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Do You Suffer From Praise Addiction?

Mental Illness & Professionals Professionals who are living with mental illness such as a mood disorder, a personality disorder, and/or a substance use disorder, generally struggle with low self-esteem. A low sense of self-worth, deep insecurity, poor self-image, and low self-esteem are extremely common in individuals living with mental illnesses. Partially, an effect on self-imageRead More

Doctors And Addiction: A FAQ

According to the LA Times in an article titled “Doctors and drug abuse: Why addictions can be so difficult”: Doctors are addicted to alcohol, more than any other substance Second to alcohol, doctors are most addicted to opiates, which they can easily obtain Anesthesiologists, emergency room doctors, and psychiatrist have the highest rates of addictionRead More

Specificity of Phosphatidylethanol as a Marker for Alcoholic Beverage Consumption

Utilizing blood phosphatidylethanol (PEth) testing as a means to detect beverage alcohol use vs abstinence among licensed professionals and others is a relatively new development. Phosphatidylethanol is a minor metabolite of ethanol formed when an enzyme, phospholipase D (PLD), binds ethanol to phosphatidylcholine lipids in cell membranes, including red blood cells. Over 48 homologues (similarRead More

Does AA Work?

Google AA (Alcoholics Anonymous) and you find a lot of negative opinions about it online. “AA is a cult.” “AA only has a 5% success rate.” “AA is an irrational “faith based” program.” “AA is a dangerous playground for violence-prone members.” “AA doesn’t work.” “The pseudo-science of AA.” So, if it does not work thenRead More

DUI: Doctors Under the Influence…and the Consequences (Part 2)

In Part I of this 2-part series on DUIs among physicians, I highlighted the fact that physicians are not immune from substance use disorders or DUIs. According to the National Survey on Drug Use and Health, 5.5% of health care workers in the U.S. had a current substance use disorder1 and numerous studies have shownRead More

DUI – Doctors Under the Influence – and the Consequences (Part I)

Driving under the influence of alcohol or drugs is a serious crime and doctors, who seem to have about the same rate of substance use disorders as the general population, are not immune. The consequences for DUI have become more severe, especially for physicians and other licensed health professionals, particularly in some states. And forRead More

CPR’s Trial by Fire

“Mandatory evacuation now!” the police commanded. In my last 30 years working in addiction and treatment, I have seen my fair share of challenges. There have been cross country moves, changing facilities and staff changes that were really hard, but the last year has been extraordinary. It all started in November last year when weRead More

Treatment Programs Designed for Physicians and other Health Professionals

All substance use disorder treatment programs should be excellent, unfortunately standards are often lax, in part because funding is inadequate. Every program should be licensed and accredited and have a physician involved with expertise in addiction medicine. Counseling staff should be licensed. Every program should have excellent evaluation services for assessing the severity of theRead More

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