Addiction2Recovery

91. Update

Mon, 01 Jun 2026 05:00:00 -0500

And we are back! After 9 months without publishing an episode, due to the busyness of life (listen for exciting news) and kids and careers, time got away from us. This episode will give you all an update on where we have been and what we have been doing, as well as give some hints as to future episodes! Thank you all for being such loyal listeners and for reaching out! We are so excited to be back as we work to move Addiction 2 Recovery!

For questions, comments, episode recommendations or requests or to learn more, email us at: Addiction2RecoveryPodcast@gmail.com
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90. Co-Occurring Disorders 101- The Chicken or the Egg Phenomenon

Sat, 23 Aug 2025 05:00:00 -0500

Following our episodes highlighting US Weekly's "The Missing Issue", this episode will dive deeper into the why and how behind co-occurring disorders. Often thought of as the which-came-first "The Chicken or the Egg", it is challenging to understand which-came-first, the mental health diagnosis or the substance use disorder. Ultimately, however, how much does it matter? The importance of discussing and highlighting co-occurring disorders lies in the need to have awareness and understanding and then the ability to fully and completely approach and treat both.

89. US Weekly- The Missing Issue- Co-Occurring Disorders Part 2

Wed, 06 Aug 2025 05:00:00 -0500

In this episode, we will discuss the remainder of The Missing Issue, US Weekly's homage to Co-Occurring Disorders, made possible by partnership with The Harris Project. Matthew Perry, Mac Miller, Cooper Noriega, Pete Davidson, Avicii, Aaron Carter and Demi Lovato's stories will be honored, as they each suffered from, lost their battle to, or live and thrive with not only a highly publicized substance use disorder but also a mental health diagnosis. Each of their stories highlights, in its own way, the importance of getting help for all diagnosis.

88. US Weekly- The Missing Issue- Co-Occurring Disorders

Tue, 22 Jul 2025 05:00:00 -0500

US Magazine released "The Missing Issue" special edition in March 2025, highlighting the other side of the story of celebrity substance use articles. Past articles where celebrities had either died of an overdose or had done something 'news worthy'. In this edition, however, the rest of the story is discussed, the 'why' behind the use- their co-occurring mental health diagnosis. US Weekly partnered with The Harris Project, a non-profit started by Stephanie Marquesano (mother of Harris, a 19-year-old who had co-occurring MH and SUD who had passed of an accidental overdose), focusing on prevention, integrated treatment, and support for co-occurring disorders. The Harris Project In this episode we will discuss: Juice Wrld, Liam Payne, Kelly Osborne, Drew Barrymore, Lamar Odom, Amy Winehouse, and Oscar De La Hoya.

Https://booksbyheatherbell.com

87. Tusi- Pink Cocaine

Mon, 16 Jun 2025 05:00:00 -0500

Tusi, originally getting its name from the synthetic compound 2C-B, also has been called 'pink cocaine' gets its name, as expected, from its distinctive pink color. This party drug, however, contains very little, if any, 2C-B or cocaine, rather, it is a cocktail of many other substances. The most common components are ketamine (and its precursor), MDMA, caffeine, meth, and, to add another level of risk, on occasion, fentanyl. In some places of the world, it is more desired than cocaine, and there's now an entire new world of underground enterprise and trafficking.

Happy Father's Day Replay- Josh's Son, Ben

Sun, 15 Jun 2025 12:00:00 -0500

You do NOT want to miss this episode! Every parent who suffers from the disease of addiction has guilt and shame surrounding their kids, but what do kids think? We have the absolute HONOR of having Josh's oldest son, Ben, on today. The episode will start with Josh describing his parenting before his use started, while he was using (and the 2 years he was completely absent), and now in recovery. He'll walk us through all of the emotions and how he often felt that his boys were better off without him. We will then hear it from Ben's perspective and how he, now 16, sees addiction as well as his dad. What does their relationship look like today?! You will hear what worked, what didn't, and other advice that will give parents, loved ones, and kids hope!

86. Trauma's Worth

Fri, 16 May 2025 05:00:00 -0500

We are back! In this episode, we will dive into trauma and healing as Josh interviews Heather about her new book, Trauma's Worth. Although this is Heather's memoir, it also dives into her thought process as she healed from her trauma's Heather uses her story to give hope to others and to shed light on the different ways we cope with trauma and the importance of healing from it with forgiveness and grace, of self most of all. To order Heather's book, or to read her blog posts, visit: https://booksbyheatherbell.com

85. Steps 4 and 5 With Scott

Mon, 28 Apr 2025 05:00:00 -0500

Josh welcomes Scott, our resident AA/NA expert, back to discuss steps 4 and 5. In Step 4, members are asked to make a fearless and moral inventory. Scott helps explain what it means to be fearless, what a moral inventory may look like, and why sponsors are particularly important in this step. In step 5, members are asked to "Admit to God, to ourselves, and to another human being the exact nature of our wrongs" (God is used as a symbol of something 'greater than ourselves' and is not exclusive to "God"). This episode will, hopefully, guide listeners through these, often believed to be some of the most challenging, steps.

84. Routes of Drug Use

Mon, 24 Feb 2025 05:00:00 -0600

There are many ways licitly (legally) and illicitly (illegally) medications (drugs) are used and abused. In this episode, we will review the various ways one can take and use medications and drugs as well as the differences between them from the physiological standpoint. In other words, why do the effects happen faster when used one way vs using another way.

83. AA Sponsorship with Scott

Wed, 19 Feb 2025 05:00:00 -0600

Scott joins Josh for this episode to continue the discussion about AA and the 12 Steps. An important part of the AA program is support, not just at meetings but also with those who have gone through the process, know the program, and have sustained recovery. Sponsors are a very important part of recovery for many people, and Scott, who has been a sponsor to many on their recovery journeys, discusses how sponsorship works and some of the intricacies he has picked up along the way.

82: AA- The Overview

Mon, 20 Jan 2025 05:00:00 -0600

Although we discussed the history of AA back in episode 67, this episode will give an overview of each of the 12 steps. We will have a discussion on how we each view each step and how the 12 steps can be applied to not only those in recovery or seeking recovery, but also for all people, as a guidebook of sorts for how we all should live our lives.

81. Harm Reduction with Alicia House

Mon, 13 Jan 2025 05:00:00 -0600

We are joined today by Alicia House, Executive Director of Steve Rummler Hope Network, an organization focused on overdose prevention, education and advocacy. From naloxone access points to distribution of fentanyl test strips to naloxone trainings to the creation of Steve's Law in Minnesota (in short, this law provides immunity to those who call 911 who are also using substances, for another person with them who has an overdose- encouraging monitoring and life-saving care for those with SUD), this organization has led the country in Harm Reduction. Learn more about this amazing organization at: www.steverummlerhopenetwork.org

80. Scott- From Music to AA

Fri, 06 Dec 2024 05:00:00 -0600

We are excited for Conroy Scott to join us on this episode. Scott experimented with many substances when he was younger, a natural fit as a very talented musician, this love he eventually gave up in order to find and maintain sobriety. That was just the first choice he made in his story that saved his life. He had to emotionally let go of many things from his past stating, "I don't want to be a victim of my past". Now, more than 20 years in recovery, he is a devoted AA member, participating in meetings daily, sponsoring many, and always leading with a positive acknowledgement of showing up. "The program is working if you are here."

79. Wellbriety with Kateri Coyhis

Mon, 11 Nov 2024 05:00:00 -0600

We are honored to be joined in this episode by Kateri Coyhis, the director of Wellbriety. Wellbriety, and its overarching White Bison, focuses on 'going beyond being just sober--- it is whole-person wellness" focused on inclusion and universal human teachings. Wellbriety focuses on integration of the Native American culture (or through inclusivity any human idea of culture) into prevention, treatment and long-term recovery. The movement has continued to grow, as you will hear, and has added the additional foci of initiatives aimed at youth, reentry programs, communities in healing, the fatherhood initiative, Mending Broken Hearts (focused on grief, trauma and intergenerational trauma), and more, as they are always evolving and growing to meet the needs of the people.

78. Benzodiazepines 101- Part 1

Thu, 31 Oct 2024 22:00:00 -0500

Benzodiazepines ('benzos'), part of the sedative hypnotic class of drugs, are widely prescribed medications. They are, however, also a widely desired drug of abuse. Xanax, Valium, Ativan, and Klonopin (generic names respectively: alprazolam, diazepam, lorazepam, clonazepam) are the most commonly desired benzos, with xanax leading the pack due to its fast onset of action and high potency. Benzos are prescribed, most often, for anxiety and insomnia and are desired for these same relaxation and calming effects. What many people don't know, especially those who get these and take them as prescribed from their doctor, is that people become tolerant quite quickly and stopping them is not only difficult but also potentially life-threatening.

77. MOUD- Buprenorphine (Suboxone-Subutex-Sublocade) 101

Fri, 18 Oct 2024 13:00:00 -0500

On the last MOUD episode, we discussed Methadone (a full agonist opioid treatment for OUD) and Naltrexone (an antagonist treatment for OUD). In this episode, we will discuss Buprenorphine, which is a partial agonist opioid treatment for OUD. Buprenorphine, the sublingual name brands of Suboxone and Subutex and the injectable name brand of Sublocade, is becoming a mainstay of treatment for OUD. We will discuss the hows and whys of buprenorphine and what makes it a great treatment option.

76. Treatment (Drug) Courts

Sun, 13 Oct 2024 09:00:00 -0500

Treatment Court, also and formerly known as Drug Court, is a well-researched method for preventing recidivism (the revolving door of persons in and out of correctional institutions). Today we are joined by Aleesha Ward, the Treatment Court Coordinator for St. Louis County, MN. She will describe who can, and should, be involved in a treatment court, the team-based approached used in treatment court as well as what the program actually looks like. She states, "Jail does not work, we know that. These people are sick, they are high risk and high need." Treatment court uses a collaborative team effort to help stabilize and rehabilitate individuals so they are able to live as productive members of society in the short and long-term.

75. Medications for Opioid Use Disorder (MOUD)- Methadone and Naltrexone 101

Sun, 22 Sep 2024 05:00:00 -0500

After many requests, we are going to start diving into the different medications for opioid use disorder (MOUD). We will start with the basic 101 level overview of these medications, whereas future episodes will be much more detailed and nuanced. In this episode, methadone and naltrexone will be discussed. We will discuss how and why they work as MOUD as well as a few of the things that make each more or less appropriate for certain patients. Every person is different and there will be certain characteristics that make one MOUD 'better' for that patient vs. another. Ultimately, however, treating this disease is the goal, and MOUD is a part of treatment so understanding the how and why of each medication is very important.

74. The History of Medication Assisted Treatment (MAT)

Fri, 06 Sep 2024 05:00:00 -0500

Medication assisted treatment (MAT) has been a concept in medicine and society for around 300 years despite its seemingly recent debut with the rise of the opioid epidemic. This episode will kick off the next series we will embark on, MAT and MOUD (medications for opioid use disorder). We will discuss when the concept of MAT first originated and how it has evolved from a "magic elixir" treatment to a scientifically proven treatment concept. We will also touch on some of the more historic, and seemingly controversial, places and ways MAT was done and used. Future episodes will explore more of the details of the hows and the whys of the different types and options of MAT.

73. Methamphetamine 101- Part 5- Psychosis and Long-Term Effects

Wed, 24 Jul 2024 12:00:00 -0500

We will conclude our meth series with a fairly common, albeit not talked about enough, topic- Meth Psychosis. This psychosis encompasses many of the same symptoms as schizophrenia- hallucinations/delusions/paranoia/etc., and many of the risk factors do overlap. We will review these risk factors, as well as others, and discuss how patients present and can progress. Finally, we will talk about the long-term effects of meth use, including what meth withdrawal looks like. Please do not hesitate to reach out if you or a loved one suffers from meth use disorder and needs support!

72. Methamphetamine 101- Part 4- The Little Known Facts

Tue, 16 Jul 2024 05:00:00 -0500

WARNING- This episode may be TRIGGERING! This episode will educate all listeners on all things using meth. We will review common slang/street names for meth as well as for getting high on meth. This then evolves into the various routes for use of meth and explains [most/all of] the terminology associated.

71. Methamphetamine 101- Part 3- The Effects, The Legal, and Stigma

Thu, 04 Jul 2024 11:00:00 -0500

In this episode, we will bring you a variety of methamphetamine facts [and opinions!] We will start with some of the ways people who use (or have used) meth are judged and stigmatized against, then transition into some of the short- and long-term effects of the drug. Next, we will review Desoxyn, legal meth, and how and why it may be prescribed and what that may mean for a person prescribed it long term. Other tid-bits thrown in as well!

70. Methamphetamine 101- Part 2- The History

Fri, 28 Jun 2024 05:00:00 -0500

On part 2 of our meth series, we go way back to the beginning, from 1887 when Romanian chemist, Lazar Edeleanu, developed the 'first meth' (phenylisopropylamine) to the "new meth" P2P (phenyl-e-propranone). We will discuss how and why the first meth was produced, then explain how the rural clandestine meth labs operated and produced the 'old meth', and, finally, talk about TCOs (transnational criminal organizations) and their multi-BILLION dollar industry which is, arguably, destroying a staggering number of lives.

69. Methamphetamine 101- Part 1

Wed, 19 Jun 2024 10:00:00 -0500

Many people have assumptions about a person who uses meth, what meth is, and what it does to the body. In this new series, Methamphetamine 101, we will dive deeper into these, and other topics, surrounding this very stigmatized substance. In Part 1, we'll overview the "meth look" and the whys behind it (and debunk some un or part truths) as well as touch on some of the 'basics.'

68. Were They Loved- Suicide, Mental Health and SUD- with Pam Lanhart (Thrive!)

Sat, 01 Jun 2024 05:00:00 -0500

The golf world was shaken when recent PGA tour winner, Greyson Murray, ended his own life on May 24, 2024. To honor him and his family and their amazing words honoring the love Greyson had, in this episode we will discuss how to love a loved one in the midst of their disease of addiction or who is struggling with severe mental illness. Pam Lanhart, a mother of a son who lost his life to an unintentional overdose and the Executive Director of Thrive!, joins us for this conversation. How do we love, how to they feel loved, and how does this love look after a tragedy?

67. AA and the 12 Steps

Sat, 18 May 2024 05:00:00 -0500

"The Parable of an Alcoholic Who Was Stuck in a Hole and Could Not Find His Way Out" is the inspiration for this episode. We will first discuss the 'whys' of Alcoholics Anonymous in relationship to this parable and then we will give an overview of each of the 12 steps. These steps, and this program, have stood the test of time and have helped countless people with substance use disorders find and maintain recovery. We will also argue that these steps are not just for those with the disease of addiction.
Link to the parable: https://dailyrecovery.club/an-addict-fell-in-hole/

66. Alcohol 101- Part 4 Chronic Effects of Alcohol Use

Thu, 09 May 2024 05:00:00 -0500

Our final installment on Alcohol 101- the chronic effects of alcohol use. We will discuss the most frequent negative impacts that alcohol has on the body's organ systems from the most thought about, liver, to the less understood, cancers. Alcohol can negatively impact every system in the body impacting not only the length of life but also the quality of life. Quitting drinking, or even cutting back, can have significant positive improvements, especially before many of these progress in severity.

65. Alcohol Part 3- Adolescents

Tue, 23 Apr 2024 05:00:00 -0500

Alcohol Awareness Month Part 3! A significant number of adolescents use alcohol (15.1% in the last month in a survey of 12-20 year olds), 3 times the number who used tobacco products (5%) and 1.3X the number who used cannabis (11.8%). Youth tend to partake in binge drinking at higher rates, leading to significant acute health complications, accidents, and risky behavior. 20% of all high school students who consumed alcohol in the last month either drove after drinking or rode in a car driven by someone who had been drinking. Not only does alcohol result in these complications, but earlier alcohol use increases the risk of alcohol use disorder later in life. This episode will go through this data in more detail as well as review many other youth specific concerns regarding alcohol. You'll also get to hear how Heather and Josh's high school experiences varied in regard to alcohol!

64. Alcohol 101- Part 2- How Much?

Tue, 16 Apr 2024 05:00:00 -0500

Part 2 of Alcohol during Alcohol Awareness Month! In this episode we will further discuss the 'how much' concept. When is drinking considered 'at risk' vs 'acceptable'? (Disclaimer- no amount of any kind of alcohol is considered 'safe'). We will also discuss what is actually considered one drink. Finally, we will dive deeper into the effects of alcohol and tolerance.
** If you, or someone you know, is questioning how much alcohol you/they are consuming or are concerned you may have a problem with alcohol, please seek medical care and/or consider attending an open AA meeting. Anyone can attend an open AA meeting even to learn more!
** To find an AA meeting near you: Find A.A. Near You | Alcoholics Anonymous (aa.org)

63. Alcohol 101. Part 1

Thu, 11 Apr 2024 05:00:00 -0500

April is alcohol awareness month! This episode will begin our multi-episode series of Alcohol 101, with what defines 'drinking too much'. We will discuss the data in terms of how many people are affected by alcohol use disorder and how much it financially impacts all of our country. Finally, we will talk about how one would know if they are at risk of developing an alcohol use disorder.

62. Interview with Ben- Josh's Son

Tue, 02 Apr 2024 05:00:00 -0500

61. Gambling Addiction- Risk Factors, Treatment, Ramifications, Hope

Tue, 19 Mar 2024 05:00:00 -0500

Ted Hartwell, Executive Director of the Nevada Council on Problem Gambling, returns to discuss more details surrounding, and about, gambling addiction. We will cover some risk factors that differ from substance use disorders, the progression of this disease, different treatments, as well as the often not discussed or heard about ramifications. Individuals who gamble, "we tend to impact 7-8 other people significantly" making this not a victimless disease. See below for several important resources for people, or loved ones, who suffer from gambling addiction.
http://www.gamblersanonymous.org/ga/
https://beta.gamblersinrecovery.com/
https://recoveryroadonline.com/

60. Addiction and Trauma

Fri, 15 Mar 2024 05:00:00 -0500

Tom Gonzalez, an expert in Adverse Childhood Experiences (ACE), joins us as we discuss trauma and the relationship with addiction. Persons with the disease of addiction often find substance to be a way to cope with "the emotional pain from a trauma that was likely done to me." He discusses how the medical model of addiction misses a huge component that often led to the substance use disorder starting. Tom states, "addiction is really the result of broken relationships" which then alters our brain pathways, specifically those related to fight/flight responses. So how does one heal and overcome these traumas? For anyone struggling with their addiction and the 'why', you don't want to miss this. And if you are a loved one, or someone who is caring for someone who has an addiction, this topic and discussion may break down the barriers and lead to a better understanding.

59. Opioid Overdoses

Wed, 13 Mar 2024 05:00:00 -0500

As we now enter the 4th wave of the opioid epidemic, what does the data actually show? And, even more importantly, why does it keep happening? We will discuss how things have evolved over the last 10+ years and explain why deaths keep happening. Also, what does an overdose even look like and what are the reasons overdoses result in deaths. This data is staggering, and it happens to anyone!

58. Pastor John McKinzie- Hope Fellowship- Forgiveness, Love and Addiction

Thu, 29 Feb 2024 15:00:00 -0600

Pastor John McKinzie, the lead pastor for Hope Fellowship Church in Frisco/McKinney/Prosper, Texas (just outside of Dallas), joins us today to discuss forgiveness, love and addiction. This man single-handedly helped Josh in his recovery journey and continues to inspire so many with grace and acceptance and love, often leading with, "I'm sorry that you experience that." In terms of addiction, he states it is, "something that has grabbed our life in such a way that on our own we can't get out." We highly recommend visiting Hope Fellowship's website at: www.hopefellowship.net If you are in the Dallas area, tonight (2/29/24), they are hosting a Fentanyl Awareness night at 6pm at the Frisco East campus.

57. Gambling Addiction with Ted Hartwell

Fri, 16 Feb 2024 05:00:00 -0600

Officially the only behavioral addiction, gambling is far more common than what is seen and known. We are joined today by Ted Hartwell, the Executive Director of the Nevada Council on Problem Gambling. On this episode, Ted will share his personal story with gambling addiction and, throughout, highlight the risk factors for gambling addiction. We will also emphasize the parallels with substance use disorders and how they often co-occur.

56. Pastor Rich, Part 2- What a Mess!

Wed, 14 Feb 2024 05:00:00 -0600

Pastor Rich Scherber, the 'God-father' of Mn Adult and Teen Challenge, returns for Part 2! We left off last week with Pastor Rich and his family just returning from South Africa where they had served for 5 years and fully planned on returning, but it seems that God had other plans! A quick meeting at a church, an offer that everyone would and should refuse, and nothing but rejection later, and the first residential Mn Teen Challenge site opened! Pastor Rich essentially walked into a mess, but what a message he not only preached but also lived! For anyone who has heard of MN Adult and Teen Challenge, or thinks they know what it is and who they are, you have no clue! Hearing this story from the director himself will change everything! Also, please say a few extra prayers for a close friend of the Teen Challenge family.

55. Pastor Rich Scherber- From Drugs to Ministry

Thu, 08 Feb 2024 14:00:00 -0600

Pastor Rich Scherber grew up in MN and was, as he calls it, a 'troubled kid.' Getting straight Ds and Fs, he was fonder of parties and drugs until one day, in his early 20s, he went to a favorite place to sell and party and was met by Christians who just wanted to love him. There was just something about that day that changed him forever! After burning his supply and killing his plants, he began his journey of ministry and missionary work. Pastor Rich, accompanied by his wife and 2 young daughters, were called to minister in one of the most violent places in South Africa during the Apartheid and upon returning would be faced with another cross-roads decision that would lead to him start MN Adult and Teen Challenge. Part 1- From Drugs to Ministry

54. AA- The History and The Desire to Not Have Another

Thu, 01 Feb 2024 05:00:00 -0600

What is AA and how did it come to be such a universally accepted practice in finding recovery? Started in 1935 by a salesman/stockbroker and a doctor, AA (Alcoholics Anonymous- now broadly includes all substances and branches which we will discuss) can be found around the world with well over 2 million members who meet anonymously with one common goal, a desire to not have another drink/hit/bump/etc. In this episode, we will give you the history of AA, the basic tenants and ideas, and discuss how it has evolved over time (although not much). We will also note some of the 'critiques' and how the first 3 steps of the 12 steps can be more broadly applied. Celebrity highlight: Al Pacino.

53. Brian Part 4- Thriving in Recovery and Lakes Area Restorative Justice

Fri, 26 Jan 2024 16:00:00 -0600

"There is no growth in the comfort zone and no comfort in the growth zone." We start this episode with Brian getting his "bad and good" news and then have the honor to hear how his recovery journey continues. From finding humility to listening to where he was called to be, Brian has not only 'survived' the disease of addiction, but he has thrived in his actualization of how his experiences are able to inform and make sustainable changes to impact and help so many others. He states, "it's about giving others time, talent and treasure" and "believing in ourselves and believing we have something to offer." Finally, "All the experiences, good, bad and indifferent, have allowed me to become who I am today." He now is the Executive Director of Lakes Area Restorative Justice Program, helping and supporting youth as what became his passion! www.larjp.org

52. Thrive Part 2! How Can Families Get the Support They Need

Tue, 16 Jan 2024 05:00:00 -0600

Pam, the mother of Jake, a victim of the opioid and drug epidemic, returns to dive deeper into her Family Peer Support Services non-profit, Thrive Family Recovery Resources. She discusses how, when she was caring for Jake, she received many messages on how she should "handle him" and "cope". However, Pam didn't agree with detaching, she didn't believe that she should and could do nothing, she didn't believe in "tough love", she didn't believe that families are powerless and, most importantly, she didn't believe that extrinsic changes and forces could change someone intrinsically. Thrive supports families, understanding and encouraging the intentional approach to care and love. To learn more or to fill out their form for services visit: ThriveFRR.org or call the helpline at: 612-504-5424

51. Grieving Your Addiction In Recovery

Sat, 13 Jan 2024 05:00:00 -0600

The 5 Stages of Grief, ie the Kubler-Ross Grief Cycle, is well known and often applied for the death of a loved one or a similar life event, but here we will challenge our listeners to see how it, too, applies to addiction and recovery. When we can apply the same stages of grief to recovery from a substance use disorder, we can gain more empathy and understanding for those whom are struggling. For those with a SUD who find themselves grieving their substance or the lifestyle associated, we hope to shift the perspective of the shame that is likely accompanying the non-intentional grief periods. When we can all understand this perspective we are better able to lead with love and kindness and empathy and hope.

Celebrity highlight: Demi Lovato

50. Brian Part 3- The Road to Recovery

Thu, 11 Jan 2024 11:00:00 -0600

After hitting rock bottom when his kids were taken from his and his wife's arms by CPS and he was arrested, Brian realized he had to make a change. "I didn't know how to receive or handle what was going on in my life" he recalled. The next steps he states: "My wife got offered drug court... I got offered a prison sentence." However, he was able to make big changes, leaning on his faith, focusing on showing his kids that "I wanted to demonstrate to them that I tried"... even if they never got them back. "I pledged that I wouldn't harm my children again". So what happened? Listen to find out how Brian's recovery journey progressed!

49. Thrive! How Loved Ones Should Act and Support

Thu, 04 Jan 2024 05:00:00 -0600

Pam, the head of the non-profit Thrive! Family Recovery Resources, is a mother who, like so many others, had a child who suffered from a substance use disorder. Jake, unfortunately, inherited the strong addiction genes that ran through generations and, despite a 'stable, loving, close-knit, out-doorsy' family, still developed the disease, he did not chose it. Pam and her husband struggled to find person-centered, non-confrontational, non tough-loved based treatment stating on the Thrive! website ( www.thrivefamilyrecoveryresources.org ) "Between predatory practices of treatment centers and the propagation of the "tough love" ideology... felt like they were failing their son, both in the way they were interacting with him and their inability to find services from the medical community that would assist him." She developed Thrive! to assist other family members in navigating this journey, similar to how peer support walks alongside people with SUD. "How we respond as a family member can built more willingness or can completely shut it down" is how she modified their approach to Jake as they found that tough love and confrontation only led to perpetuated use. When they approached Jake with love and intention it helped his own personal shame. They asked themselves, "if this was the last text we sent, or the last moment we had with Jake, would we be able to live with that? Would he have known how loved and cherished he was?"

48. Second Chances

Tue, 19 Dec 2023 06:00:00 -0600

Second chances, technically we get one every day- it's called tomorrow, but why are second chances important? Who deserves a second (or third or fourth) chance, and who gets to decide if they do? Maybe the better question is why do we make bad choices in the first place, because we all do? We will discuss bad choices as a general concept and how one can show they deserve a second chance. Barriers to second chances, especially for those who have been in the criminal justice system, will also be explored. Finally, we hope to inspire forgiveness and encourage others to give second chances, especially in this Holiday Season.

Celebrity highlight: Lindsay Lohan. If you are like us, you will be amazed at her transformation and will applaud Netflix for giving her a second chance!

47. Cross-Addiction

Thu, 14 Dec 2023 05:00:00 -0600

Cross-Addiction or addiction transfer or addiction interaction disorder is sometimes confused with dual substance use disorder or a person who has multiple active substance use disorders. But what, then, is cross-addiction? Is a person in recovery from a substance use disorder more likely to, when in recovery, develop an alternative substance, or behavioral, use disorder? Or, rather, is a person in recovery less likely to develop an alternative substance, or behavioral, use disorder? We will discuss the ins and outs of this concept and blend in the empirical evidence as well as our own anecdotal evidence. Celebrity highlight: Tim Allen, aka Tim the-tool-man Taylor, aka Santa Clause

46. Dr. Polley- SUD and Navigating the Holidays

Thu, 07 Dec 2023 05:00:00 -0600

Dr Sara Polley joins us as we discuss the holiday season and how it can both positively and negatively impact the family of those suffering from the disease of addiction as well as the person themselves. The holidays should be a time of connection and togetherness, but when substance use disorder is part of the family, as it is for so many, it can get complicated. How can we navigate the holidays when we have a family member or a loved one with this disease? How can we connect and love from both sides? And what about the guilt and shame associated? Happy Holidays everyone and remember "Love Wins"

45. Rocky- Rock 'n Roll to Prison Re-entry

Thu, 30 Nov 2023 10:00:00 -0600

Let us introduce Rocky! Rocky's story begins with a critical life choice- hockey or rock 'n roll... What transpired from that one choice is unlike any other, as most stories are; however, Rocky's story literally took him around the world, gaining incomparable life experiences making him an invaluable asset to humans who find themselves incarcerated. His involvement with prisons started with Sunday night Bible studies and now has evolved into formal programming to aid in supportive re-entry programs. Overlapping re-entry and peer support and addiction care does nothing but increase success and re-integration.

44. Eddie- Being Less Than to Shame to Love

Tue, 28 Nov 2023 05:00:00 -0600

Meet Eddie. This is far more than Eddie's story. This episode will challenge the way you think about trauma and love and healing and codependency and shame and the pain associated with all of it. "Does my brain know it, does my heart know it and do they know it together."

Eddie also is the chair of the MN Harm Reduction Collaborative that is led by people with lived experience and those who care for them. Follow the Collaborative on "X" (aka Twitter) @MNHRCollab or on LinkedIn: lnk.bio/MNHRCollab or Facebook/Instagram or email the collaborative at: mnharmreductioncollaborative@gmail.com

43. Brian's Story Part 2- The IV Cocktail of Wild Turkey Meth and Opioids

Fri, 24 Nov 2023 05:00:00 -0600

Brian returns. When we ended, Brian had found his recovery from alcohol, cannabis, cocaine and methamphetamines, only to be introduced to prescription opioids after a fluke accident at work. In this episode, many many things happen to bring Brian to his "I discovered a whole lot of new lows". At one point from 2009-2014 Brian thought, "I thought the only way to support my family was a death benefit". Where was Brian's stop point, when did the pain of using outweigh the pain of recovery. Honestly, you may need to listen more than once to fully gather all parts of his story to their true depths.

42. Negative Core Beliefs and Reframing

Mon, 20 Nov 2023 05:00:00 -0600

Negative core beliefs have the ability to keep a person with a substance use disorder(s) in the trap of addiction. Not just self-esteem or confidence, core beliefs are one's inherent and internal self-believed truths. When a person with a SUD carries with them a negative core belief, they often find themselves externalizing their recovery, a slippery slope for return to use. We'll discuss this concept as well as how one with a SUD can help themselves reframe situations that may have led to these beliefs. We will also discuss how families and loved ones can use this information to support their person through their journey. Celebrity highlight- Sir Elton John

41. Pain, Chronic Pain and the Fine Line with Addiction

Fri, 17 Nov 2023 05:00:00 -0600

Pain is a universal experience. However, as this opioid epidemic has shown, there is a fine line between treating chronic non-cancer pain and the concern for the development of opioid use disorder. The Centers for Disease Control (CDC) developed guidelines in 2016, and have since revised them, to help guide prescribers in their pursuit to care for their patients needs' while also cautioning the slippery slope of addiction possibility. We will discuss the data around this very concept in order to demonstrate what the risk actually is. Finally, we review where the 'sweet spot' is in terms of not only the dose of opioid medications but also how long ends up being too long after an injury or surgery.

40. Brian's Story- From Pedestal to Promises to How Did I Get Here

Fri, 10 Nov 2023 05:00:00 -0600

Meet Brian. Describing his biggest risk factors as poverty and abuse he also states that his personality is one that wants to take care of people and that he got his self-worth from people valuing him. He describes how this turned into a short-lived promise with a friend to never use drugs. This promise quickly became a multi-drug sales business until he met his first rock bottom.

39. Dr. Polley- Student Athletes and Substance Use

Sat, 04 Nov 2023 12:00:00 -0500

Student athletes are often under a lot of pressure to perform, to win, to be the best. Some of their pressures may come from parents, peers, internally and/or coaches; however, coaches can play an important role in mentoring and supporting their athletes. Coaches often spend more time with their athletes than parents and many are seen as role models and confidants. Unfortunately, most schools have sanctions for substance use or possession that are outdated and punitive, setting these youth up for failure by removing them from their prosocial activities rather than recognizing the disease state associated with substances. We are joined again by Dr Sarah Polley, adult and child addiction psychiatrist.

38. Stigma Artist- William Stoehr- 'Victims, Witnesses, Survivors'

Thu, 02 Nov 2023 06:00:00 -0500

Having been a witness of his sister's substance use disorders, William Stoehr, an artist, began his mission to start the conversations and to end stigma. He paints only faces stating, "I try to create an environment where you don't just see a pair of eyes but you engage with those eyes." His art exhibition is called "Victims, Witnesses, and Survivors" for we are each one of those and at the exhibition one walks around as if in a sea of people, each one telling a story. The art, however, isn't the only purpose, for the goal is also to spark conversations about the disease of addiction in order to further break down stigma. His exhibitions also feature panels and resources to educate and empower and bring care and help to those with SUD and their loved ones. This episode not only starts Bill's conversation but it also motivates and inspires. To see more of Bill's work, visit: home | Mysite (williamstoehrart.com)

37. Triggers and Adulting and the Whys

Tue, 24 Oct 2023 14:00:00 -0500

What happens when a patient in recovery is 'triggered?' This is a very important topic and should be understood by a person in or wanting to achieve recovery but also for those who have contact, or love, someone in this situation. We will discuss what actually 'happens' when someone is met with a 'cue' that results in a trigger, even if a craving doesn't follow. We will explain it from the person who was triggered point of view (with some analogies not substance related) as well as explain the brain chemistry level. The most important thing to remember is that regardless of what causes the trigger or even how far along you are in recovery when triggered, a trigger should not elicit shame because it truly all is 'in your head' (the reptilian brain and NOT the adulting brain!)

36. Xylazine

Thu, 05 Oct 2023 05:00:00 -0500

Xylazine- Initially thought to be a 'contaminant' in the fentanyl supply, xylazine is now being intentionally added into (cut into) the fentanyl supply, amongst other substances it's being cut into as well. It is said to 'give fentanyl legs', lengthening, in a synergistic manner, the effects of fentanyl. Since it is not an opioid, it does not respond to naloxone (but stay tuned for newer studies that do question this a bit), thus making treating an overdose much harder- BUT never stop giving the naloxone if there's any question! Xylazine also has a very classic necrotizing skin lesion side effect, also contributing to the morbidity and mortality of those suffering from this disease.

35. Neurobiology of Eating Disorders and Co-Occurrence with SUD

Sat, 30 Sep 2023 05:00:00 -0500

How are eating disorders and substance use disorders related? From the neurobiology view they are both bio-psycho-social disorders/diseases, as we previously alluded to, but what else makes them so similar? Does the type of eating disorder speak to certain things such as prognosis or mental health concerns and what are the different types of eating disorders? We will review some of the actual data around eating disorders and the types as well as discuss the overlap of eating disorders with substance use disorders. Heather will sneak a bit more of her story in as well! We end with our 'celebrity' highlight- you don't want to miss!

34. Fentanyl 101

Thu, 28 Sep 2023 05:00:00 -0500

Fentanyl 101... What exactly is fentanyl and why are more people dying of opioid overdoses than ever before? If it is causing so many more deaths, then why are people using it? What makes this 'street' fentanyl different from fentanyl given in a hospital? We will answer all of these questions and more! This episode is a HUGE primer for upcoming episodes where we will dive deeper into other extremely concerning happenings in this awful epidemic.

33. Janis- Alcohol Use Disorder to Surrender

Mon, 25 Sep 2023 05:00:00 -0500

We interview Janis on this episode! She, currently, is a life-coach in Southern Florida, but the story to get there was anything but smooth. Growing up in a very loving family, she describes herself as a shy child who didn't even have her first drink until high school, however, once she started drinking, she never stopped. She will describe her journey with alcohol use disorder and what it was that led to her surrender point. Finally, she touches on how her faith remained, even during the hardest times. Janis will then return to the podcast in a future episode to describe how she uses her path to help others.

32. Heather's Story

Wed, 20 Sep 2023 22:00:00 -0500

After a bit of a break, we are back! This episode has been alluded to for awhile and it's finally here, Heather's story. Publishing this episode on this date (9/20/2023) is actually a very important milestone for her, so in that regard, it worked out perfectly. In her story, Heather will discuss a bit more of her trauma history (mentioned in several other episodes- see the ACE Score episode specifically) and how she learned to adapt and cope- for many many years. How did her maladaptive coping mechanism last for so long and what was it that made her take the step to heal…. And go to treatment.

If this episode speaks to you, or you too struggle with the same diagnosis as Heather, please reach out- we are, as always, here to help in any way we can!

31. Justin Pt. 2- Probation to Peer Support to Forensic (Corrections) Peer Support

Fri, 01 Sep 2023 07:00:00 -0500

Justin returns to tell us about his life after jail and after treatment, a life, per him, that probably would not have looked like this had it not been for an amazing probation officer. He was encouraged and supported in his recovery journey which led him to volunteering and then a drive to help others as a peer support specialist. Over the last 3 years, he has taken it even further and developed a program in forensics, focusing on helping those transitioning from the criminal justice system. Below is an article done on Justin by KSTP in Minneapolis.

Twin Cities man launches peer recovery program to help others in Hennepin Co. justice system - KSTP.com 5 Eyewitness News

30. How Many People are Really Impacted by Substance Use Disorders

Tue, 29 Aug 2023 05:00:00 -0500

Kaiser Foundation ran a national poll July 11-19, 2023 to see how many Americans are impacted by substance use disorders. This survey shows staggering results not only highlighting just how widespread addiction is but also how little those affected are receiving treatment. This episode will review this data and more. Ultimately, the more we talk about addiction and treatment and recovery, the more that those who are suffering and/or are addicted themselves will be [hopefully] comfortable reaching out for help. We need to, as a society, continue to normalize recovery because WeDoRecover!

Link to the KFF poll survey and data: KFF Tracking Poll July 2023: Substance Use Crisis And Accessing Treatment | KFF

29. Evan Powers Thill 5.6.94-4.22.23 The Most Powerful Eulogy Everyone Needs to Hear- Delivered by His Dad, Parnell

Fri, 25 Aug 2023 05:00:00 -0500

Evan Powers Thill lost his battle to the disease of addiction 2 weeks shy of his 29th birthday. His father, Parnell (see episode 28 for the introduction), not only wrote a very honest and open obituary directly calling out the disease that took his son's life, but he also gave Evan's eulogy. This episode will give you a glimpse into the last couple of months of Evan's life and it will bring you to the night that Par and his wife, Blythe, learned of Evan's passing, Parnell then graciously recites the eulogy he wrote for his Little Prince, a eulogy that those with the disease of addiction should hear, their families and loved ones should hear, ‘that’ drug creating pharmaceutical family should hear, that all should hear, as it privileges you to the raw inner emotions of a father and family who join the many who have lost a loved one to this epidemic.

It is an honor to hear Parnell share his private pain in the hopes that he may help others. If you have a message of support you would like to share with Parnell, please email us and we will pass it forward. Thank you

The below link goes to an article written by Parnell following Evan’s passing.
https://www.pineknotnews.com/story/2023/06/16/opinion/notes-from-the-small-pond-knock-knock-whos-there-dont-ask/9457.html?fbclid=IwAR0poSjbMdibeiu0rAZp566veUrLc2h5fMo0qFbuP8j90p4NoceDbh_pPsg_aem_AUUlD5aWIThdTQ57t2J1UQuAQ_q9H4zghv6C8a4mkYyHI3XTdS4XvJcC3yoQVUci3ZM

28. Parnell- The Journey of a Father of 2 Sons with Substance Use Disorders

Thu, 24 Aug 2023 05:00:00 -0500

Parnell is a rural Minnesota married father of four. One of his sons is currently struggling with the disease of addiction and another one of his sons recently lost his battle to this very disease. Parnell shares with us the journey from catching one of them smoking marijuana on the first day of school through his devastatingly recent loss of his youngest. Much of his shared journey will depict the evolution of the understanding of the disease of addiction and, in parallel, the open acknowledgement of his kids' struggles. His story and oration are direct, honest, and raw which, in turn, will help others who find themselves in a similar plight.

27. April- Empath, Alcohol, Meth, Toxic Relationships, Peer Support

Thu, 17 Aug 2023 05:00:00 -0500

April- She grew up with big emotions and a lot of feelings in a home where this wasn't freely accepted, and with a significant family change in her teenage years, April found love in many external and chemical ways. "When you have to suppress love in anyway, it spills into all relationships in your life." Personally, she calls parts of her life "relationship addiction just as much as chemical addiction." A series of events brought her to many places, many warrants, many relationships, and several substances until she met a caring probation officer who helped change her life trajectory. Now in long-term recovery, she has a passion for helping others and supervises peer support specialists.

26. Justin- Childhood Trauma, SUD, Felonies, Recovery, Helping Others

Tue, 15 Aug 2023 05:00:00 -0500

Justin's Story: Justin had, for all intents and purposes, a good childhood, however, events that occurred prior to his active memories resurfaced, leading him down the path of substance use disorder(s). In the telling of his story, Justin describes what substances did for him and what they destroyed and resulted in. He now (as will be discussed in a further episode) is a mentor, peer and leader for those on their recovery journeys, but how that moment of change happened, is unique, shocking, and truly a pivotal moment for him and his story.

25. Ralph Pt. 2- Whatever You Put Before Your Recovery You Will Eventually Lose

Sat, 12 Aug 2023 05:00:00 -0500

Ralph, Part 2. When we left off, Ralph had left prison, met some new friends and started school at The School of Urban Missions. There he met his wife and made the choice to leave New Orleans and move to Minnesota. Now a minister, he had the dream to start his own ministry with the church, however, things didn't play out the way he planned. He maintained his faith throughout and found his life's true mission: creating a community/brotherhood for those with substance use disorders. Ralph is truly a passionate leader, and this episode will motivate and inspire all

24. Adolescence and Substance Use- Things to Know as They Go Back to School

Thu, 10 Aug 2023 05:00:00 -0500

As the beginning of another school year is upon us, it is important to be aware of what is actually going on in the lives of adolescence. Teachers, coaches and others at the schools have a unique opportunity to have a lot of contact with students who may just need someone to talk to. They also are situated to notice changes in behaviors and other things that may be concerning for substance use. Parents also need to be aware of the changes that occur when kids return to school- who are they hanging out with, how are their grades, what is going on in their lives. Adolescence, in particular, are gaining independence and monitoring them is truly challenging, but being aware of the risks of use, the red flags that use may be happening, and the reasons for use may help, and may make a big difference!

23. The Rest of Josh's Story- From Opioids to Meth and Nearly Dying 6 Times

Tue, 08 Aug 2023 05:00:00 -0500

Josh shares the rest of his active use story. At the end of episode 4, we left off with Josh in treatment for the second time for his opioid use disorder. This also coincided with the end of his marriage and him admitting he was not in treatment for the right reasons. This episode will start with what happened after he finished treatment in November 2015 and will conclude with the 6th time he nearly died, just over 5 years later. How and why did things progress so quickly and to the extent they did? What happened over those 5 years? Why didn't the first 5 near death experiences 'change' his trajectory? And, finally, what was different about that last year and the 6th time he almost died?

If you find yourself, or have a family member or loved one, in any or all of the situations Josh describes in this or any other previous episodes and you want help, please email us at the email below. It is NEVER too late and hope and faith do exist everywhere and in everyone. We hear you, we see you, Love Wins!

22. Dr Sara Polley- Cannabis and Youth. Everything you NEED to Know

Sat, 05 Aug 2023 05:00:00 -0500

Cannabis, whether it is legalized recreationally or not in your area, is a widely used substance among adolescents and young adults. Often touted as "it's natural so it's safe" leads many to believe it is, indeed, safe for free-will consumption by all. Dr. Sara Polley, a triple boarded adult and pediatric addiction psychiatrist, joins us in a discussion about what the actual risks of cannabis consumption are, especially for youth, teens, and young adults (especially <25). Although the immediate affects often seem innocent, long-term and/or heavy usage can cause long-lasting and/or permanent, detrimental changes to the developing brain.

21. Mike- Parent, Friend, Mentor, Inspiration

Thu, 03 Aug 2023 05:00:00 -0500

Mike is many things to many people. He is the father of a child with substance use disorder (s) who had to learn to navigate this very unpaved and isolated path, he is a friend to other parents who found and find themselves in similar situations, he is a mentor to many, including Josh, as they find their recovery journey or are still in active use, and he is an incredible inspiration. "Love Wins" is seemingly his life motto and throughout this podcast we will learn from Mike how he managed to keep that phrase at the front of every day. This episode spans his personal journey navigating many elements of SUD, but it goes well beyond that, as it has applicability for all people in any position or place along their life journey.

20. Eddie Krumpotich- National Harm Reduction Coalition- New Paraphernalia, Residue, Syringe and Drug Testing Law Effective 8.1.23

Tue, 01 Aug 2023 05:00:00 -0500

August 1, 2023 is a pivotal date for Harm Reduction in Minnesota. Drug Paraphernalia, and the residue, will no longer be arrestable offenses. Pharmacists are also no longer limited in the number of clean needles and syringes they are able to dispense, thus allowing for people who inject drugs to do so safely and minimizing the spread of diseases, namely HIV and Hep C. Additionally, all forms of drug testing will be allowable now and into the future, allowing for individuals with substance use disorders to know what exactly is in their supply. All of these changes are aimed at lowering overdose deaths, increase the numbers of individuals seeking treatment, will lower infectious diseases and, most importantly, save lives.

We are joined by Eddie Krumpotich, a consultant for National Harm Reduction Coalition and Drug Policy Alliance! He is a very pivotal person in the creation and passage of this bill!

19. MN Recreational Cannabis

Sat, 29 Jul 2023 05:00:00 -0500

On August 1, 2023, Minnesota becomes the 23rd state to legalize recreational cannabis use. This podcast will dissect and review all of the direct and nuanced parts of the new legislation from how the sales will work with licensing, home growing limits and requirements, how much you can legally carry on your person, where you can use it, the expungement of records components as well as a whole bunch of the other "how about this" or "what does this mean" finer points. Please stay tuned for some polls we are going to post on our social media sites on this topic! Even if you don't live in MN, this discussion will likely spark conversations and raise questions whether you have recreational cannabis or not in your area.

18. Ralph- From New Orleans to Prison to Pastor

Thu, 27 Jul 2023 05:00:00 -0500

Ralph: Growing up in the wards in New Orleans, Ralph noted that getting drugs where he grew up was as easy as driving through a McDonalds. He shares with us his journey from a violence-filled, drug-filled neighborhood to prison as a teenager to now, a pastor, mentor, counselor, and inspiration to many. He does have a life verse: Philippians 3:10: I want to know Christ- yes, to know the power of his resurrection and participation in his sufferings, becoming like him in his death.

17. Boundaries

Tue, 25 Jul 2023 07:00:00 -0500

Boundary setting is not only important in everyday life, but it is especially important when a loved one has a substance use disorder. Although setting boundaries may seem like a 'tough love' approach, they are actually meant to protect the mental health of the one setting the boundary. In this episode, we will discuss why boundaries are important, things you may notice that you are doing that may indicate you need to set boundaries, as well as give examples of basic, albeit it very important, boundaries that can be set for your loved one with a SUD.

If you have examples or recommendations of boundaries and or consequences for boundaries that are broken, we'd love to hear your stories (either the experience(s) of the one who set the boundaries or the one who had the boundaries set on them). Please reach out via email or on any of our social media sites!

16. 10 Tips for Families and Loved Ones of Individuals with SUD

Wed, 19 Jul 2023 13:00:00 -0500

Families and loved ones may struggle with many things during their loved one's substance use disorder (SUD): the cycle of active use, treatments, lapses/relapses, recovery and more. There are not always the greatest resources available, or known, to assist in this very difficult, stressful and scary time. In this podcast, we will go through 10 tips for loved ones who are in this place, offering ideas and suggestions, that may help ease the burden, isolation, fears and other tensions that often accompany SUDs.

If you have a loved one suffering from the disease of addiction or who has gotten to a place of recovery, we would love to hear from you! And, if you are able and willing, we'd love to have you as a guest on the show (anonymity to your comfort will always be respected)! Please email us at the email below!

15. Cravings and Triggers- Part 3. Awareness, Coping, Treatment

Sat, 15 Jul 2023 06:00:00 -0500

Part 3 of Cravings and Triggers! Now that we know what triggers are and what cravings are, we will help make it all make sense! We will put more concrete examples to triggers and cravings that will further broaden the listeners understanding of the entire put together process, while also walking you through the whys, hows, and the 'what next.' The majority of the episode, however, will discuss different coping mechanisms and mitigation strategies for when a person notices a 'trigger of a trigger,' as Josh likes to put it, or is faced with a trigger, especially an unexpected one. When triggers are not able to be avoided and/or diverted, a craving often follows; this can be a time of severe anxiety and a heightened risk of lapse/relapse. We will discuss ways to handle the cravings when they arise and touch on ways that family/friends/support systems can identify and help their 'person' avoid and/or get through a trigger as well as things they may observe when cravings do happen and how they can assist in these critical times as well.

14. Cravings and Triggers- Part 2. The Addictive Process

Thu, 13 Jul 2023 05:00:00 -0500

Part 2 of the Cravings and Triggers Series! This episode will describe the 'Addictive Process'. We will walk you through the introductory phase, the maintenance phase, the disenchantment phase and, finally, the disaster phase of substance use disorder(s). We will describe this process evolution and how cravings and triggers make up the backbone of this process and addiction.

1. Triggers and Cravings.ppt (live.com)

13. Cravings and Triggers 101

Tue, 11 Jul 2023 05:00:00 -0500

Cravings and Triggers are a very large part of addiction and recovery; however, they can be very confusing to understand, especially for family, friends, loved ones and the support system of the person with a substance use disorder or in recovery. In this episode, we will define and describe what cravings are from the physiological and psychological standpoint, and then we will define and describe what triggers are and the four general categories of triggers. This episode will, we hope, bring a greater understanding that will then be further strengthened over the next several episodes. In part 2 of this series, we will walk listeners through how the brain changes over time which, in turn, results in how cravings and triggers are expressed. The third installment of the cravings/triggers series will then discuss how this knowledge can be applied to prevent lapse/relapse.

12. Sober at Events with Alcohol or Other Triggers

Thu, 06 Jul 2023 08:00:00 -0500

It is not un-common for individuals who are in recovery to struggle going to weddings, graduations, holidays or other events where there will be a lot of people and/or a lot of celebrating. It is a societal norm to have alcohol at these events and this can place the person in recovery into a very difficult situation. In this episode, we will discuss what this may look and feel like to a person in recovery. We will also discuss tips and tricks for that individual to think about and plan for prior to the event in order to help mitigate triggers, cravings and/or lapses/relapses. This is also very important for close family and friends to be aware of as well so they can help support the person in recovery.

[This also applies even if the person in recovery does not have an alcohol use disorder.]

11. Kristi- A Spouse’s Experience

Tue, 04 Jul 2023 05:00:00 -0500

Kristi shares her story. What does addiction look like when you are a person who doesn't use drugs or alcohol but are married to someone who does? Kristi has been with her husband for 19 years, married almost 16, and nearly all of it has been shadowed by his substance use disorders. She has supported him, loved him and has endured a lot of emotional pain because of him, but she has also stayed with him. In this episode, she will tell us how she coped, how she helped their daughter, what she would do differently now, and what her current life looks like with her husband in recovery!

10. ACEs and Trauma Informed Care

Sat, 01 Jul 2023 05:00:00 -0500

In the last episode we discussed what an ACE score was and the correlation between ACE scores and the lasting effects on health, life potential and behaviors. As elevated ACE scores are a risk for substance use disorders, it is extremely important for all care team members to be aware of how best to care for patients with a trauma history. Trauma Informed Care (TIC) is a care-delivery model aimed at creating a safe, person-centered approach to caring for individuals with trauma. We will discuss the basic principles and tenets of TIC and how best to insititute them.

Derefinko K, Addictive Behaviors. 2019. 96: 171-174
Fineber S. Biol Psychiatry. 2017. 81(3): e19-e21, Machin A. Behaviour. 148(9/10). 2011: 985-1025 Thomas J. Dev Psychopathol. 2018 Aug;30(3):921-939.

SAMHSA TIP Series 57. HHS Publication No. (SMA). 2014: 13-4801

9. ACE (Adverse Childhood Experiences) Scores - What are They and Why are They Important

Thu, 29 Jun 2023 23:00:00 -0500

Adverse Childhood Experiences (ACE) Scores highlight and 'score' the traumatic events people experience prior to turning 18. These traumatic events can have lasting impacts and lead to a multitude of adverse outcomes later in life. In this episode, we will discuss the origin of the ACE score, the questions that make up one's ACE score, as well as how one's ACE score can be a factor in the development of substance use disorder(s). Disclaimer: one's ACE score does not define you!

Sources: Centers for Disease Control and Prevention. Behavioral Risk Factor Surveillance System Survey ACE Data. Atlanta, Georgia: US Department of Health and Human Services.

Delisi, Stephen. Greater Risk: The Intersection of ACEs/Trauma and Substance Use Disorders.

Felitti, VJ, et al. (1998). Relationship of childhood abuse and household dysfunction to many of the leading causes of death in adults. American journal of preventive medicine, 14(4), 245–258.

Herzog JI, Schmahl C. Adverse Childhood Experiences and the Consequences on Neurobiological, Psychosocial, and Somatic Conditions Across the Lifespan. Front Psychiatry. 2018;9:420. Published 2018 Sep 4. doi:10.3389/fpsyt.2018.00420

Merrick MT, Ports KA, Ford DC, Afifi TO, Gershoff ET, Grogan-Kaylor A. Unpacking the impact of adverse childhood experiences on adult mental health. Child Abuse Negl. 2017;69:10–19. doi:10.1016/j.chiabu.2017.03.016

National Center for Injury Prevention and Control, Division of Violence Prevention, April 2, 2019

8. Interview with Mike- His story, treatments and things he's learned

Tue, 20 Jun 2023 05:00:00 -0500

We are joined by Mike, a person in recovery from drug and alcohol abuse. Mike will discuss with us the different types of inpatient and outpatient treatments he has attended as well as the positives and negatives of the different types. We will discuss the things that made certain aspects of the treatments more helpful and impactful than others and what made his most recent treatment successful. We will end with a pilot program he is part of ATI (alternative to incarceration) and how this has been such a blessing.

7. Let's Talk Peer Support with Ryan and April

Fri, 16 Jun 2023 05:00:00 -0500

We are joined, in this episode, by our first guests- Certified Peer Recovery Support Specialists (CPRS) Ryan and April. Not only will they share their personal recovery journeys, but they will also share how they got to the point of giving back and finding their career paths in supporting others in their own journeys. They will explain what a CPRS does as well as how they are different than an LADC, a social worker or even a sponsor. Hopefully, after this episode, you will understand the [crucial] role of a CPRS in the care team for addiction treatment!

6. Family Members and Their Roles

Wed, 14 Jun 2023 16:00:00 -0500

All family units become affected when one of its members develops a substance use disorder. Family dynamics, the type of family structure, if a family is 'open' or 'closed' more in nature, all factor in to how the family functions during active addiction as well as during early recovery. This family-based episode, the first of several, will explain different types of family dynamics as well as the different roles that family members may assume while one member is affected by the disease of addiction.

5. Pain of Use vs. Pain of Recovery

Thu, 08 Jun 2023 23:00:00 -0500

People often ask why people with active substance use disorders ("addicts" to use inappropriate language) don't just stop using drugs- Afterall ... you destroyed your marriage... you are in jail... you lost your job.., you have kids... you have nothing...

If it was as easy and as simple as "just stop" we would not be in the middle of this epidemic. The War on Drugs tried this too and it resulted in jail populations that went up and drug use that, well, we are currently living in the time after the War on Drugs so that obviously didn't work. The "choice" (we will discuss 'choice' in this episode) to 'just be done' is far more complex as the pain of recovery itself is much more complex than one would assume.

This episode, we hope, will at least broaden the listeners thoughts on this topic so as to better understand other perspectives. We are not defending addiction, we are simply reframing the ways in which one looks at the situation of "just stop."

4. Opioids: Continued

Thu, 01 Jun 2023 23:00:00 -0500

So what happened after 2009 with Josh and his opioid use? We will discuss the next several years and the progression of not only his opioid story but also the next decade and more of the greater opioid epidemic. The data, the trends and the manipulation used by many are all talked about on this episode.

3. Opioids: The Beginning

Tue, 30 May 2023 22:00:00 -0500

Starting with a... (need to listen to hear this interesting tidbit)... Josh describes how he got his first opioid prescription, what it felt like, and how he managed to stay on them for 2 years. Unfortunately, his story is just one of thousands, he is just one of thousands, who was a direct victim of Purdue Pharma and the infamous "pain as the 5th vital sign". Dr. Heather will then explain the data and facts behind how this all 'happened' - ie. the story of the first wave of the opioid epidemic.

- Dr Portenoy: Pain, 1986 May 25 (2) 171-86
- Porter and Jick. New England Journal of Medicine 1980; 302:123
- Perry and Heidrich. Pain 1982; 13: 267-280
- Minnesota Board of Medical Practice controlled substance work group, November 10, 2007
- CDC. National Center for Health Statistics, Provisional 2017.

2. Neurobiology of Addiction: AKA The Why’s and How’s of Addiction as a Disease

Thu, 25 May 2023 16:00:00 -0500

Is addiction a choice... a huge 'hot topic' question and, unfortunately, very polarizing. Those 'in the world' of addiction (as a patient with the disease or as someone who works in the field) understand that it is NOT a choice- but then why? What causes some people to become addicted and some people not? We will discuss the factors that contribute to the disease of addiction and how, once a person has the disease, these same factors can be used to aid in recovery. We will also discuss what addiction causes- not only the external consequences but also the consequences that happen within a person with a substance use disorder.

1. Meet Your Hosts: Dr. Heather and Certified Peer Support Specialist Josh

Tue, 23 May 2023 04:00:00 -0500

Get to know your Addiction2Recovery hosts! Dr Heather Bell is a double boarded family and addiction medicine physician and Josh Solem is a Certified Peer Recovery Support Specialist (CPRS). This episode will explain a bit of who they are- the 'why us'- and then will describe how this podcast came to be.

Addiction2Recovery is a one-of-a-kind podcast, as it will not only go into the whys and how's and science of addiction, and all topics addiction, but it will also go into what that all actually means for the patient, for the client, for the neighbor/friend/family member who has the disease of addiction.

We cannot wait for you to get to know us and join us on this truly exciting adventure; one, we hope, will break down barriers, stigma and misunderstandings!