Lockdown has had a big impact on everyone but especially those who are in receipt of opiate prescribing treatments. Daily administration and prescription man...

During the lockdown there is undoubted escalation in drinking. This may bring the use of online digital treatments to the fore. At present, online interven...

In Training and in Reflective Practice sessions the issue of empathy, relationships and outcomes is often discussed. This is particularly important in Motiv...

A new study finds that interventions that take a multidimensional approach -- tackling the biological, social, environmental and mental health obstacles to o...

A great word I heard recently was anticipointment. This when you find that something you thought would be great turns out to be rubbish. Recovery may come...

Rehabs are often believed to ineffective or only as effective as community based treatments. There are a lot of myths about rehabs and therefore the dissemi...

The ODHIN Trials are a large scale study exploring the effectiveness of brief interventions in primary care for alcohol problems. As alcohol is increasingly...

Opioid-related deaths continue to take the lives of thousands in the U.S. each year, with non-fatal opioid overdoses as a significant risk factor for a subse...

As I have often discuss in this blog, modality-or type of therapy-adds little to clinical outcomes with clients. For example, Orlinsky's ground breaking res...

Research finds that people with substance-use problems who read a message describing addiction as a disease are less likely to report wanting to engage in ef...

Interactions with artificial intelligence (AI) will become an increasingly common aspect of our lives. A team at the Technical University of Munich (TUM) has...

I have just completed the design of a hugely innovative detoxification programme with Bosence Farm in Cornwall. The programme takes a new approach to addres...

Relationships in and of themselves make a huge difference to treatment outcomes. The American Psychological Association have just conducted some large scale...

I discuss the role of emotions in change and treatment outcomes. Particularly the importance of naming emotions in the here and now in order to discharge th...

Vivid dreams involving drinking and drug use are common among individuals in recovery. A study from the Massachusetts General Hospital (MGH) Recovery Researc...

Women's hormonal cycles may not only make them more prone to drug addiction but also more affected by triggers that lead to relapse, a new Vanderbilt Univers...

I get asked about the issue of self-disclosure a lot in training. It is one of those difficult grey areas where people are never sure of the boundaries or t...

There is a widely held myth in community services that impatient services, such as detox and rehab are ineffective. Only recently I read an extraordinary da...

In training and lectures I discuss the role of developing HD 4K goals to support motivational enhancement with clients as well as reduce anxiety. This is be...

Anyone who has heard me speak on treatment outcomes will know of my proclivity to stress the importance of alliance in treatment outcomes, and how ruptures b...