see in outpatient therapy. She managed to skate by several therapists without...

A Recovery Story: Gabe

A Recovery Story: Gabe

Episode 79 Gabe is a dad of two children, husband to his wife who is also in recovery and a successful small business owner. He’s built his life around recovery and is celebrating 16 years of recovery. The days when he was using feel like a long time ago. But his life...

Student Edition

How to Take a Substance Use History

How to Take a Substance Use History

Episode 83 Taking a drug use history can sometimes feel like guessing. What questions should you ask? What do the answers mean? Did you ask the right things? In today’s episode we will be going over the questions I feel are necessary in getting a good history on...

Good Therapy-Protecting the Therapy Hour

Good Therapy-Protecting the Therapy Hour

Episode 81 Good therapy depends on both us and our clients. We need to show up ready to work, but our clients need to show up ready also. Substance use can get in the way. There are two ways that substance use interferes with our work. One is when a client’s brain and...

Adding a Substance Use Lens

Adding a Substance Use Lens

Episode 80 Adding  a substance use lens for our work is at the heart of my message. We already use a mental health lens, a trauma-informed lens and a lens for whatever our main theoretical orientation is. Adding a substance use lens is looking at the presenting...

Treatment & Recovery

Where do Mental Health Therapists Fit Into Substance Use Recovery?

Where do Mental Health Therapists Fit Into Substance Use Recovery?

Episode 95 Substance use treatment isn’t just about dealing with the substance. That would be like treating a cavity but not dealing with underlying disease. People in long-term recovery know that their mental health is a vital part of their recovery and needs to be...

How to Repackage Your DBT Skills to Work with Substance Use

How to Repackage Your DBT Skills to Work with Substance Use

Episode 92 Therapists love tools. We love learning new ways to help our clients live more skillfully and have more ability to manage their symptoms. There is no shortage of tools either. We can choose from a multitude of modalities from every kind of theoretical...

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Amphetamines

Meth: A Recovery Story

Meth: A Recovery Story

Episode 42 Meth addiction is all around us. We see it in the faces of people on the street. We see it in the news. We might even see it in our families. Recovery from meth is hard and and may seem impossible. People do come back from the dark place that is meth...

Why Do People Use Meth?

Why Do People Use Meth?

Episode 41 What is meth and why would people use it? Have you ever thought “Why would someone ever use meth?” Even those who know how bad it can be still can end up using it and falling into a full blown meth addiction. This episode sheds light on the attraction of...

Meth Facts

Meth Facts

Episode 40 Meth popularity is extremely high right now in the US, Australia and the UK. This drug is especially damaging with really visible consequences. This episode will cover the meth facts including how its used and long-term effects. Helpful Links History of the...

Cannabis

What is Normal Marijuana Use?

What is Normal Marijuana Use?

Episode 86 So far we don’t have a determination about what is “normal” marijuana use.  We have very little direction on marijuana use at all. Even medical marijuana doesn’t have a dosing or recommended amount. It doesn’t have anything saying don’t use more than this...

Marijuana Issues and Therapy

Marijuana Issues and Therapy

Episode 85 Marijuana gets a lot of press coverage in the United States. The federal government still has it as an illegal substance, schedule 1 (which means it's on par with heroin). States are starting to legalize recreational marijuana. Medical marijuana has been...

What Does CBD Do?

What Does CBD Do?

Episode 68 What Does CBD Do? Is it good for anxiety and/or PTSD? Is CBD good for treating substance use disorders? Is CBD good for chronic pain and arthritis? With CBD being added to more things all the time (drinks, lotion, vitamins and even water) it can be hard to...

Compulsive Behaviors

Sex and Addiction: An Interview

Sex and Addiction: An Interview

Episode 18 Why the phrase "addiction to porn" doesn't fit with the current scientific findings  What does the research say about problematic sexual behaviors? What does research say about pornography? I see requests online all the time in therapist FB groups about...

Sex and Addiction: Interview with Dr. Coleman

Sex and Addiction: Interview with Dr. Coleman

Episode 17 Why the word "addiction" doesn't fit when talking about sex Is sex an addiction? What does the research say about problematic sexual behaviors? How can we evaluate potential issues with sexual behavior? The word addiction and the word sex shouldn’t be put...

Is Food Addiction Real? Part 2-Episode 16

Is Food Addiction Real? Part 2-Episode 16

Episode 16 Can you be addicted to food? Is it possible to find recovery from food addiction? What should therapists know about food addiction? Food addiction is a real thing, even if the DSM doesn’t say it yet.  Food addiction is not an addiction to eating, it's an...

Gambling

An Interview with All In: An Addicted Gambler’s Podcast

An Interview with All In: An Addicted Gambler’s Podcast

Episode 26I'm taking a 2 week break on the podcast. I am reposting an interview I did with a fellow podcaster. In December 2020, I had the privilege of talking with Brian, the host of a gambling podcast called All In: An Addicted Gambler's Podcast in December of...

Why We Need to be Asking Clients About Gambling

Why We Need to be Asking Clients About Gambling

Episode 14 What do mental health therapists need to know about gambling addiction? What types of gambling are there? What’s the connection to mental health? Gambling addiction is a pretty specialized topic.  Mental health therapists are a logical place for problem...

Hallucinogens

Psychedelic PTSD Treatment

Psychedelic PTSD Treatment

Episode 31 What is Psychedelic PTSD Treatment? What is MDMA? What about Ketamine and Psilocybin as treatment options? MDMA or Ecstasy is a unique kind of hallucinogen. It’s known as a party drug but also as a psychedelic PTSD treatment. We’ll explore this and two...

Dissociative Hallucinogens

Dissociative Hallucinogens

Episode 30 What are dissociative hallucinogens? What is Ketamine? What are the effects of dissociative drugs? Dissociative hallucinogens are specifically drugs like Ketamine, PCP, Salvia to name a few. They are known for making a person experience a form of...

What is LSD? What is DMT?-Classic Hallucinogens

What is LSD? What is DMT?-Classic Hallucinogens

Episode 29 What types of hallucinogens are there? What is LSD? What is DMT?  What are mushrooms? What are the effects of hallucinogens? Hallucinogens & Psychedelics. There are lots of different kinds of these drugs. This is part 1 of 3 where we are covering...

Opiates

Treating Chronic Pain

Treating Chronic Pain

Episode 88 Treating chronic pain is difficult on a good day. After the over-prescribing of opiates in the 90’s and early 2000’s, it's become more challenging. Opiates used to be the treatment of choice, but the medical community has more research and information that...

Medication Assisted Treatment Explained

Medication Assisted Treatment Explained

Episode 25 What treatment options are there for opiate addiction? What is medication assisted treatment? What’s the difference between agonist, partial-agonist and antagonist options? What is the therapist role in treating opiate addiction? The opiate epidemic is all...

A Recovering Opiate Addict’s Perspective

A Recovering Opiate Addict’s Perspective

Episode 24 How does opiate addiction start? What does progression look like in opiate addiction? What keeps people stuck in a cycle of opiate addiction The opiate epidemic is all around us. We hear about the deaths and the dangers. Most of us know a bit about it, but...

Prescription Pills

Treating Chronic Pain

Treating Chronic Pain

Episode 88 Treating chronic pain is difficult on a good day. After the over-prescribing of opiates in the 90’s and early 2000’s, it's become more challenging. Opiates used to be the treatment of choice, but the medical community has more research and information that...

What are barbiturates?

What are barbiturates?

Episode 53 What are barbiturates? How were barbiturates used historically? How are barbiturates used in recent years? Barbiturates are an older class of drugs that had tons of uses and were the go-to for many years. Newer medications with less risks superseded these...

Sleep Medication Risk

Sleep Medication Risk

Episode 50   What should I know about sleep medication risks? What are the risks in the non-benzodiazepine class of medications? What is the addiction potential of those medications?   The desperation that comes from trying to sleep causes people to make choices...