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The Addiction Solution: Treating Our Dependence on Opioids and Other Drugs

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A groundbreaking examination of addiction from a psychiatrist and public health doctor, offering practical, proven solutions for individuals, families, and communities dealing with substance use and abuse. Written with warmth, accessibility, and vast authority, The Addiction Solution is a practical guide through the world of drug use and abuse and addiction treatment. Here, A groundbreaking examination of addiction from a psychiatrist and public health doctor, offering practical, proven solutions for individuals, families, and communities dealing with substance use and abuse. Written with warmth, accessibility, and vast authority, The Addiction Solution is a practical guide through the world of drug use and abuse and addiction treatment. Here, Lloyd I. Sederer, MD, brings together scientific and clinical knowledge, policy suggestions, and case studies to describe our current drug crisis and establish a clear path forward to recovery and health. In a time when so many people are affected by the addiction epidemic, when 142 people die of overdoses every day in the United States, principally from opioids, Sederer’s decades of wisdom and clinical experience are needed more than ever before. With a timely focus on opioids, Sederer takes us through the proven essentials of addiction treatment and explains why so many of our current policies, like the lingering remnants of the War on Drugs, fail to help drug users, their families, and their wider communities. He identifies a key insight, often overlooked in popular and professional writing about addiction and its treatment: namely, that people who use drugs do so to meet specific needs, and that drugs may be the best solution those people currently have. Writing with generosity and empathy about the many Americans who use illicit and prescribed substances, Sederer lays out specific, evidence-based, researched solutions to the prevention and problems of drug use, including exercise, medications, therapy, recovery programs, and community services. In this challenging time, The Addiction Solution provides practical help, comfort, and hope.


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A groundbreaking examination of addiction from a psychiatrist and public health doctor, offering practical, proven solutions for individuals, families, and communities dealing with substance use and abuse. Written with warmth, accessibility, and vast authority, The Addiction Solution is a practical guide through the world of drug use and abuse and addiction treatment. Here, A groundbreaking examination of addiction from a psychiatrist and public health doctor, offering practical, proven solutions for individuals, families, and communities dealing with substance use and abuse. Written with warmth, accessibility, and vast authority, The Addiction Solution is a practical guide through the world of drug use and abuse and addiction treatment. Here, Lloyd I. Sederer, MD, brings together scientific and clinical knowledge, policy suggestions, and case studies to describe our current drug crisis and establish a clear path forward to recovery and health. In a time when so many people are affected by the addiction epidemic, when 142 people die of overdoses every day in the United States, principally from opioids, Sederer’s decades of wisdom and clinical experience are needed more than ever before. With a timely focus on opioids, Sederer takes us through the proven essentials of addiction treatment and explains why so many of our current policies, like the lingering remnants of the War on Drugs, fail to help drug users, their families, and their wider communities. He identifies a key insight, often overlooked in popular and professional writing about addiction and its treatment: namely, that people who use drugs do so to meet specific needs, and that drugs may be the best solution those people currently have. Writing with generosity and empathy about the many Americans who use illicit and prescribed substances, Sederer lays out specific, evidence-based, researched solutions to the prevention and problems of drug use, including exercise, medications, therapy, recovery programs, and community services. In this challenging time, The Addiction Solution provides practical help, comfort, and hope.

30 review for The Addiction Solution: Treating Our Dependence on Opioids and Other Drugs

  1. 5 out of 5

    Hasini | bibliosini

    The Addiction Solution is an introduction to substance use disorders and abuse. Dr Sederer goes through a very thorough report on the past, the present, and what we can/should expect of the future. I found its historical facts very interesting and I obviously didn't know most of those bits. Yes, it was mostly based on the US culture, so I was left very curious about the rest of the world by the time I finished reading. I found the medical facts very introductory, which fits the lay people Dr Sede The Addiction Solution is an introduction to substance use disorders and abuse. Dr Sederer goes through a very thorough report on the past, the present, and what we can/should expect of the future. I found its historical facts very interesting and I obviously didn't know most of those bits. Yes, it was mostly based on the US culture, so I was left very curious about the rest of the world by the time I finished reading. I found the medical facts very introductory, which fits the lay people Dr Sederer was aiming at, but there were some bits that I think would require a medical background to fully grasp. My favourite bits were when he went through the areas that await more research; I found those to be very informative to me and left me intrigued. Overall, this book is a succinct introduction to substance use disorders and abuse with easy to understand language and interesting historical facts that add substance to the crisis.

  2. 4 out of 5

    Tree

    I liked the discussion of the underlying reasons for addiction in our society and that the best solution is prevention. We need to prevent ACEs - Adverse Childhood Experiences - such as abuse, neglect, poverty. We currently use consequences and control to combat addiction, costly approaches that aren't working. I liked the examples of people who got addicted and why. Billie Holiday's story is the saddest story ever. The rest of the book is uneven and pithy, giving the same old unhelpful advice o I liked the discussion of the underlying reasons for addiction in our society and that the best solution is prevention. We need to prevent ACEs - Adverse Childhood Experiences - such as abuse, neglect, poverty. We currently use consequences and control to combat addiction, costly approaches that aren't working. I liked the examples of people who got addicted and why. Billie Holiday's story is the saddest story ever. The rest of the book is uneven and pithy, giving the same old unhelpful advice of doing meditation, yoga, AA, and whatnot.

  3. 5 out of 5

    Gabbi Levy

    My interview with Dr. Lloyd Sederer: AN OPIOID EPIDEMIC IS ravaging the nation, and American families, public health officials and lawmakers are in search of solutions that can both stem the tide of legal and illegal drugs flooding their communities and provide effective, accessible methods to help release those hooked from the grip of addiction. In his new book, psychiatrist and the chief medical officer of the New York State Office of Mental Health Dr. Lloyd Sederer, describes the scope of the c My interview with Dr. Lloyd Sederer: AN OPIOID EPIDEMIC IS ravaging the nation, and American families, public health officials and lawmakers are in search of solutions that can both stem the tide of legal and illegal drugs flooding their communities and provide effective, accessible methods to help release those hooked from the grip of addiction. In his new book, psychiatrist and the chief medical officer of the New York State Office of Mental Health Dr. Lloyd Sederer, describes the scope of the challenges that make addiction so tough to shake, as well as research-tested methods for prevention and treatment. Sederer recently spoke with U.S. News about the path to recovery and why lawmakers should abandon failed policies. Excerpts: The country is suffering one of its worst drug epidemics in the opioid crisis. How would you rate the Trump administration's response? Ineffective strategies have unfortunately had a bit of renaissance in the current administration. I like a quote from Winston Churchill: "You can rely on Americans to do the right thing after they've tried everything else." We have the right things, and we have proof that they work. We're just not using them because we're spending so much energy – programmatic energy, policy, money – on two principally failed strategies, one I call control and the other, consequences. Probably the most glaring example of control is Prohibition, trying to prevent people from getting what they want. Good luck with that; that failed miserably, but it did create an everlasting mafia. Then you fast forward a number of decades and [President Richard] Nixon coins the term "War on Drugs," and that was carried forward by [President Ronald] Reagan. The idea was that you could actually wage war on substances. Lately, it's been – let's amp up law enforcement to deal with the opioid epidemic, let's amp up enforcement, let's give more money to cops to arrest people. The attorney general says 'let's use our federal laws that make cannabis illegal, go to states where it's a legal recreational drug and arrest those people and maximize this sentences.' This is so dated and useless. Consequences means scare tactics. 'This drug's going to kill you, this drug's going to fry your brain!' So this is public service announcements, media ads and sending cops or convicted felons to schools to scare kids. That's totally ineffective and in fact the irony is when you use scare tactics with teenagers, they're drawn to it. The teenage brain is neurologically wired towards novelty and risk. Why do we keep returning to these strategies, if, as you say, they don't work? Some of it is ideological. Some of it is an example of just how ineffective government has been. There's not a small number of people who believe, still, addiction is a weakness, it's a character problem, and you don't coddle people like that, you throw the hammer on them. The prospect of giving good money to people who didn't do their share, that's a very conservative position. Why should we support people who don't contribute? And in this case, not only don't contribute but deplete the public treasury, or steal or prostitute themselves, mostly to get a fix so they don't go into withdrawal. There are very strong moral forces, and this is a very puritanical country still. So this idea of coming down hard on drug users or drug dealers, execute them, as the president said in some talk not too long ago. There's also a touch of racism about this, because when you look at the demographics of people in prisons in the United States – we have the highest rate of imprisonment in the world by far – they're people of color and poor people, and a good portion of them are there for nonviolent crimes. People don't realize that the hammer will start to fall on Ohio, and Pennsylvania, and New Hampshire, and Vermont, and southern Massachusetts – epicenters of the opioid epidemic – which are white and middle America. Read the rest of the interview here.

  4. 5 out of 5

    QaaEmes

    This review has been hidden because it contains spoilers. To view it, click here. “What we cannot understand, what is alien to us, evokes disquiet and triggers critical judgement.” Take home messages dari buku: 1. Dianggarkan dalam 100billion diperuntukkan untuk aktiviti-aktiviti menumpaskan dadah seluruh dunia termasuklah cubaan nak hapuskan drug cartel. 2. Tetapi sedikit pun “war on drugs” ni tak bagi kesan kepada penghapusan dadah. Malah, keluarga-keluarga miskin contohnya di Mexico semakin terhimpit akibat crop eradication tanpa memberikan sebarang kerugian kepada drug ca “What we cannot understand, what is alien to us, evokes disquiet and triggers critical judgement.” Take home messages dari buku: 1. Dianggarkan dalam 100billion diperuntukkan untuk aktiviti-aktiviti menumpaskan dadah seluruh dunia termasuklah cubaan nak hapuskan drug cartel. 2. Tetapi sedikit pun “war on drugs” ni tak bagi kesan kepada penghapusan dadah. Malah, keluarga-keluarga miskin contohnya di Mexico semakin terhimpit akibat crop eradication tanpa memberikan sebarang kerugian kepada drug cartel; semakin ramai pengguna dadah dipenjarakan lantas menyebabkan masalah overcrowding di penjara dan akhirnya membuka ruang kepada penularan penyakit berjangkit; keruntuhan institusi kekeluargaan termasuk kesan psikologikal kepada anak-anak; kehilangan nyawa-nyawa yang tak bersalah akibat peperangan tak berasas dan yang paling penting stok dadah sentiasa ada. 3. Kita perlu faham kenapa seseorang menggunakan dadah kerana untuk sesetengah individu, “Substances serve a human purpose, serve a particular need.” Dan kita perlu faham apa tujuan tersebut. 4. Cara termudah adalah untuk katakan tidak kepada dadah. Just Say No. Tetapi cara ini tak praktikal sekiranya aspek-aspek kehidupan lain tidak diambil kira. “Social forces and biological disposition makes some people susceptible to drug use.” 5. Life circumstances; suasana seseorang itu dibesarkan, social environment. Setiap individu mempunyai life circumstances yang berbeza. Amatlah naive sekiranya kita katakan bahawa seseorang yang menggunakan dadah tu tidak ada willpower untuk katakan tidak. 6. Bagi mereka yang menggunakan dan kemudiannya bergantung kepada dadah, kebanyakkan mereka berhadapan dengan “adverse childhood experience” seperti domestic violence; physical dan emotional abuse; emotional and physical neglect; konflik di dalam rumah; pemenjaraan ibu atau bapa (the absence of parents) dan macam-macam lagi. Namun, ACEs selalunya tidak diketengahkan dalam aktiviti-aktiviti drug prevention. (Sila rujuk buku untuk prinsip-prinsip prevention yang lebih jelas, muka surat 70) 7. Rawatan. Rawatan adalah penting untuk membantu pengguna dadah henti menggunakan dadah atau mengurangkan penggunaannya supaya tidak menjadi dependent. 8. Contoh rawatan: spirituality, 12-step recovery, motivational interviewing, cognitive behavioural therapy, social skills training, terapi berkumpulan, family education, contingency management sebagai gantian reward system, rawatan pharmacotherapy bagi mereka yang menggunakan dadah jenis opioid (methadone, buprenorphine), harm reduction, dan sebagainya. 9. Masalah utama bukan sahaja di Malaysia malah hampir seluruh dunia: terlalu banyak dana diperuntukkan untuk menangkap dan memenjarakan pengguna dadah, tanpa penekanan ke atas rawatan. Lebih-lebih lagi kepada pengguna dadah yang keluar penjara; sokongan untuk integrate semula dalam masyarakat sangat kurang. 10. Polisi-polisi dadah perlu dikaji semula.

  5. 5 out of 5

    Andrew Bishop

    I found this to be informative and really delves into addiction and the problems it causes. Central to its message is the opioid crisis. The author then extends beyond that to some viable solution. Importantly the author highlights the not only the great injustice of discrimination to those suffering from addiction but also details the historical failures of the traditional 'War on Drugs'. The attacks on the addicts themselves as much victims as anyone. The book is full of powerful statements su I found this to be informative and really delves into addiction and the problems it causes. Central to its message is the opioid crisis. The author then extends beyond that to some viable solution. Importantly the author highlights the not only the great injustice of discrimination to those suffering from addiction but also details the historical failures of the traditional 'War on Drugs'. The attacks on the addicts themselves as much victims as anyone. The book is full of powerful statements supported by fact and logic. The following extract from Chapter 8: The Painted Bird summed up a lot of the messaging: "At this moment when substance use, abuse, and dependence have achieved epidemic proportions in this and many other countries, it is time to revisit, understand, and revise the damaging views so commonly held about people with addictions. As great as the stigma of mental illness is, the ill will toward people with substance abuse disorders is even greater. The results of this stigma, and its co-traveller discrimination, are seen in the alienation and injustices these individuals experience; in the human pain and emotional burdens they and their families endure; in the excessive use of the correctional system, which disproportionately and unfairly impacts people living in poverty and of colour; and in the wasteful expenditures of money and resources to fight a 'war' on drugs when we need an unrelenting campaign for inclusion, prevention, and treatment. By permitting stigma we sanction a society that mistreats its members and thereby erodes our human values". Serious food for thought and a wake-up call to how we address drugs and addiction.

  6. 5 out of 5

    Megan Mosley

    This book covers a lot of ground. Each chapter could be its own book, but I liked the broadness of it. Dr. Sederer discusses addiction in the context of American society at large, the context of the medical community, and the context of the individual, their family, and their treatment. There are enough brief case studies to keep it interesting. I also felt that what could have quickly become a politically motivated rant on policy was discussed with some nuance which demonstrated that solutions This book covers a lot of ground. Each chapter could be its own book, but I liked the broadness of it. Dr. Sederer discusses addiction in the context of American society at large, the context of the medical community, and the context of the individual, their family, and their treatment. There are enough brief case studies to keep it interesting. I also felt that what could have quickly become a politically motivated rant on policy was discussed with some nuance which demonstrated that solutions aren’t simple fixes. Overall very informative. I came away with more book recommendations, which I always appreciate.

  7. 5 out of 5

    Emily Anderson

    As an addictions professional (Licensed Professional Counselor and Licensed Addictions Counselor), I loved this book. It is accessible and less dry than many that exist. I found myself underlining passages and sharing information with the professionals I supervise. I appreciated the research and fact that was presented- these were more tangible ideas to further explore. The book addressed many things I already knew but also took it further to look into why certain treatment works and why others As an addictions professional (Licensed Professional Counselor and Licensed Addictions Counselor), I loved this book. It is accessible and less dry than many that exist. I found myself underlining passages and sharing information with the professionals I supervise. I appreciated the research and fact that was presented- these were more tangible ideas to further explore. The book addressed many things I already knew but also took it further to look into why certain treatment works and why others do not . I appreciated the focus on the individual- there is no ones size fits all treatment. In general Dr. Sederer is an expert in the field and is worth listening to.

  8. 4 out of 5

    Joshua Lawson

    This is one of the best books on addiction from a medical professional that I've yet to read. Dr. Sederer handles the subject comprehensively, and he does not shy away from denouncing the ignorance of America's War on Drugs. May his tribe increase. This is one of the best books on addiction from a medical professional that I've yet to read. Dr. Sederer handles the subject comprehensively, and he does not shy away from denouncing the ignorance of America's War on Drugs. May his tribe increase.

  9. 5 out of 5

    Rick Presley

    This is one of the clearest clinical discussions of the addiction crisis in the US. Rather than concentrating on opioid abuse, he covers all abused substances. A must read for anyone wanting to be informed about addiction treatment.

  10. 4 out of 5

    Monica C.

    This was more like 3.5 for me. Very broad overview of various addictions problems, interesting and informative but not profound. I was looking for a bit more I suppose.

  11. 4 out of 5

    Hazel

    I enjoyed that this book emphasized the benefits of meditation :)

  12. 5 out of 5

    Erin

    Couldn't hold my attention. A dry book with good material, it's hard to get through and is a bit unstructured Couldn't hold my attention. A dry book with good material, it's hard to get through and is a bit unstructured

  13. 5 out of 5

    Anna

  14. 4 out of 5

    Liv Fragoso

  15. 4 out of 5

    Scott Boyd

  16. 4 out of 5

    Laurabooks

  17. 4 out of 5

    Allison Penton

  18. 5 out of 5

    Moni

  19. 4 out of 5

    Melissa Kazdoy

  20. 4 out of 5

    Anna Yusim

  21. 4 out of 5

    Lainey

  22. 4 out of 5

    Paras Nanavati

  23. 5 out of 5

    Anna Craig

  24. 4 out of 5

    Chris Carter

  25. 4 out of 5

    Heather

  26. 5 out of 5

    Sabrina Seheri

  27. 5 out of 5

    Sasha

  28. 4 out of 5

    Allison

  29. 5 out of 5

    Tanya Castaneda

  30. 4 out of 5

    Elaine

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