Rethinking Addiction: The Debate on Treatment Refractory Addiction
Episode Overview
Understanding Treatment Refractory Addiction and its necessity. High dropout rates in current addiction treatments. Balancing neurobiological and social aspects of addiction. Impact of geographical context on treatment outcomes. Need for more structured, algorithmic care approaches.
"We need to develop strategies to improve and augment the current treatments that we're providing."
In this episode of 'This Week in Addiction Medicine from ASAM', Dr. Nick Athanasiou is joined by two prominent figures in the field of addiction medicine, Dr. David Fiellin and Dr. Eric Strain. They dive into the concept of Treatment Refractory Addiction, exploring why this term is necessary and how it should be defined within the context of addiction treatment systems. Dr. Fiellin and Dr.
Strain bring their extensive experience to the table, discussing the high dropout rates in current treatments and questioning whether the field is simply repeating ineffective methods. Dr. Strain advocates for adopting the term Treatment Refractory Addiction to spark a dialogue and push for better understanding and treatment strategies. Dr. Fiellin shares his concerns about the over-reliance on neurobiological explanations and highlights the importance of considering the social aspects of addiction.
The episode also touches on the differences in treatment outcomes based on geographical context and the need for more algorithmic care approaches. This thought-provoking conversation aims to challenge existing paradigms and encourage further research into more effective treatment models. If you're interested in the complexities of addiction treatment and the potential for new approaches, this episode is a must-listen.