Relapse in an Era of Buprenorphine

A recent experience with a patient helped me realize some of the dramatic differences in the treatment of opioid dependence, in an era of buprenorphine. I drug-test patients who are treated with buprenorphine or Suboxone.  The point of testing is not to catch someone messing up, but rather to determine Read more…

Feelings, Nothing More Than Feelings….

No, I’m not a big Barry Manilow fan… Opiate addicts, for whatever reason, become very lousy at determining what they are ‘feeling’.  Ideally, feelings serve to enrich one’s life;  feelings add the music to the story, add the heat to the dish, add the…  heck, I don’t know.  I’m no Read more…