July 13, 2018 Countless people have had their lives positively transformed by addiction treatment. But tragically, this is not the norm. Despite decades of advancements in science, pharmacology, and technology, the continuum of evidence-based addiction treatment services remains largely unavailable to those in need. The addiction treatment system is hindered by fragmentation, outdated treatment(……)

In my early career, I was adamant about abstinence as the only viable solution to alcohol and other drug (AOD) problems—problems that I then universally framed as “addiction.” At that time, declaring that moderated use was a legitimate, potentially effective strategy for some people with AOD problems would have been tantamount to waving the proverbial(……)

People addicted to alcohol and other drugs see the world differently. They SEE the world differently as a result of neurocognitive changes in perception that accelerate in tandem with increased tissue tolerance, increased intensity of cellular hunger (craving), and the resulting obsession with maintaining the drug relationship at all costs. As drug seeking, drug procurement,(……)

One of the benefits of working on multiple projects is that seemingly unconnected areas of study can create amazing synergies when they cross the same space. One such breakthrough in my career occurred in the 1990s. My organizational work had kindled an interest in how individuals sustained exemplary performance and health in high stress human(……)