Why Addiction Meds Don’t Require Therapy
Medication-first care, motivational interviewing, and not making treatment a test.
Listen →A growing map of treatment questions, organized by what you need right now—and how much time you have.
How to use this: start with a quick listen when you need orientation, then move into a deeper episode when the treatment question becomes real. “Planned” means the topic is on the editorial roadmap; it is not yet a published clinical artifact.
The 24:10 critique is now available on the episode page. It examines conventional transfer, the local ≤30 mg context, precipitated-withdrawal risk, patient confidence, evidence limits, and claims requiring human addiction-medicine review.
Listen to the full episode ladder →Medication-first care, motivational interviewing, and not making treatment a test.
Listen →When drug testing helps—and when ritual, cost, or punishment gets in the way.
Listen →A short orientation for patients, families, and new clinicians.
Choose a 1:41 orientation, a 10:53 deep dive, a 24:10 source critique, or the 8:25 explainer video.
Open episode →What patients need to know before induction day, without turning the episode into a dosing recipe.
Why switching medications should have a patient-centered reason—and why stability matters.
Continuing MOUD, reducing harm, and separating one treatment problem from another.
What happened, what needs assessment, and how not to turn a difficult transition into abandonment.
When one treatment is working and another problem isn’t.
Listen →What requires individualized obstetric and addiction-specialist assessment.
Naloxone, loss of tolerance, relapse risk, and keeping a contingency plan real.
A hard transition is information—not proof that the patient failed.