PT576 – Rethinking Addiction and Treatment Models: Is the Recovery Community Ready for Psychedelics?, with Dan Ronken, LPC, LAC
Dec 24, 2024
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Dan Ronken, a licensed professional counselor and addiction specialist from Boulder, shares his transformative journey from BMX racer to recovery advocate. He emphasizes that addiction recovery isn’t one-size-fits-all and critiques traditional models like 12-step programs. Ronken discusses innovative approaches, such as using ketamine to rewire alcohol cravings and highlights the historical relevance of psychedelics in addiction therapy. He calls for open-mindedness in recovery communities, embracing diverse support networks and the role of psychedelics in healing.
Ketamine therapy offers a novel method for treating alcohol use disorder by rewiring brain associations and enhancing neuroplasticity for recovery.
The complex nature of identity in recovery reveals the limitations of traditional labels while emphasizing the importance of personal growth and varied narratives.
There is an emerging acceptance of psychedelics in recovery discussions, highlighting the need for innovative, inclusive, and individualized treatment approaches.
Deep dives
Exploring Ketamine Therapy for Addiction
Ketamine therapy presents an innovative approach for treating alcohol use disorder by potentially rewiring maladaptive reward memories associated with drinking. Researchers have indicated that this therapy can involve intentionally invoking cravings and utilizing guided visualizations prior to administering ketamine. This method aims to prime the patient's brain for a transformative experience, allowing for new associations to be formed regarding alcohol in their life. This therapeutic model challenges traditional views and opens up new possibilities for addiction recovery through neuroplasticity.
The Complexity of Identity in Recovery
The concept of identity within recovery is complex and multifaceted, particularly for individuals who have undergone traditional 12-step programs. While some identify with being an alcoholic as a means of ownership and community support, others may find this labeling limiting and reductive. The journey of recovery can involve repeated cycles and various coping mechanisms, illustrating the difficulty of conforming to a single narrative. Distinguishing personal growth and the potential for change outside of predetermined labels is crucial for many in their healing journey.
Critique of Traditional Treatment Models
The traditional abstinence-based models of recovery, particularly those that stem from the Hazelden philosophy, have come under scrutiny due to their low success rates. Many individuals exit rehabilitation only to relapse shortly after, highlighting a critical gap in effective long-term support. This has prompted a reevaluation of what recovery means, suggesting that a broader understanding of addiction, which includes personal agency and diverse healing practices, is necessary. There is a growing call for treatment options that are adaptable and inclusive, instead of strictly adhering to old paradigms.
Community and Connection in Recovery
Creating connections and fostering community is essential in recovery, as isolation can often lead to substance misuse. Support networks play a pivotal role in providing accountability and shared experiences, contributing to overall well-being. Various alternative recovery communities, such as The Phoenix, promote engagement in healthy activities rather than focusing solely on abstinence from substances. This holistic approach emphasizes that the opposite of addiction is connection, which helps individuals find belonging and support outside of traditional frameworks.
The Evolution of Psychedelic Therapy in Recovery
The discussion surrounding the incorporation of psychedelics into recovery practices is evolving, as evidenced by the growing acceptance of their therapeutic benefits. While some in traditional recovery circles may be hesitant, there is a rising acknowledgment of psychedelics as tools for healing and self-exploration. This change reflects a broader shift towards personalized and innovative approaches in mental health treatment, which can offer profound benefits. Continued dialogue as well as research into psychedelics' role within recovery is essential for dispelling stigma and unlocking new pathways for those seeking help.
In this episode, Joe interviews Dan Ronken: licensed professional counselor and addiction counselor with a private practice in Boulder, CO, called Inclusion Recovery, and lead trainer and facilitator for the Integrative Psychiatry Institute (IPI).
He tells his story of going from a sponsored BMX racer to three stints in rehab before the age of 14, and what he’s learned from his experiences in recovery over the years: that there is a wide range of what ‘in recovery’ actually means, that abstinence-only and 12-step models don’t work for many, that connection and community – and consistency in both – are enormous parts of what actually leads to overcoming an addiction, and more. As recovery communities cautiously begin to talk about psychedelics, he highlights the importance of nuance in understanding addiction, the need for open-mindedness toward new therapeutic approaches, and the need for diverse support networks that welcome discussions around psychedelics.
He talks about:
Inducing alcohol cravings before an intramuscular ketamine shot as a way of using neuroplasticity to rewire the brain’s relationship with alcohol
How Bill Wilson, co-founder of Alcoholics Anonymous, benefitted greatly from LSD in the 50s, and how Ronken originally scoffed at such a concept
The growing visibility of psychedelics in popular media, as seen in shows like “Loudermilk” and “Ted Lasso”
The benefits of sober communities coming together for active and healthy activities