The Addicted Mind Podcast

Duane Osterlind, LMFT
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Aug 15, 2019 • 46min

69: Medication-Assisted Addiction Treatment with Cynthia Schmit

Cynthia Schmit is an advocate for medication-assisted treatment of addictions who would love to see healthcare providers informing their patients of all of the options for treating their addictions. On this episode of The Addicted Mind podcast, Cynthia talks with us about the physiology of addiction and the need for education regarding medication-assisted treatment.Join The Addicted Mind Podcast Facebook Group>>>In her early 20’s, Cynthia found herself using every recreational drug that someone put into her hand, quickly progressing from marijuana to heroin and beyond. She found herself wanting to quit often, attempting to detox on her own at least 5 times before she completed a 28-day methadone detox and a 6-month 12-step recovery program. During her time in rehab, the knee-jerk reaction of providers was “you don’t treat drug addiction with drugs,.” Medication-assisted treatment was not presented as an option to her. She got married a few years into her recovery.Calming The Addicted Mind - 6 Day Mindfulness Email Seriestheaddictedmind.com/mindfulnessShe then moved to the east coast where she completed her bachelor’s degree in behavioral science and her master’s in social work at Columbia. While at Columbia, she started volunteering at the buprenorphine program, of which she eventually became the managing director. With her experience working with treatment providers and drug manufacturers, Cynthia came to understand precisely how drugs like buprenorphine and methadone can assist in treating drug addictions.Physiologically, consuming drugs is tied to the rewards circuitry of the brain, which was intended to support behaviors that support survival, such as eating. Drugs, of course, do not promote survival, but since they are tied to the rewards center of the brain, the brain develops a belief that they are necessary for survival, which is why withdrawals are so difficult and painful.Episode Linktheaddictedmind.com/69This is why medication-assisted treatment can be so effective in immediately providing moments of clarity to individuals who are addicted as well as helpful in avoiding potential relapses. Every person is different, and Cynthia’s goal is to have every healthcare provider and treatment center educated about all of the options available for individuals’ treatment plans so they can make the best decisions and recommendations for each patient. This involves the proper way to use medications like buprenorphine as well as how to effectively get off of those medications if and when the time comes.Cynthia wants everyone to know that there is hope. Advocate for yourself by being well-informed and committing to putting in the work necessary to get into and remain in recovery. You are worth recovery.Support this podcast at — https://redcircle.com/the-addicted-mind-podcast/donations Learn more about your ad choices. Visit megaphone.fm/adchoicesSee Privacy Policy at https://art19.com/privacy and California Privacy Notice at https://art19.com/privacy#do-not-sell-my-info.
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Jul 22, 2019 • 27min

68: Talking Suicide with Ursula Whiteside

On this episode of The Addicted Mind podcast, Duane interviews Dr. Ursula Whiteside, a clinician, researcher, and trainer in the area of suicide prevention. Ursula struggled with her suicidal thoughts throughout her life, and in 1999, she moved to Washington state to learn from Marsha Linehan, the creator of DBT (dialectical behavior therapy). Suicide is the 2nd leading cause of death in some age groups and is more prevalent than car accidents, homicides, and breast cancer. Beyond these statistics, it is estimated that 10 million Americans every year have suicidal ideation.Join The Addicted Mind Podcast Facebook Group>>>The exciting thing is that this overwhelming emotional crisis that can lead to suicidal ideation is not sustainable in the brain for more than 48 hours. So while people are within this timeframe, it often feels like things will always be this bad and that there is no hope. While it might not be helpful for them to think that they might feel this way for a couple of days, it might be beneficial for them to know that they will only feel this way for a couple of days at most. When Ursula talks with someone amid their suicidal ideation, she tells them to wait until this suicidal period passes before deciding to act on their ideation.Calming The Addicted Mind - 6 Day Mindfulness Email Seriestheaddictedmind.com/mindfulnessThere are a few simple things that someone in an overwhelming emotional crisis can do: (1) try to describe what is happening, (2) practice mindfulness by being in touch with your emotions, and (3) submerge your face in cold water for 20 seconds at a time for 3-5 minutes. For friends and family members, it can be helpful to know how to respond to their loved one’s thoughts and feelings. The best way to support them is by listening to them, taking care of them, and just being there for them. Suicidal thoughts are not uncommon, especially during adolescence, and in addition to DBT and ongoing conversations with your physician, the Now Matters Now website is an excellent resource for learning how to cope with difficult emotions and how to get through an overwhelming emotional crisis step-by-step.Episode Linktheaddictedmind.com/68Ursula wants everyone struggling with suicidal thoughts that you can make plans for things to be different. You don’t have to believe your thoughts, and you can reach out for help in navigating these. Support this podcast at — https://redcircle.com/the-addicted-mind-podcast/donations Learn more about your ad choices. Visit megaphone.fm/adchoicesSee Privacy Policy at https://art19.com/privacy and California Privacy Notice at https://art19.com/privacy#do-not-sell-my-info.
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Jul 8, 2019 • 26min

67: If You Love Me: A Mother's Journey Through Her Daughter's Opioid Addiction with Maureen Cavanagh

Our guest on this episode of the Addicted Mind podcast is Maureen Cavanagh, author, and founder of Magnolia New Beginnings. Maureen’s family had a long history of addiction, but since she was not personally prone to addiction, she thought that she knew the formula to help keep her kids away from addiction as well. However, her world was suddenly shaken when one of her daughters came to her to admit that she had been experimenting with heroin.Join The Addicted Mind Podcast Facebook Group>>>Even living in an upper-middle-class neighborhood, opioids were not difficult for her daughter to find, and once she tried heroin for the first time, the road to sobriety and recovery proved to be steep. Just when Maureen thought her daughter had a handle on her addiction, it would rear its ugly head again, and she would see just how much of a hold it had on her precious child, who was now an adult. Maureen did what she believed any good parent would do: she dropped everything and rushed to her daughter’s aid, providing her with whatever she needed and paying for her to get into a treatment center again.She found out that her daughter had a “friend” who was providing her with the drugs, protecting her from her family when they came looking for her, and reviving her if and when she overdosed. Even with this barrier between them, Maureen knows of 13 times when her daughter was admitted to the hospital after an overdose, and at least 40 separate stints at treatment centers before something finally clicked.Calming The Addicted Mind - 6 Day Mindfulness Email Seriestheaddictedmind.com/mindfulnessMaureen realized that she was on her journey during this time, which was intended to be separate from her daughter’s journey. The more Maureen tried to hold on and help her daughter get out of whatever situation she was in at the time, the farther away her daughter seemed to drift. However, when Maureen was able to let go and provide her daughter with some space, not jumping to her rescue but rather empowering her daughter to rescue herself, that was the moment when her daughter started getting better.Episode Linktheaddictedmind.com/67Somewhere after treatment center #40, the rehab took, and for the past two years her daughter has been sober with the help of her family, her therapist, her recovery coach, and her community. Maureen went against her instinct to keep family business private when she was approached by a publishing agent about sharing her story, and the hundreds of people who have messaged her since the book came out are proof that the world needed to hear the truth about what it is like to be the parent of an addict. In addition to her book, Maureen provides resources and support groups through her non-profit, Magnolia New Beginnings, which is impacting tens of thousands of people.Support this podcast at — https://redcircle.com/the-addicted-mind-podcast/donations Learn more about your ad choices. Visit megaphone.fm/adchoicesSee Privacy Policy at https://art19.com/privacy and California Privacy Notice at https://art19.com/privacy#do-not-sell-my-info.
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Jun 21, 2019 • 31min

66: Creating Positive Self-Connection with Tim Sitt

Our guest on this episode of The Addicted Mind podcast is Tim Sitt, a clinician at the Freedom to Move Group who shares Duane’s appreciation of Virginia Satir’s work. Virginia Satir was cutting-edge in the 1960s when she moved away from the “traditional” psychoanalytic model and practices that perpetuated the hierarchical narrative that had become the norm in therapy. Her work is still revolutionary in that clinicians using her techniques bring in all of the pertinent members of the person’s family to address every member as having equal value and potentially remove the risk of redacting progress made with the individual during a session when they go back to their home environment, which may have caused them to turn to coping in the first place.Join The Addicted Mind Podcast Facebook Group>>>People struggling with addiction often feel shame and no sense of self-worth, but this model aims to bring dignity to the person rather than harping on their behavior or pattern leading them to addiction. This could be the first safe space where they have been encouraged to explain themselves and evaluate why they are doing what they are doing. It gets down to the roots of the self, life, energy, and value. Perhaps pain or trauma in their past has led them to develop this inner dialogue of disconnection to self because they believe they are worthless. Satir’s work set up a system where the person realizes that they are not the problem and they can feel hopeful in connecting to their true self in the present moment.Calming The Addicted Mind - 6 Day Mindfulness Email Seriestheaddictedmind.com/mindfulnessOften, people react to circumstances with “I am…” statements that ultimately draw conclusions from the external stimuli about who the person is. This is frequently very unhealthy and the cause of many underlying issues that lead to addiction or other coping mechanisms. It ultimately comes down to these two questions: What do you believe about yourself? What do you believe about relationships? The way the individual answers these questions shed a lot of light on the presence or lack of self-connection. It is important to create a space between the identity and the behavior in order to truly begin the self-connection journey.Episode Linktheaddictedmind.com/66Support this podcast at — https://redcircle.com/the-addicted-mind-podcast/donations Learn more about your ad choices. Visit megaphone.fm/adchoicesSee Privacy Policy at https://art19.com/privacy and California Privacy Notice at https://art19.com/privacy#do-not-sell-my-info.
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Jun 7, 2019 • 30min

65: Ketamine IV Therapy with Michael Steuer

Our guest on this episode of The Addicted Mind podcast is Dr. Michael Steuer of the Pacific Ketamine Institute in Los Angeles. Dr. Steuer’s training and practice have mainly been in the areas of anesthesia and pain management, but for the past 5+ years, he has shifted his focus somewhat to the use of ketamine to treat depression, mood disorders, addiction, and chronic pain.Join The Addicted Mind Podcast Facebook Group>>>Before 2013, when the effectiveness of ketamine for these purposes was discovered, the main drugs to treat depression and mood disorders such as PTSD were SSRIs and SNRIs (Selective serotonin reuptake inhibitors and Serotonin-norepinephrine reuptake inhibitors). While these medications were effective in temporarily treating the symptoms of depression and mood disorders, they often took weeks or months for patients to feel their effects and they often came with unpleasant side effects.Calming The Addicted Mind - 6 Day Mindfulness Email Seriestheaddictedmind.com/mindfulnessWhile ketamine has been abused by people for its hallucinogenic properties in high doses, it has been found that lower doses have minimal short-term side effects and patients typically begin feeling relief from their symptoms during the infusion or shortly thereafter. Even patients with “treatment-resistant” depression or chronic pain feel better almost immediately, and these feelings are sustained for weeks or months after each infusion. It is recommended that patients have 6 infusions over 2 weeks in order to jump-start their recovery and most patients continue to receive one infusion per month to maintain their results.Episode Linktheaddictedmind.com/65In the case of chronic pain, many people are prescribed narcotics or opioids, which essentially intercept the messages being sent from the body to the NMDA receptor of the brain which regulates mood and pain and the drugs themselves have addictive potential. Ketamine has proven to be more effective in modulating pain as well as addictive impulses, depression, and mood because it heightens the brain’s ability to recognize the signals being sent. This property causes ketamine to treat the root cause of the pain, rather than masking it like many opioids do. There are no known addictive properties of ketamine, making it safe for use in prescribed doses and frequencies, which may differ from person to person.Dr. Steuer’s message to listeners who are struggling with depression is that you don’t have to be alone or feel like you want to give up. Reach out, because there are people who want to help.Support this podcast at — https://redcircle.com/the-addicted-mind-podcast/donations Learn more about your ad choices. Visit megaphone.fm/adchoicesSee Privacy Policy at https://art19.com/privacy and California Privacy Notice at https://art19.com/privacy#do-not-sell-my-info.
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May 22, 2019 • 46min

64: Jacob's Recovery Story with Jacob Jones

On this episode, Duane interviews Jacob Jones, author of the book “Recovered” and former opioid addict. Jacob has had a very turbulent but not uncommon path from addiction to recovery, and his insights into what drove his attitudes and behaviors over the years are eye-opening to anyone who has never personally experienced addiction.Jacob grew up in Alabama, the son of a University of Alabama football player who spent several years playing professional football, so the desire to perform well athletically was instilled in Jacob at a young age. When he started playing football in 7th grade, it was clear that he had genuine talent, and the desire for acceptance and affirmation through achievement essentially became his first addiction. He was given the scholarship to play at the University of Alabama – a dream come true – and before he even took the field for his first practice, he was already dreaming of playing in the NFL.During his sophomore year, he had to take a medical release from football, essentially ending his football career and any hopes of playing professionally. He got pneumonia that year and became addicted to the hydrocodone cough syrup he was prescribed.Episode Linktheaddictedmind.com/64The confluence of all of these factors led to Jacob’s compulsive behavior of getting his hands on as many opiates as possible just to feel ok. He realized that he had a problem when he tried to stop taking the pills, and he experienced withdrawals. That day, he called his mom and told her everything. He went home and went through a 30-day rehab program, emerging with a renewed resolve to not get into drugs again. He justified increasing his drinking habit by saying that it wasn’t drugs, but before long, he found himself clutching opiates again.He was arrested for possession and went through a year of drug court, never convinced to stop doing drugs but rather convinced not to get caught again. As soon as his drug court was over, his addiction quickly became all-consuming, and he began to burn relationships with his friends and family in pursuit of getting his next fix.When he reached this breaking point, he gave all of his drugs to his parents and tried to break his addiction cold turkey. He suffered a psychotic break and was admitted to the CCU due to his dangerously high heart rate. He was then sent to the psych ward where he “came to” and realized how out of control things had gotten. After significant advocacy from his parents, the doctors finally released him after 3 weeks there. Just 4 months later, he took a job as a manager of a restaurant, and due to the intense stress and detrimental environment, he ended up getting wrapped up in opiates once again.At this point, his family had been trying to help him for 8-10 years, and despite their unconditional love for him, it was becoming unhealthy for them to continue supporting him. Jacob remembers being shaken to the core when his aunt told him that his family was not always going to be there unless something changed. He immediately went to a rehab facility in Florida, overcoming his fear of admitting he had a problem and reaching out for help.Now, Jacob is 3 years sober, and he is dedicating to helping others who are struggling with addiction by sharing his story. While he would never wish his situation on anyone, Jacob recognizes his journey as the biggest blessing imaginable because he can relate to so many people and share hope with them. He is now very involved in his church and participates in mission trips where he can share his story and just gain perspective on the world.To anyone struggling with addiction, Jacob’s message is: You are valuable and worthy. Your life right now might seem unfair and hopeless, but you can make the choice today to reach out for help. Your worst day can become your best day. Learn more about your ad choices. Visit megaphone.fm/adchoicesSee Privacy Policy at https://art19.com/privacy and California Privacy Notice at https://art19.com/privacy#do-not-sell-my-info.
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May 2, 2019 • 34min

63: Talking To Your Spiritual Wisdom with Harry Derbitsky

Harry Derbitsky, President of Advanced Coaches Training Inc. and author of “Evolution of Addiction Recovery”, joins us on this episode of The Addicted Mind. While Harry himself has never been addicted to a substance, he recognizes that there are addictive behavior patterns in every person, and he has committed his life to help reorient the minds of those affected by addiction.Join The Addicted Mind Podcast Facebook Group>>>During his time working with the indigenous people of Vancouver, Harry has found some common patterns: people want to leave their addiction, but they do not know how, many of the common strategies focus on personal effort, and working with clients on their internal condition first brings much more significant results. Harry uses a three principles model which includes mind, though, and consciousness and combines mental health and spiritual wisdom. With this model, the primary goal is to guide the client to find the answers within themselves, connecting to the spiritual and having their moment of insight, rather than continually trying to take in anything they are being taught. In this place, they will finally feel the relief that they have been trying to find through their addiction all this time. But now, they have experienced it in authenticity and satisfaction, and they will want to stay there rather than going back to the patterns of thinking and behavior that lead them away.Calming The Addicted Mind - 6 Day Mindfulness Email Seriestheaddictedmind.com/mindfulnessFrom the therapist’s standpoint, it is most useful to give them the space to find what they need internally and help them process what they are experiencing, perhaps sharing some of your own experiences of what you have seen. It is also essential to understand and remember that thought creates feeling and feeling creates form. This process is one of the driving forces of addiction, but it can also be the golden ticket out of the addictive behavior pattern. You should focus on talking about their health rather than something being “wrong with them” and recognize that even though the topic is severe, you don’t have to be serious about it.Episode Linktheaddictedmind.com/63Harry encourages people who want more information about the three principles or other aspects of his philosophy towards addiction treatment to visit his website.Support this podcast at — https://redcircle.com/the-addicted-mind-podcast/donations Learn more about your ad choices. Visit megaphone.fm/adchoicesSee Privacy Policy at https://art19.com/privacy and California Privacy Notice at https://art19.com/privacy#do-not-sell-my-info.
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Apr 11, 2019 • 23min

62: Shatterproof Transforming Addiction Treatment with Samantha Arsenault

Our guest on this episode of The Addicted Mind podcast is Samantha Arsenault, Director of National Treatment Quality Initiatives at Shatterproof. Shatterproof is a nonprofit organization on a mission to improve addiction treatment through prevention, treatment, education, and advocacy. It was founded in 2014 by Gary Mendell, a businessman who lost his son to the disease of addiction and became passionate about helping other families navigate the broken addiction treatment system.Calming The Addicted Mind - 6 Day Mindfulness Email Seriestheaddictedmind.com/mindfulnessThe work of Shatterproof was additionally spurred on by the 2016 Surgeon General’s report that showed empirical evidence that substance use disorders and other addictions can be treated effectively, but there is a significant gap in care available. In response, Shatterproof established their National Principles of Care (https://www.shatterproof.org/shatterproof-national-principles-care) to provide individuals and families affected by addiction with some helpful guidelines about what to look for in an effective treatment program. In fact, they are using these National Principles of Care along with treatment program surveys, insurance claims data, and information about the consumer experience to create a rating system of treatment centers in certain states by 2020.Join The Addicted Mind Podcast Facebook Group>>>This rating system will be a treasure trove of critical information for those seeking treatment and a motivator for treatment centers to improve their best practices in order to best serve their clients. Sam gives the example of someone coming into the hospital for their initial diagnosis and treatment of diabetes. The hospital would not manage their medications, food intake, and activities for 28 days and then send them back home with no resources, treatment plans, or follow up. The same should be true for those being treated for addiction. They should receive individualized treatment based on their specific needs, access to medications, and ongoing support.Episode Linktheaddictedmind.com/62Shatterproof sees a world where this is the nature of substance use disorder and addiction treatment and they are excited about the prospect of this type of treatment becoming a reality for everyone who needs it. For more information about the work of Shatterproof and resources to help you in your journey, visit their website.Support this podcast at — https://redcircle.com/the-addicted-mind-podcast/donations Learn more about your ad choices. Visit megaphone.fm/adchoicesSee Privacy Policy at https://art19.com/privacy and California Privacy Notice at https://art19.com/privacy#do-not-sell-my-info.
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Apr 5, 2019 • 32min

61: Brain Maps & The Mind with Kyle Ferroly

On this episode of the Addicted Mind Podcast, our guest is Kyle Ferroly, a specialist in the area of psychophysiology. Kyle is passionate about spreading his message about the connections between mind, brain, and body and the untapped potential of integrating brain mapping with physical and mental health practices. Calming The Addicted Mind - 6 Day Mindfulness Email Seriestheaddictedmind.com/mindfulnessMost people, even those in the medical field, do not realize the depth of knowledge that can be gained through the analysis of a brain scan. An electroencephalogram (EEG) simultaneously measures 19 channels of brain activity and speaks volumes about electrical imbalances in the brain that contribute to varying levels of connectivity, coherence, phase, and speed and impact the mind as well as behaviors. This test can reveal certain brain patterns that predispose people to addictions or anxiety and provide doctors with a whole picture of what is going on in the body. Without this psychophysiological aspect, it is difficult to get an accurate representation of why you do, think, and feel the things that you do in response to external stimuli.Join The Addicted Mind Podcast Facebook Group>>>Everyone can benefit from understanding how to regulate their nervous system and brain activity, but many people do not know about brain mapping or the connection between their body and their brain. Did you know that misfirings or imbalances in the brain can lead to physical tension, headaches, and breathing improperly? In order to truly thrive and gain or maintain your holistic health, it is imperative to understand what is really happening on all levels.Episode Linktheaddictedmind.com/61When it comes to the fight or flight response, many people have lived in this high state of stress for so long that they don’t even realize it, which makes it impossible for them to achieve normal functioning. Self-awareness is the first step in addressing any issues that may be uncovered during this process, and many mental health clinicians are beginning to integrate psychophysiological elements into clients’ treatment plans.Kyle is in the final stages of writing his book entitled “Check Your Blind Spot”, which outlines the 6 main blind spots that people have in looking at their overall health (body, mind, and brain). For more information go to theaddictedmind.com/61Support this podcast at — https://redcircle.com/the-addicted-mind-podcast/donations Learn more about your ad choices. Visit megaphone.fm/adchoicesSee Privacy Policy at https://art19.com/privacy and California Privacy Notice at https://art19.com/privacy#do-not-sell-my-info.
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Mar 7, 2019 • 27min

60: Helping Our Young People with Recovery Schools

On this episode of The Addicted Mind podcast, Duane is joined by two practitioners in and advocates for recovery high schools. Michael Durchslag leads PEASE Academy in Minneapolis and Andy Finch is an academic researcher in the field of recovery schools at Vanderbilt University and co-founder of the Association of Recovery Schools.Calming The Addicted Mind - 6 Day Mindfulness Email Seriestheaddictedmind.com/mindfulnessRecovery schools have been around since the late 1970s, but their growth has really started climbing in the past 20 years and there are currently 45 recovery schools in the US. Recovery schools provide a high school education and significant recovery support to students who are in recovery for a substance use disorder. Adolescents leaving rehab often find it difficult to maintain their sobriety when they return to the same home environment and school situation, so recovery schools are a great resource for students to learn and be specifically supported.Join The Addicted Mind Podcast Facebook Group>>>These students have likely not dealt with heightened emotional reactions that are normal for teenage development without turning to a coping mechanism, so recovery schools are set up to provide adequate resources to help them process what is going on without turning to their old habits. Additionally, since research has shown that adolescents are mainly motivated by their peers, it is ideal for students in recovery to also be surrounded by others who are on the same page, rather than those who may be a bad influence on them. This is a built-in form of accountability, but there are additional programs and structures within recovery schools that further support the students’ journeys.Recovery schools are typically day schools, so it is good for these students to have peers like them that they can spend their time outside of school with as well. There are also usually family support or community groups for the parents of the students to be involved in as well, since this journey is so impactful on the parents. In fact, many parents refer other families to recovery schools based on their positive experiences and the progress they have seen in their own children.Episode Linktheaddictedmind.com/60Mike and Andy have both seen incredible results from recovery schools and believe in this as the best option for the continuation of recovery care during the high school years. In fact, going through a recovery school sets students up for a great transition to one of the more than 100 collegiate recovery programs as they continue their education. For more information about recovery schools or to start the process of advocacy for a school in your area, check out the recoveryschools.org website or reach out to Mike and Andy through their contact methods below.Support this podcast at — https://redcircle.com/the-addicted-mind-podcast/donations Learn more about your ad choices. Visit megaphone.fm/adchoicesSee Privacy Policy at https://art19.com/privacy and California Privacy Notice at https://art19.com/privacy#do-not-sell-my-info.

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