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All Things Substance Podcast

Treatment & Recovery Episodes

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...

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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...

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Eat, Drink and Be Merry: Holiday Skills (Repost)

Eat, Drink and Be Merry: Holiday Skills (Repost)

Episode #151 The holidays are here, no matter what your faith tradition or country, there's a holiday in here for everyone. For some the holidays are a joyful time where they look forward to seeing family and friends. For others, the holidays can be a difficult time....

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Substance Use in the LGBTQ+ Community

Substance Use in the LGBTQ+ Community

Episode #149 Trauma and substance use have a bidirectional relationship. According to my guest, Eric Sullivan, growing up gay is a form of complex trauma. The LGBTQ+ community faces a lot of factors that put them at risk for higher rates of problematic substance use....

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The Skill to Help You Thrive Instead of Burning Out

The Skill to Help You Thrive Instead of Burning Out

Episode 142 Learn how to THRIVE while treating trauma & substance use! Tired of feeling limited in your practice? We've got you covered! Hi, we’re Betsy Byler and Jenny Hughes and between us, we have 30+ years of treating trauma and substance use under our belts!...

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The Intersection of Trauma and Substance Use

The Intersection of Trauma and Substance Use

Episode 141 Want to treat trauma and substance use with confidence? We've got you covered!  Hi, we’re Betsy Byler and Jenny Hughes and between us, we have 30+ years of treating trauma and substance use under our belts! Today we’re joining together in this episode to...

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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...

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You don’t want to miss this…

You don’t want to miss this…

Episode 132​ Normally, when I make an announcement it’s a brief thing. Perhaps a few sentences and then we move onto the main topic. However, today is a little different. My announcement needed some more context, so today’s episode is going to do just that.  When I...

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The Power of Secondary Gain

The Power of Secondary Gain

Episode #138 Secondary gain is a powerful thing. It impacts behavior in ways that we wouldn’t think of, but when it comes to substance use it’s an important factor in making long lasting change. Behavior is so complex sometimes. So often people want to stop a behavior...

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Re-post Why Readiness to Change May Be the Biggest Factor

Re-post Why Readiness to Change May Be the Biggest Factor

Episode #137  (Repost of Episode 109) People change because they want to or because they have to. When neither of those things are true, change isn’t going to happen. When clients come to us, we have to focus on what they bring to the table. If they come to change a...

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Re-post Harm Reduction and Abstinence

Re-post Harm Reduction and Abstinence

Episode 136* Repost of Episode 12 What does abstinence mean in the context of addiction? What is the difference between harm reduction model and abstinence? Is the harm reduction model and abstinence mutually exclusive? In the addiction treatment world, abstinence and...

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Is Willpower Enough?

Is Willpower Enough?

Episode #134 Just say no. You should just quit. So and so just stopped doing it, so can you. Some people believe that willpower should be all someone needs to overcome addiction. Willpower is a part of how people make change and make new habits. But willpower isn’t...

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Psychiatrists and Therapists

Psychiatrists and Therapists

Episode #133 Therapists and psychiatrists want the same thing: for our clients to be well. We don’t always get the chance to work together. I wanted to see what we could do to bridge the gap between us. I interviewed  a psychiatrist friend of mine, Dr. Jess...

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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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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...

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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...

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What 20 Years Has Taught Me

What 20 Years Has Taught Me

Episode #124 Adding substance use to your scope of practice  means that you will want to have a source for good information. How do you know who to trust? Why am I the right person for you to talk with and listen to? Over the last 20 years of my career, I have been...

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A Snapshot of the 12 Steps and 12 Traditions of AA

A Snapshot of the 12 Steps and 12 Traditions of AA

Episode #123 The 12 Steps of Alcoholics Anonymous have brought many into recovery and saved lives all over the world. Most people know that there are 12 Steps, but they don’t know what the Steps are and most haven’t heard of the 12 Traditions. Today we’ll be covering...

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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....

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Sex in Recovery

Sex and Recovery

Episode #120 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 vary wildly depending on the people and the circumstances....

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Addiction Myth: People Have to Hit Rock Bottom to Get Sober

Addiction Myth: People Have to Hit Rock Bottom to Get Sober

Episode #117 People have to hit rock bottom before they can get sober. It’s a really good thing that this isn’t true. If people had to find the very bottom before they could get clean, there would be so much more misery. People get sober at all different times of...

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Do they need a specialist? Making treatment decisions easily (A re-post)

Substance Use Decision Tree-Explained

Episode #116 Sometimes we have to make decisions pretty quickly. I remember being floored when I was out of school and had to diagnose in the first session. I had held onto charts because I wasn’t ready to do the diagnosis. I got in “trouble” with the three support...

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Re-post Why Readiness to Change May Be the Biggest Factor

Why Readiness to Change May Be the Biggest Factor

Episode #109 People change because they want to or because they have to. When neither of those things are true, change isn’t going to happen. When clients come to us, we have to focus on what they bring to the table. If they come to change a particular behavior, then...

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When is Outpatient Therapy the Right Fit?

When is Outpatient Therapy the Right Fit?

Episode #108 When therapists think about working with substance use, they may envision a meth addict or a heroin addict. They worry that someone will overdose and die. They are concerned that the person’s use will be more than they can handle. The great news is that...

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Eat, Drink and Be Merry: Holiday Skills (Repost)

Eat, Drink and Be Merry: Holiday Skills

Episode #106 Substance use is our problem. By “our” I mean mental health therapists. The subfield of substance use isn't big enough to be its own thing. It's just a further specialty. Like other specialties such as eating disorders, sex therapy, OCD treatment, trauma...

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You don’t want to miss this…

Charting the Course is Here!

Episode 105 This is the program you need in order to feel competent and confident in addressing  your clients’ use of alcohol and drugs. You don’t need to go back to school or refer out. The majority of clients who are using substances problematically don’t meet the...

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You Don’t Need Personal Experience to Work With Substance Use

You Don’t Need Personal Experience to Work With Substance Use

Episode 103 One of the things that gets in the way of a therapist deciding to step into substance use work is this belief that if they aren’t in recovery, then they aren’t going to be able to work with this population. As therapists, the imposter syndrome can be all...

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Substance Use and Mental Health Are Under the Same Umbrella

Substance Use and Mental Health Are Under the Same Umbrella

Episode 102 Substance use is our problem. By “our” I mean mental health therapists. The subfield of substance use isn't big enough to be its own thing. It's just a further specialty. Like other specialties such as eating disorders, sex therapy, OCD treatment, trauma...

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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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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...

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Helping An Addicted Loved One

Helping An Addicted Loved One

Episode 82 ​Helping an addicted loved one can be really difficult. What should a person do? What shouldn’t they do? I had an opportunity to talk with Dr. Kate Watson of the podcast Only Trying to Help about this very thing. This is our second podcast together and for...

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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...

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Shame and Addiction

Shame and Addiction

Episode 77 Shame and addiction cannot be separated. The deeper someone goes into their addiction, the more things happen that they want to keep hidden. So many things are “normal” when a person is stuck in active addiction. Things that “normal” people who shake their...

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Client Responses That Impact Assessment

Client Responses That Impact Assessment

Episode 73 We can ask all the perfect questions, but sometimes a client’s answers aren’t as clear as we’d hoped. There are lots of reasons for why a client might not want to share about their use of substances. Today we’ll discuss the most common responses and how to...

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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...

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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...

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The Harm Reduction Model and Abstinence

The Harm Reduction Model and Abstinence

Episode 12 What does abstinence mean in the context of addiction? What is the difference between harm reduction model and abstinence? Is the harm reduction model and abstinence mutually exclusive? In the addiction treatment world, abstinence and harm reduction can...

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Effects of Substance Abuse-Progression

Effects of Substance Abuse-Progression

Episode 11 What are effects of substance abuse? What does progression mean when talking about addiction? How does progression relate to the DSM criteria? What addiction criteria shows up most often? Progression is the key to addiction. It’s not about choice or...

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Addiction: Stages of Addiction and Use

Addiction: Stages of Addiction and Use

Episode 10 What stages of addiction and use are there? How do I know which level of use my client is in? Do people bounce around in use stages or move in a linear fashion? Stages of use are helpful in assessing your client’s use and  determining when you should be...

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Addiction: Protective Factors

Addiction: Protective Factors

Episode 9 What reduces the risk of addiction? Will changing environmental factors help or is it just up to genetics? Is prevention only for kids? This episode looks at the protective factors for addiction. Genetics isn’t the only factor and much can be done to help...

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