MAT (Medication-Assisted Treatment) full landscape
If you have opioid use disorder, medication is the actual treatment. Not therapy first, not 12-step first, not the white-knuckle abstinence approach that’s been the default for forty…
Jun 1, 2026
Naltrexone for alcohol
Naltrexone is the medication that gets prescribed more than any other for alcohol use disorder in clinics that actually know what they’re doing, and it’s the one most…
Jun 1, 2026
Vivitrol (extended-release naltrexone)
Vivitrol is naltrexone in a syringe, given once a month in your butt. That’s the whole pitch. If you’ve read the naltrexone post, you already know what the…
Jun 1, 2026
The Quiet Damage Addiction Does to the People Closest to Us
Addiction doesn’t just live in a person’s body. It moves into the spaces between people. It slips into marriages, friendships, co-parenting, business partnerships, group chats, dinner tables, and…
Nov 10, 2025
You Already Know You Have a Problem
If you’re reading this and wondering whether your drinking is a problem… it is. You wouldn’t be reading this otherwise. People without a problem don’t sit on the…
Sep 15, 2025
Sobriety Isn’t the Hard Part (It’s Everything After)
People think getting sober is the hard part. Yeah, detox sucks, early sobriety is uncomfortable, breaking the actual habit is genuinely difficult… that’s not what pulls people back…
Aug 25, 2025
Men’s Health
Men don’t usually walk into a psychiatrist’s office and say they’re depressed. They walk in because their wife told them to, or because they’re drinking more than they…
Aug 20, 2025
Addiction Treatment
Addiction is what happens when the brain’s reward wiring gets hijacked. There’s a circuit that’s supposed to push you toward food, sex, novelty, your kid’s face, the things…
May 31, 2025
Why “Rock Bottom” Is Bullshit
Rock bottom is bullshit. The idea that addicts and depressed people have to lose the marriage, lose the job, lose the house, get the DUI, wake up in…
May 6, 2025
The Real Reason You Keep Self-Sabotaging
People sabotage themselves constantly and they can’t tell you why. Get within sight of something working out and they blow it up. Six months sober, the marriage is…
Apr 30, 2025