Evidence-based writing on addiction, treatment and recovery for families and individuals, drawn from the peer-reviewed literature and 18 years of practice.
The default assumption is that residential is the serious option and outpatient is the compromise. The evidence does not support that, and the real decision turns on something else.
There are real randomised trials now, and there is also a great deal of overstatement. Here is the line between them, drawn carefully.
A list to take with you. Most of these have never been asked of the person answering, and the answers sort programmes faster than any brochure.
One of the best-supported behavioural treatments in addiction medicine is barely available in America, for reasons that have nothing to do with whether it works.
One of the largest public health studies ever run found a dose-response relationship between childhood adversity and later addiction. Here is what it does and does not mean.
The most argued-about question in recovery finally has a serious answer, and it surprised a lot of people who were confident either way.
Physicians treated for substance use disorders do markedly better than the general treatment population. The reason is not willpower or better facilities — it is structure, and it can be bought.
Success rates in this industry are unregulated, unaudited and almost always meaningless. Here is how to take one apart in about five minutes.
Withdrawal from two substances can kill you, and from most others cannot. That distinction decides this question, and most families have it backwards.
We charge private rates, so read this sceptically. The features that justify a premium price are mostly not the features associated with better outcomes.
