tag:blogger.com,1999:blog-6154923121857389373.post2691649502736461681..comments2023-07-07T05:11:26.707-05:00Comments on Substance Matters: Benzos for Recovering People?Mark Willenbring, MDhttp://www.blogger.com/profile/10556707753571367243noreply@blogger.comBlogger5125tag:blogger.com,1999:blog-6154923121857389373.post-74097026700593725682012-04-29T17:32:51.554-05:002012-04-29T17:32:51.554-05:00On a side note, has there been any investigation o...On a side note, has there been any investigation of Baclofen as an anti-craving/anti-reinforcing drug for the benzodiazepine dependent? I have heard anecdotal reports of individuals having been prescribed large doses of Baclofen, then being switched over to a benzo, and finding that the usual reinforcing effects (high) of the benzos are completely gone. Any thoughts?Matthew Wolmutt, MSW, LICSWhttps://www.blogger.com/profile/05548406996931210622noreply@blogger.comtag:blogger.com,1999:blog-6154923121857389373.post-42529959062064911632012-04-18T21:26:22.287-05:002012-04-18T21:26:22.287-05:00What about non drug treatments, like EEG Biodfeedb...What about non drug treatments, like EEG Biodfeedback, for anxiety?Timothy Harringtonhttp://sustainablerecovery.weebly.com/index.htmlnoreply@blogger.comtag:blogger.com,1999:blog-6154923121857389373.post-49144967848325950922012-04-12T03:05:14.408-05:002012-04-12T03:05:14.408-05:00I just wanted to add a comment here to mention tha...I just wanted to add a comment here to mention thanks for you very nice ideas. Blogs are troublesome to run and time consuming thus I appreciate when I see well written material. Your time isn’t going to waste with your posts. Thanks so much and stick with it No doubt you will definitely reach your goals! have a great day!Vancouver Chiropractorhttp://www.performancehealthgroup.canoreply@blogger.comtag:blogger.com,1999:blog-6154923121857389373.post-43099499861034850012012-03-29T12:58:34.565-05:002012-03-29T12:58:34.565-05:00Regarding Dr. Dawson's comment that "it i...Regarding Dr. Dawson's comment that "it is fairly common in clinical practice to observe that brief prescriptions of intoxicants trigger relapse even [in] people who have been sober for many years", I wonder how much of this is because of the "abstinence violation effect" and a self-fulling prophecy? That is, people relapse because of the widespread practice of being told they will relapse if they use any substance that holds the potential for dependence – rather than being educated about how to use the medication in an appropriate way and to be monitored for abuse.Anne Fletcher, MS, RD, Author, Sober for Goodhttp://www.annemfletcher.comnoreply@blogger.comtag:blogger.com,1999:blog-6154923121857389373.post-9029193866822205222012-03-27T17:09:39.280-05:002012-03-27T17:09:39.280-05:00There has been evidence showing that benzodiazepin...There has been evidence showing that benzodiazepines don't add anything in terms of the usual polypharmacy environment that is used to treat mood and psychotic disorders. There is also the neurobiological argument that the dynamics of the reward system are nondiscriminatory in terms of pharmacological inputs. It is fairly common in clinical practice to observe that brief prescriptions of intoxicants triggering relapse even people who have been sober for many years. There is also the group of folks who clearly have tolerance to the therapeutic effect and at high doses are as symptomatic as when they were started on the original drug. The problem seems to be that we cannot predict which people have these responses at baseline any more than we can predict who will have euphoria and hypomania from initial doses of opioids. It would be easier to use the appropriate medication if we knew the person taking it was at low risk for tolerance to the therapeutic effect and addiction.George Dawson, MD, DFAPAhttps://www.blogger.com/profile/03474899831557543486noreply@blogger.com