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All Things Substance Podcast

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

New from the Podcast:

An Unintentional Mistake You Might Be Making

An Unintentional Mistake You Might Be Making

Episode #128 Avoiding topics of conversation is super normal for people. We work hard to help our clients talk about the hard things and to face the things that need to come to light. There’s an area that we might not be asking about that could make a huge difference...

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Addiction Information

How Does Addiction Progress? Stages You Need to Know

How Does Addiction Progress? Stages You Need to Know

Episode #126 Stages of addiction can help us understand how severe someone’s use is. This is key to understanding if someone’s use needs a specialist or not. The number of stages  vary from model to model depending on who is talking. Previously, I’ve talked about a 5...

Triggers and Cravings

Triggers and Cravings

Episode #125 Triggers and cravings are a huge key to what helps addiction develop. It makes sense then that recovery is going to need solid ways to manage triggers and cravings. Triggers aren’t something we control. They are developed when we pair reinforcement with a...

What’s a Recovery Meeting Like?

What’s a Recovery Meeting Like?

Episode #122 Recovery meetings can be a giant help to people as they move through recovery from all kinds of things. If you’ve never been it can be hard to know what happens at a meeting and to know how your clients would benefit from attending recovery meetings....

Assessment

What Gets a Client Sober, Won’t Keep Them Sober

What Gets a Client Sober, Won’t Keep Them Sober

Episode 160 (re-post of episode 97) Love of others, the law, nor the hope of a good future are enough to keep someone sober long term. Great way to start us off right? I know it sounds like a real downer, but I promise if you stick around it’ll get better.  People...

All Substances

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...

What is CBD?

What is CBD?

Episode 65 What is CBD? What’s the difference between CBD and Marijuana? Is CBD really what people say it is? CBD is everywhere. It can be hard to know exactly what CBD is and isn’t. You can search on the internet and it seems the loudest voices are promising huge...

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...

Private Practice Edition

Liability and Risk When Treating Substance Use

Liability and Risk When Treating Substance Use

Episode #131 People are complicated creatures. We work with people when they are confused, hurting, anxious or generally distraught. Sometimes that can impact our work with people and how they feel about us and their lives. We mean well and we work hard to give people...

Meeting Our Own Professional and Personal Needs

Meeting Our Own Professional and Personal Needs

Episode #150 I don’t believe we can rely on our agencies or employers to take care of our development or help us with safe care. I believe we need to make sure we are being proactive to make sure we have what we need to help us keep developing as therapists and that...

Therapists Deserve to be Cared for Too

Therapists Deserve to be Cared for Too

Episode #148 How do we not just survive, but thrive in our work? How do we get to keep being our badass therapist selves and still enjoy what we do? Hint: I’m not going to just say self-care. There really are things we can do to help ourselves.  Our workplaces,...

Recovery Stories

Sex in Recovery

Sex in Recovery

Episode #120 (Repost of this episode. Original air date February 2023) Sex is a vital part of who we are as humans. It’s a way to connect with others. A way to have pleasure. Research tells us that sex is super beneficial for our health and well-being. Experiences...

Looking for love in all the wrong places: A Recovery Story

Looking for love in all the wrong places: A Recovery Story

Episode #118 (Re-post of this episode. Original air date in February 2023) It was all about love. That’s what Dufflyn was looking for from the time she was a small girl all the way into her 40’s. She consistently was seeking to fill a need and find a place to belong....

A Recovery Story: Brian

A Recovery Story: Brian

Episode #121 Brian was 18 when he first suspected that he had a problem with gambling. Surely 18 years old was too young to have an addiction right? He spent the next several years trying to win his way out of the hole of debt he was in. He found out that it's true...

Student Edition

Therapy Paperwork Basics

Therapy Paperwork Basics

Episode 76 Therapy paperwork is a core part of the job. It’s sometimes also a pain in the ass. Developing good habits at the beginning of your career will be incredibly helpful. The majority of our job is about being with people, holding space, helping clients see...

Diagnosis Can Be Healing

Diagnosis Can Be Healing

Episode 72 ​Why do we need to diagnose clients? Is it harmful to give someone a diagnosis? Can’t I just give everyone an adjustment disorder? Diagnosing is fundamental to the work of a therapist. If for no other reason than you need to be able to bill insurance to get...

To Graduation and Beyond

To Graduation and Beyond

Episode 67 What should you focus on as graduation approaches? What should you look for in a first post-grad job? What about going into private practice? Everything you’ve done since entering college has been leading to this moment. The papers are in, the internship is...

Treatment & Recovery

Recovery: Process of Change

Recovery: Process of Change

Episode #127 What is recovery? People talk about recovery with a capital “R”. But what does it mean? Is it something that happens over time? Is it possible to finish recovery? Recovery really is, at its core, the process of change. It is a living and active process...

Triggers and Cravings

Triggers and Cravings

Episode #125 Triggers and cravings are a huge key to what helps addiction develop. It makes sense then that recovery is going to need solid ways to manage triggers and cravings. Triggers aren’t something we control. They are developed when we pair reinforcement with a...

Liability and Risk When Treating Substance Use

Liability and Risk When Treating Substance Use

Episode #131 People are complicated creatures. We work with people when they are confused, hurting, anxious or generally distraught. Sometimes that can impact our work with people and how they feel about us and their lives. We mean well and we work hard to give people...

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Subcategories:

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 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...

What is CBD?

What is CBD?

Episode 65 What is CBD? What’s the difference between CBD and Marijuana? Is CBD really what people say it is? CBD is everywhere. It can be hard to know exactly what CBD is and isn’t. You can search on the internet and it seems the loudest voices are promising huge...

Legalization of Marijuana-Repost

Legalization of Marijuana-Repost

Episode 22 Why is marijuana illegal anyway? What’s the difference between legalization and decriminalization? What implication does this have for therapists? The debate over legalization of marijuana is all around us. It’s a complex issue and there are a lot of terms...

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

Gambling Addiction Treatment

Gambling Addiction Treatment

Episode #140 Gambling addiction treatment and the gambler brings to mind a certain image for many of us. We might think of a man looking downcast with his hand on his head and a drink in front of him. Some might think of someone spending hours in front of a slot...

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

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...

Sleep Disorders and the Role of Sleep Medications

Sleep Disorders and the Role of Sleep Medications

Episode 49 Sleep. One of the essential building blocks of our lives. It seems so simple to get and it's really one of the harder things to do at times. Chronic sleep deprivation and insomnia can wreak havoc on a person’s health and mental health. Treatments can vary...

ADHD Treatment for Adults

ADHD Treatment for Adults

Episode 45 ADHD treatment can bring to mind a few different things. Medications, particularly stimulants are usually at the top of the list. ADHD treatment for adults can be complicated due to the abuse of stimulant medications, the medical providers being hesitant to...