All Writing

All Writing

Treatment · 8 min read

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
Medications · 9 min read

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
Medications · 8 min read

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
Treatment · 10 min read

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