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Comments   |   Blog, Substance Abuse
Addiction Is Not A Crime But Can Lead To Them

Addiction Is Not A Crime But Can Lead To Them

Addiction is not a crime but can lead to them. This does not mean that the addict is morally deficient, but that the part of the brain responsible for compassion and caring what other people think or feel is being held hostage by that part of the brain responsible for addictions. Over millions of years […]

Comments   |   Blog, Stress
No Way Did I Want to Die

No Way Did I Want to Die

A few weeks ago Erich Engelhardt and I posted a series of blogs about the adolescent brain, its development, and the implications for addictions. In sum, the brain matures in such a way that, for a period of time when we are in our teens, our impulses and feelings often overwhelm the part of our […]

Comments   |   Blog
On Being Powerless

On Being Powerless

I was listening to an NPR story today about the now debunked link between vaccinations and autism. As you know, a doctor from England called Wakefield threw a knuckleball based on what is now known to be false data, setting off a global scare that autism was from the mercury used as a preservative for […]

Comments   |   Blog, Imax
Decaf, Ok? Part 4

Decaf, Ok? Part 4

I look back on my interaction with Dan as a pivot point in my understanding of who we are as human beings, and want we want.  I began to recognize that, at our core, we simply want to be valued by another human being.  But too often to be valued we first have to be […]

2 comments   |   Blog, Imax
Decaf, OK? Part 3

Decaf, OK? Part 3

Isn’t it amazing what respect can do?  This is what I mean when I say, “When is the last time you got angry at someone treating you with respect?”  You don’t.  And, from my experience, this can extend even to the psychotic brain.  But respect alone is not enough to re-calibrate a brain that has […]

Comments   |   Blog, Substance Abuse
The Bike

The Bike

The Brain is a Castle Addiction and the Adolescent This blog will explore the amazing adolescent brain.  The brain itself is a big place in a small space.  And the adolescent brain in particular is one of the most remarkable. I have amazing good fortune to be the Medical Director of a new program that […]

Comments   |   Blog, Stress
So why is this stress thing so important?

So why is this stress thing so important?

So why is this stress thing so important? Let’s think about the different domains where stress occurs and why it makes a difference if there is less stress. We are all the product of evolution.  To move from one generation to the next we had to survive long enough to have children, getting our genetic […]

12 comments   |   Anger, Blog
Decaf, OK? Part 2

Decaf, OK? Part 2

Thanks to all of you for giving an answer.  Each suggestion shows how many choices we make, every day, every minute, even every second in the way we treat our patients, and each other.  One small change, one small difference, can have a huge effect. Here is what I decided to do in part 2 […]

21 comments   |   Anger, Blog
Decaf, OK?

Decaf, OK?

“Put down the chair!” I was walking on to the inpatient unit.  A nurse was screaming in fear for herself as a very large and psychotic man had a chair raised high over his head, ready to smash it onto the defenseless woman.  Staff were already running towards them, about to intervene, about to try […]

3 comments   |   Blog, Imax
On Trust

On Trust

I have been reading the last of the Thomas Covenant series by Stephen Donaldson.  Without giving away any of the story line, the essence of the book comes down to trust.  To overcome great evil the heroine must trust in those around her, struggling to borrow their trust and faith in her to overcome her […]