Shows
Captain Hooked: The Addiction Project#159 Smart Drinking 101: Top 10 Tips to Drink Responsibly and Reduce RisksChapters
0:00 introduction
1:13 Seek Support if Needed
1:51 Monitor Your Emotional State
2:22 Practice Saying No
2:56 Plan Safe Transportation
3:38 Choose Lower Alcohol Options
4:10 Avoid Drinking Games and Shots
5:01 Pace Your Drinks
5:33 Eat Before and While Drinking
6:28 Stay Hydrated
7:03 Know Your Limits
7:48 Conclusion
In today’s YouTube video, we embark on an enlightening journey to celebrate the art of moderation, exploring the wisdom of setting limits and the joy of conscious celebration without the aftermath of regrettable decisions, such as waking up with a mystery tattoo. We acknowledge that while no amount of alcohol is deemed ‘healthy’ for the body, not all drinking behavi...2024-05-1708 min
Captain Hooked: The Addiction Project#158 Chasing the Dragon: The Perilous Quest for the Ultimate HighChasing the dragon, trying to recreate the first high. After the episode on chandler and his ketamine related death, Wip asked JP questions about ketamine and tolerance based on his past history of personal use. While there are differences in the use if ketamine for depression vs addiction, for some people, self titration to effect is not realistic.
Medicine also has history of iatrogenic harms caused by prescribed drugs.
We hope this conversation is interesting for you and we look forward to hearing your feedback and thoughts.
In this engaging addiction medicine podcast episode, our hosts delve deep into...2024-05-1010 min
Captain Hooked: The Addiction Project#157 - Behind the Scenes of Emergency Care: Jean DesCamps’ Tragic Last 68 Minutes (1998-2023)(This video was solely the work of Jean-Paul Michael, I apologize in advance if this video offends anyone. The concept of someone "faking" an overdose was viscerally disturbing to me as a former substance user. I needed to address it.) 
In this impactful episode of our addiction medicine podcast, we diverge from our regular content to present a sobering and educational perspective. We scrutinize body cam footage documenting the final moments of Jean DesCamps, a 26-year-old man, at an Oregon hospital. This episode is a reminder of the complex nature of situations involving substance abuse. We aim to shed li...2024-05-0824 min
Captain Hooked: The Addiction Project#156 Matthew Perry's Final Struggle: Understanding Ketamine's Impact in AddictionA few months back we went through Matthew Perry autobiography.
https://youtu.be/xBFxfMvihLY?si=qwaDkhgwvQTyv5PX
It was quite a shock to hear he had passed away.
In this episode, we discuss the nuances around addiction, medical treatment and the self-medication. We begin by examining the public perception of sobriety, using Matthew Perry's tragic story to illustrate the struggles of addiction under the public eye and the pressure accompanying it. The conversation then shifts to ketamine, a drug gaining attention for its potential in treating depression, while also posing risks for misuse and abuse.
Table of Contents
00:00:00 - 4 clips...2024-01-0232 min
Captain Hooked: The Addiction Project#155 Breaking Boundaries: The Revolution of SafeR Drug Supply ?The podcast episode primarily revolves around the complex issues of addiction medicine, with a significant focus on the concept of safer supply in drug policy. The hosts begin by discussing their recent visit to Vancouver Island for an addiction conference, leading into a conversation about the Drug User Liberation Front (DULF), an advocacy group that has been in the news.
A major point of discussion is the arrest of DULF members, who were involved in efforts to provide a controlled and safer supply of drugs. This action by the police raises questions about the challenges and legalities surrounding efforts...2023-12-0738 min
Captain Hooked: The Addiction Project#154 Dr. Peter Selby, Lifetime Achievement Award WinnerCSAM (Canadian Society of Addiction Medicine) has extended an invitation to our very own Dr. Wip to present their 2023 Lifetime Achievement Award to his mentor, Dr. Shelby. Dr. Wip elucidates the profound influence and enduring impact that Dr. Shelby has had on his journey.
Dr. Peter Selby is a Clinician Scientist and Senior Medical Consultant at CAMH. He is the Interim Vice-Chair of Research for the Department of Family and Community Medicine and holds the Dr. Barnett & Beverley Giblon Professorship in Family Medicine Research at the University of Toronto. He is a Clinician Scientist and Director of the Mental Health an...2023-11-1608 min
Captain Hooked: The Addiction Project#153 CSAM 2023: Addiction Conference OverviewIn the recent episode of ‘Captain Hooked: The Addiction Podcast’, addiction case manager Jean-Paul Michael and addiction psychiatrist Dr. Wip, share insights from their attendance at the CSAM 2023 conference held in Victoria, British Columbia. The episode unfolds the nuances of integrating peer support in addiction treatment, contrasting the traditional healthcare setups with innovative, peer-led organizations like the Umbrella Society. We speak about Alex Caudarella, of the CCSA, Chris Cull and his new series and the rest of the CSAM family.
The conversation broached the disparities in employment and support structures between hospital-employed individuals and those engaged through community organizations, unde...2023-11-1119 min
Captain Hooked: The Addiction Project#152 Decoding Decriminalization: Dr. Wip's Insightful Journey Through Portugal's Addiction LandscapeIn this episode, Dr. Wip extends his gratitude towards Drs Hugo Faria, Carolina Marquez, Cláudia Pereira, Gonçalo Henriques and Roberta Reis for their hospitality during his visit to Portugal. All of them are psychologists that oversee different areas of this non-profit in a both a leadership and direct clinical role.
This episode serves as a follow-up to our previous discussion in episode 141 about Portuguese drug policy. Dr. Wip and Addiction Case Manager Jean-Paul Michael engage in a fascinating dialogue about addiction medicine, comparing the strategies employed in Canada and Portugal. The discussion brings to light a unique 'bus se...2023-10-2426 min
Captain Hooked: The Addiction Project#151 Involuntary Addiction Care Discussions at CSAM-SMCA 2023Join us as we delve into a pre-conference discussion on the intriguing topic of involuntary addiction care, a focal point of an upcoming symposium at the CSAM-SMCA 2023 Scientific Conference in Victoria, BC. I will be in discussion with Dr. Wip, reflecting on the anticipated dialogues at the conference where I will serve as the moderator of the symposium. The symposium will feature esteemed participants, Dr. Dave Crockford and Dr. Rob Tanguay, who will explore the ethical and practical dimensions of involuntary addiction care.
Our podcast aims to set the stage for the conference, offering a glimpse into the vital...2023-10-1717 min
Captain Hooked: The Addiction Project#150 Addiction Case Review: Eloise Simpson D.O.B. 01/20/1946 SOC: AlcoholFictional Patient Information
Medical History:
• Hypertension: Under treatment
• Depression: Under treatment
• Diabetes: Under management
• Substance Use: Intoxicated upon arrival but denies substance use
• Speech: Slurred
• Injuries: Result of fall, unknown severity
Current Medications:
• Hypertension: Lisinopril 20 mg daily
• Depression: Sertraline 50 mg daily
Allergies:
• Penicillin: Causes hives
Previous Surgeries:
• Hip Replacement: 10 years ago
• Cataract Surgery: 5 years ago
Vitals:
• Blood Pressure: 160/90 mmHg
• Heart Rate: 88 bpm
• Respiratory Rate: 18 breaths/min
• Oxygen Saturation: 95% on room air
• Temperature: 98.6°F (37°C)
Blood Work:
• Blood Alcohol Level: 0.18% (above legal limit)
• Blood Sugar: 200 mg/dL (elevated)
• CBC, CMP, Other Labs: Not provided
Next Steps:
• Medical Evaluation: Full workup to assess injuries and intoxication level
•...2023-09-2819 min
Captain Hooked: The Addiction Project#149 - Psychedelics in the Spotlight: Toronto’s New Wave of Healing & HazardsStep into the captivating world of psychedelics as they intersect with addiction medicine in this illuminating episode of the Captain Hooked Addiction Podcast. As the landscape of addiction evolves, so too does our understanding of substances like psychedelics, and their roles, risks, and rewards.
Table of Contents
0:00 - Introduction: Setting the Stage for Psychedelics Discussion
1:08 - Legality: Are Psychedelics Illegal Everywhere?
2:36 - Toronto Spotlight: A Narcity Tour of Mushroom Retail Stores
4:36 - Personal Insights: Dr. Wip's Experience with Psychedelics
7:10 - Cannabis Dependence: A Reality Check on Addiction Rates
8:30 - Journey into the Unknown: Has...2023-09-1834 min
Captain Hooked: The Addiction Project#148 - Fentanyl Myths BUSTED: What's Really in Harm Reduction Kits? | Dr. Wip & JPIn this compact, informal episode, Dr. Wip and addictions case manager JP tackle a couple of big myths they've faced in their various educational endeavours within addiction medicine. Together, they explore questions like whether Fentanyl is found in pharmaceutical-grade medications and what harm reduction kits contain. Through a candid and hopefully engaging conversation, they delve into the challenges and commonalities in addiction care.
Table of Contents
0:00 - Introduction
0:28 - Is Fentanyl Present in Pharmaceutical-Grade Medications?
1:32 - Do Harm Reduction Kits Include Narcotics?
3:30...2023-08-1006 min
Captain Hooked: The Addiction Project#147 Robert De Niro's Grandson's Tragic Loss: Confronting Fentanyl & AddictionIn today's podcast, we explore the urgent issue of substance misuse and addiction, focusing on the heartrending loss of Leonardo De Niro Rodriguez. We consider the criminal allegations against Sophia Marks and why some individuals seek substances like fentanyl. We also offer a comparative analysis of drug charges and sentencing in the USA vs Canada. We delve into the narrative of a former drug trafficker and clarify common misconceptions about fentanyl contamination in the drug supply, sharing anecdotes from our own experiences. Reflecting on the 'War on Drugs,' we propose potential solutions to the ongoing drug crisis. Please...2023-07-2829 min
Captain Hooked: The Addiction Project#146 RFK JR's Controversial Endorsement: The Dual Facets of San Patrignano Recovery CommunityThe allure of the Kennedy dynasty continues to capture global interest. Robert Kennedy Jr.'s entry into the 2024 presidential race signals an exciting era of potential political innovation and change true to the Kennedy legacy. Recently @TeamKennedy24 sat down with @NewsNation, providing insights into his strategy to combat the persistent issue of drug addiction, including proposals such as cannabis and psychedelic decriminalization.
What caught our attention, however, was his reference to Italy's San Patrignano recovery community. Described by RFK Jr. as a beautiful place, we felt compelled to delve deeper into this topic, shedding light on the unique challenges and...2023-07-1122 min
Captain Hooked: The Addiction Project#145 Beyond Redemption: Unraveling the Controversy Euthanasia for Addiction (MAiD)Welcome to Episode 145, 'Beyond Redemption: Unraveling the Controversy of Euthanasia for Addiction.' In this episode, we're exploring an emergent and potentially contentious issue: the possibility of Medical Assistance in Dying (MAiD) for addiction. This exploration takes us to a crossroads of recovery, life-preservation, and assisted death, raising profound moral, ethical, and legal questions. Our discussion is informed by Tristan Hopper's thought-provoking piece in the National Post, titled 'One third of Canadians fine with prescribing assisted suicide for homelessness.' Join us as we probe the complexities of this nascent topic, which might significantly shape the future of addiction...2023-06-1936 min
Captain Hooked: The Addiction Project#144 The Impact of RAAM Clinics: Exploring Their Role in Transforming Addiction Treatment & Offering Rapid, Accessible Medical CareIn episode #144, we delve into an innovative approach to addiction treatment - Rapid Access Addiction Medicine (RAAM) clinics. These walk-in clinics offer low-barrier, accessible treatment for those struggling with substance use disorders, without the need for appointments or referrals.
Starting at 0:15, we unpack the concept of RAAM clinics. We explore what makes these clinics unique and how they’re breaking down barriers in addiction treatment. At 1:56, we discuss why RAAM clinics are critical in the fight against addiction, highlighting their role in providing immediate care when it’s needed most.
At 5:10, we journey through the history of RAAM clinics. We look...2023-06-0228 min
Captain Hooked: The Addiction Project#143 Riding the Wave: Learning from Portugal's Progressive Drug Policy and Its Relevance to North American PolicyDive into an enlightening 30-minute journey as we unearth the paradigm shift in Portugal's drug policy - a revolution that radically challenged global drug norms over two decades ago. In a world grappling with the adverse effects of drug prohibition, Portugal courageously paved a new path, decriminalizing all drugs and pivoting to a public health approach.
In this deep-dive episode, we uncover the layers of Portugal's innovative strategy. From its commitment to harm reduction to its groundbreaking shift away from criminal punishment, we assess the real-world outcomes of such an approach. Has drug decriminalization led to rampant drug use...2023-05-2532 min
Captain Hooked: The Addiction Project#142 Addiction Case Review: Jeremy Whitter D.O.B. 01/20/1995 SOC: Methamphetamine, Gamma-hydroxybutyrate (GHB)Fictional Patient Information
Name: Jeremy Whitter
Date of Birth: 01/20/1995
Sex: Male
Sexual Orientation: Bisexual
Occupation: Unemployed
Address: No fixed address
Marital Status: Separated
Chief Complaint
Chest pain and insomnia; patient reports not having slept for three days.
Social History
1. Crystal methamphetamine (meth) user: Reports smoking meth approximately 6 days a week
2. GHB user: Reports using GHB 2-3 days a week, mainly in the context of having sex with other men
3. Separated from wife due to intimate partner violence on three occasions
4. Child: 4-year-old daughter named Christina; currently not allowed contact with her due to pending criminal matters and involvement with...2023-04-2343 min
Captain Hooked: The Addiction Project#141 Kevin Nash's Family Tragedy: A Comprehensive Look at Alcohol Withdrawal DangersA huge thank you to the Nash Family and @ @KliqThis Podcast for their incredible efforts in raising awareness about the dangers of alcohol withdrawal. Despite their immense grief, they have selflessly dedicated their time to helping others.
https://youtu.be/mMA4beCxR8w
CHAPTERS:
0:02 Loss of son to alcohol withdrawal
2:55 Detox history
4:15 Medical clearance explained
6:32 Risk factors for alcohol seizures
8:02 Kevin Nash's story
10:10 Tristan Nash's role in @kliqthis podcast
11:25 High-risk factors for seizures
12:33 PAWSS (Predictor of Alcohol Withdrawal Severity Scale)
16:05 Alcohol seizures from reducing drinking
17:55 José R. Maldonado on withdrawal symptom severity
19:50 Tristan Nash's history with alcohol complications
21:20 Kevin Nash's d...2023-03-3044 min
Captain Hooked: The Addiction Project#140 CHAT GPT-4 & Addiction Medicine Physician Face-Off: Who Reigns as the Ultimate Medical Expert?With the Surge in ChatGPT-4 AI Popularity, We Put It to the Test Against Our Resident Expert, Dr. Wiplove Lamba: Discover Who Emerges as the Ultimate Medical Authority!
In light of the recent exponential growth in interest surrounding ChatGPT-4 AI technology, we have embarked on an exciting experiment, pitting this groundbreaking technology against our esteemed resident expert, Dr. Wiplove Lamba, a board-certified addiction medicine physician. To ensure a fair and well-structured discussion, Jean-Paul Michael will be moderating and refereeing this extraordinary event.
Please be advised that the content of this video is not meant to be taken as direct medical...2023-03-2036 min
Captain Hooked: The Addiction Project#139 Exploring the Controversial Debate on Free Drugs - Addiction Professionals Share Their InsightsDr. Wiplove Lamba and Case Manager Jean-Paul (JP) Michael review a video from Vice Media
(https://youtu.be/D-THhAW4MWk), which focuses on the fentanyl-related overdose deaths in North America and one possible solution. The video explores compassion clubs, particularly DULF (Drug User Liberation Front), and its co-founder Eris Nyx (dulf.ca).
Please note that the content of this video should not be taken as direct medical advice or clinical instruction.
CHAPTERS:
0:00 Introduction
0:45 Why this video is important
2:16 Clip 1: Overdoses and Fentanyl
3:15 Narcan at the shelter
4:26 Clip 2: Free Heroin and Meth Overdose Risk from Fentanyl
6:20 Benefits of predictable Fentanyl concentrations
8:13...2023-03-0938 min
Captain Hooked: The Addiction Project#138 Addiction Professionals Weigh in on Matthew Perry's Views on the Corrupt SystemDr. Wiplove Lamba and Jean-Paul Michael went through Matthew Perry Audiobook, ‘friends, lovers, and the big terrible thing’ on his recovery journey. It was a moving and powerful experience. They learned about early attachment trauma, substance use, and the internal and extremely dangerous life threatening struggles he has faced.
They also learned about his experience in various treatment programs he attended and his near death experience. 
While both Wip and JP do not work in private treatment centers, some of the items brought up were extremely interesting and relevant to addiction practice in general. We are hoping to promote discussion and br...2023-03-0337 min
Captain Hooked: The Addiction Project#137 Murdaugh Case: Addiction Experts Answer Viewer Comments and QuestionsA follow up to our episode #136 on ‘Alex Murdaugh: '$50,000 per week drug habit?', Addiction Professionals offer their insights’ https://youtu.be/A19RS7IOMYo We attempt to address some of our viewer’s addiction medicine related questions and comments. 0:00 Thank you for your curiosity 1:18 Why this followup podcast? 2:23 wouldn’t someone’s family know? 5:02 substance use changes the brain 6:23 does the brain recover from drug use? 7:17 when does the brain improve after using drugs 9:11 how much opioids can someone use without dying? (Depends on the persons tolerance) 12:03 let’s do the math - morphine equivalents (NOTE: we did not talk...2023-03-0134 min
Captain Hooked: The Addiction Project#136 Alex Murdaugh: '$50,000 per week drug habit?', Addiction Professionals offer their insightsAddiction psychiatrist Dr. Wiplove (Wip) Lamba and addictions case manager and former addict Jean-Paul (JP) Michael attempt to offer their insights on Alex Murdaugh Trial, where it has been claimed that Mr. Murdaugh spends $50,000 per week on his substance use, Addiction Professionals offer their insights.
State of South Carolina v. Richard Alexander Murdaugh is an ongoing American criminal case in the South Carolina Circuit Court in which Murdaugh is accused of the murders of his wife and their 22-year-old son a year and a half earlier.
0:00 introduction
1:24 Why are we talking about a murder trial on an addiction podcast
3:20 How...2023-02-1827 min
Captain Hooked: The Addiction Project#135 Psychiatrist learns about drug use and how to make a hospital “harm reduction” capableDr. Wiplove Lamba is trying to figure out where to start in terms of making an organization harm reduction capable. This is a QnA session, likely the first of many, as we try to figure out what is harm reduction, what’s needed and where to a start.
In previous podcasts, Addictions case manager and former addict Jean-Paul (JP) Michael provides a brief overview of harm reduction as it pertains to addiction care for individuals that use substances. Additionally, he covered the 6 principles of harm reduction:
1. Humanism
2. Pragmatism
3. Individualism
4. Autonomy
5. Incrementalism
6. Accountability without termination
*[ Harm reduction principles for healthcare settings Ma...2023-02-1657 min
Captain Hooked: The Addiction Project#134 Tribute to Temple GrandinAddiction psychiatrist Dr. Wiplove Lamba saw a podcast about Temple Grandin and her current goals of helping people find a specific trade that really allows them to excel.
This inspired him to go through her autobiography.
https://www.amazon.com/Autistic-Brain-Thinking-Across-Spectrum/dp/B09HVDV578/ref=mp_s_a_1_13?qid=1675286221&refinements=p_27%3ATemple+Grandin+PhD&s=books&sr=1-13&text=Temple+Grandin+PhD
He also picked a book for projects and crafts to help people learn how to think first principles of building things.
https://www.amazon.com/Calling-All-Minds-Create-Inventor/dp/1524738220/?_encoding=UTF8&pd_rd_w=Mw089&content-id=amzn1.sym.a6902a35-d...2023-02-0609 min
Captain Hooked: The Addiction Project#133 “Two drinks a week????” — Introduction and overview of Alcohol UseAfter cigarettes and tobacco, alcohol has the highest morbidity and mortality of any drug of abuse. It is also legal. Recently in the news, Canada has shifted its approach from sharing what makes you at risk for addiction to what are the actual risks of drinking when compared to those that don’t drink.
Here we discuss the new low risk drinking guidelines for Canada, the medical professions involvement in addiction care, how health care providers can screen for alcohol use disorder, what’s involved in the assessment, approaches to detoxification, maintenance medications, therapies, and connections to resources.
We hope it i...2023-02-0239 min
Captain Hooked: The Addiction Project#132 Origins of Mindfulness MeditationLearning objectives
In this talk, the attendee will
A) learn about the the loose connection between the Indian gods and meditation, and the general origins of mindfulness, and how it connects the various psychotherapies.
B)At the end, the attendee will wonder which type of meditative practice to explore further.
Summary
Wip has always wanted to learn how to meditate better. And here, he explore some ideas that are still in its infancy in his mind with the goal of coming up with a list of concepts to explore. This talk was Inspired by a “short” from @LexClips with @johnvervaeke wher...2023-02-0117 min
Captain Hooked: The Addiction Project#131 An Addiction Clinician perspective on Pierre Poilievre's, 'Everything Feels Broken'Addiction psychiatrist Dr. Wiplove (Wip) Lamba and addictions case manager and former addict Jean-Paul (JP) Michael attempt to do an honest apolitical assessment of 'Everything Feels Broken'.
'Everything Feels Broken', features Mr. Pierre Poilievre, leader of the Conservative Party of Canada. Mr. Poilievre speaks on many issues in this video. We are exclusively focusing on the areas of this substance use and substance use policy.
Mr. Pierre Poilievre video:
https://youtu.be/UvvMfwUkXrM
0:00 introduction
3:00 Does everything feel like it's broken in Canada?
5:28 Another tent city
7:19...2023-01-1642 min
Captain Hooked: The Addiction Project#130 Tribute: CAMH Project ECHO-AMPI Addictions Medicine & Psychosocial InterventionsDr. Sanjeev Arora developed project ECHO (extending community health outcomes) in New Mexico to help the generalist to pick up the skills to treat Hepatitis C. This modal has spread throughout the world with over 100 plus echos throughout the world covering many topics.
In Canada, CAMH has been a leader in developing and spreading the model as it relates to mental health.
Addiction psychiatrist Dr. Wiplove (Wip) Lamba, addictions case manager and former addict Jean-Paul (JP) Michael were both a part of the CAMH echo for years and Wip still is.
Here is a brief video explaining project ECHO
https...2023-01-1541 min
Captain Hooked: The Addiction Project#128 What does the treatment for Post Traumatic Stress Disorder look like?After discussing what is trauma informed care, how to take a trauma history, what is and how to offer seeking safety - a stage 1 treatment for trauma and substance use, the natural next step was to discuss PTSD and it’s treatment.
Here we discuss why it is important, does the self meditation hypothesis exist, how wip learned CPT, what are the major components of it, and the importance of hope. We know this will inspire you to learn more and/or share more with your friends, colleagues, patients or health care providers depending on where it has the most va...2023-01-1542 min
Captain Hooked: The Addiction Project#129 Addictions case manager answers the most commonly asked questions about Crystal meth useAddictions case manager and former addict Jean-Paul (JP) Michael has given multiple talks to trainees over the last 5-7 years on what it was like to use drugs, how harm reduction saved his life, what the recovery process was like and the transition to working as a peer support worker and now a clinical case manager.
He always tells the audience there is nothing off limits. Here, JP has compiled the most common questions.
In this “raw and authentic” QnA (Wip’s description), JP, with Minkie's support, answers the following questions.
0:00 Introductions
1:10 How long and how often did use meth for?
2...2023-01-1511 min
Captain Hooked: The Addiction ProjectCaptain Hooked: The Addiction Project - Official TrailerFeaturing addiction psychiatrist Dr. Wiplove (Wip) Lamba, addictions case manager and former addict Jean-Paul (JP) Michael, along with their guests discuss all things related to substance use, addiction, addiction medicine, psychotherapy, harm reduction, treatment and recovery. Wip and JP share their motivation, curiosity, and passion for their craft. JP works on a daily basis in a renown inner city hospital in Canada's largest city. This work is separate from Wiplove’s clinical and academic work.
The content should not be taken as direct medical advice or clinical instruction.
#Addiction
#Psychotherapy
#Caseworker
#Healthcare provider
#Healthcare provider education
#captainhooked
#Psychiatry
#addiction medicine
#ho...2023-01-1300 min
Captain Hooked: The Addiction Project#127 Addiction Psychiatrist’s Tribute to Huberman Lab PodcastAs a former aspiring neuroscientist and a current practicing psychiatrist, I really admire the quantity, the quality and the pragmatism of Dr. Huberman’s podcasts.
They have helped me learn the neuroscience basis of many psychological clinical approaches, their relevance to personal self development and also to patient care.
I invite all of you to pick just one of his podcasts that is related to a challenge that you or a loved one have, listen to it, and take notes on the interesting points. You will be surprised at both the depth and breadth of what is covered along with yo...2023-01-0511 min
Captain Hooked: The Addiction Project#126 Seeking Safety: an evidence based treatment for trauma and substance useWe are both proponents of seeking safety as a therapy for people with trauma and substance use.
This is a very low barrier treatment for both the therapist or peer support worker to learn AND for the patient to get access to.
For myself, when I’m working with people who use drugs, it’s a great standalone treatment AND a great gateway therapy to more intensive work.
Here are some resources:
Seeking Safety
https://www.treatment-innovations.org/seeking-safety.html
Basic handouts for seeking safety
https://www.treatment-innovations.org/uploads/2/5/5/5/25555853/1-4-2022-basic-handouts-for-ppl-without-books.pdf
Here is a video where Dr. Lisa...2023-01-0532 min
Captain Hooked: The Addiction Project#105 Motivational Interviewing:101Wiplove gives a brief overview of the didactic content of motivational interviewing. This covers the spirit which include partnership, acceptance, compassion and evocation. He talks about the skills the therapist needs, like the use of open ended questions, affirmations, reflections and summaries. He also discusses the goal, change talk. MI has moved away from “unmotivated” language to “change talk” and “sustain” talk. Keep in mind, MI is learned experientially in workshops, and didactic knowledge is insufficient at improving your clinical practice. Www.motivational interviewing.org is a great resource for everyone who wants to become proficient and/or train others in motivatio...2022-12-2614 min
Captain Hooked: The Addiction Project#101 Motivational Interviewing: Dr Wiplove Lamba discusses its originsJean-Paul Michael has recently started a career as a community case manager and is going through a motivational interviewing training session. Addiction psychiatrist Dr. Wiplove (Wip) Lamba is a member of the motivational interviewing network of trainers, has led many workshops in the past. Today, JP and Wip have a conversation about Origins of motivational interviewing.
Featuring addiction psychiatrist Dr. Wiplove (Wip) Lamba, addictions case manager and former addict Jean-Paul (JP) Michael, along with their guests discuss all things related to substance use, addiction, addiction medicine, psychotherapy, harm reduction, treatment and recovery. Wip and JP share their motivation, curiosity, and...2022-12-2622 min
Captain Hooked: The Addiction Project#125 What is Contingency Management? Overview of Basic behavioral principlesContingency Management
In this talk. We discuss why addiction case manager JP cares about CM, an example where he used it in his work and personal life, addiction psychiatrist Wip shared two examples where he used it with his kids, and they went over the key concepts in Nancy Petry’s phenomenal book and guide.
JP loves evidence based topics, and he also also knows CM has the best evidence for stimulant use disorders.
Nathan Azrin toilet training book
“Toilet Training in Less Than a Day,” by Nathan H. Azrin, PhD and Richard M. Foxx, PhD, hit bookstands in 1974.
https://www.am...2022-12-2618 min
Captain Hooked: The Addiction Project#123 2 books for the therapist of the best psychotherapies for people who use drugs and their familyHey! How do I learn more???
CRA (community reinforcement approach) and CRAFT (community reinforcement approach and family training) are the two best therapies for people who use drugs and their family members respectively.
Maybe a little bit of bias in that statement lol.
The outcomes are solid, but it hasn’t had the marketing you see in regular CBT and other psychotherapies.
In this video, Wip shares 2 books for the therapist.
Enjoy!
Wip and JP talk about these therapies a lot in other "Captain Hooked" podcasts.
Happiness scale on page 8 of this random pdf I found on google
https://www.ch...2022-12-2506 min
Captain Hooked: The Addiction Project#119 Addiction Psychiatrist Teaches How to Get Your Loved One Sober (2 of 2) core contentTLDR: buy the book!
Addictions case manager and former addict Jean-Paul (JP) Michael reached out to addiction psychiatrist Dr. Wiplove (Wip) Lamba this week, seeking info on CRAFT (Community Reinforcement, And Family Training). Seeing there was an audiobook, he started reading the version for family members. (Wip and JP currently prefer audiobooks to paper).
For substance use disorders care, we usually focus on the individual. The family is kept separate. Robert Meyers, a psychologist and scientist out of New Mexico developed the CRAFT model so that the family member can help the loved one get sober. There are three main...2022-12-2518 min
Captain Hooked: The Addiction Project#121 Psychiatrist recommends 'Finding Me: A Memoir by Viola Davis - a memoir full of life lessons'We have always admired strong women. Wip’s Grandmothers and his mother were incredibly inspiring to him, and now he learns great life lessons through his wife and daughter on a regular basis. In over a decade of clinical work in psychiatry, both Wip and JP have worked under many strong women leaders.
This memoir was incredibly inspiring to us for several reasons.
1. This is a person at the peak of their career
2. The childhood experiences this person encountered would have caused PTSD like symptoms in almost anyone.
3. It gives clues as to the character traits and choices that people ma...2022-12-2507 min
Captain Hooked: The Addiction Project#120 Psychiatrist learns about Anton Chekhov and appreciates the growth that comes with the work.Viola Davis quotes Anton Chekov at the start of her book. Psychiatrist Dr. Wiplove (Wip) Lamba didn’t realize who he was.
“I think human beings just have faith or must look for faith, otherwise life is empty, empty. To live and not to know why the cranes fly, why children are born, why there are stars in the sky. You must know why you are alive, or else everything is nonsense, just blowing in the wind.” - Anton Chekhov
Anton Chekhov is a famous Russian writer and playwright whom some argue is only second to Tolstoy in his acclaim. He gre...2022-12-2508 min
Captain Hooked: The Addiction Project#124 What is Trauma informed care? How do you work with people who have trauma?Trauma informed care is a buzzword with different definitions and different implementation protocols depending on who you talk to. In this podcast, addiction psychiatrist Dr. Wiplove (Wip) Lamba and addictions case manager and former addict Jean-Paul (JP) Michael discuss the challenges in working with people who have trauma, difficulty creating a safe place within large institutions, lessons from the “body keeps the score” book by Dr. Van der Kolk, aces scores (adverse childhood experiences), how to do a trauma history, the primary care ptsd screener (pc-ptsd), and foreshadow future sessions on treatment for trauma, substance use and PTSD.
Website on trau...2022-12-2534 min
Captain Hooked: The Addiction Project#122 Origins and components of CRA (Community Reinforcement Approach)This is a talk about the Community Reinforcement Approach developed by Robert Meyers, a scientist and psychologist who did his training under Dr. Nathan Azrin.
The key principle for the Community Reinforcement Approach is that you want to make your sober life so interesting that you would not want to miss a day by using.
Steps include happiness scale, goal setting, sobriety sampling, principles of rational emotive behavioural therapy, social club, functional analysis of unhealthy and healthy behaviour, recreational therapy, couples counseling, job retraining and social club.
Here is a summary of Dr. Azrin’s work
http://www.nathanazrin.com
Ro...2022-12-1722 min
Captain Hooked: The Addiction Project#120 Psychiatrist learns about Anton Chekov and learns lessons from the experienceViola Davis quotes Anton Chekov at the start of her book. Psychiatrist Dr. Wiplove (Wip) Lamba didn’t realize who he was.
Anton Chekov is a famous Russian writer and playwright whom some argue is only second to Tolstoy in his acclaim. He grew up in poverty in an abusive household. Medicine was his main professions and he described writing as his mistress. He believed it was his role to share reality as it was and not provide answers and solutions, and that was clear in his stories.
Wip went through the audiobook and commentary for the proposal, the girl wi...2022-12-1408 min
Captain Hooked: The Addiction Project#118 Addiction Psychiatrist Teaches How to Get Your Loved One Sober (1 of 2)Addictions case manager and former addict Jean-Paul (JP) Michael reached out to addiction psychiatrist Dr. Wiplove (Wip) Lamba this week, seeking info on CRAFT (Community Reinforcement, And Family Training). Seeing there was an audiobook, he started reading the version for family members.
For substance use disorders care, we usually focus on the individual. The family is kept separate. Robert Meyers, a psychologist and scientist out of New Mexico developed the CRAFT model so that the family member can help the loved one get sober. There are three main goals to craft.
1. Help reduce your loved ones substance use
2. Help move...2022-12-1225 min
Captain Hooked: The Addiction Project#117 Harm Reduction DefinedAddictions case manager and former addict Jean-Paul (JP) Michael provides a brief overview of harm reduction as it pertains to addiction care for individuals that use substances. Additionally, he covers the 6 principles of harm reduction:
1. Humanism
2. Pragmatism
3. Individualism
4. Autonomy
5. Incrementalism
6. Accountability without termination
*[ Harm reduction principles for healthcare settings Mary Hawk, Robert W. S. Coulter, James E. Egan, Stuart Fisk, M. Reuel Friedman, Monique Tula & Suzanne Kinsky Harm Reduction Journal volume 14, Article number: 70 (2017)]
https://www.toronto.ca/community-people/health-wellness-care/health-programs-advice/services-provided-by-the-works/
JP would like to acknowledge some of the amazing mentors he has had in the field of harm reduction...2022-12-0609 min
Captain Hooked: The Addiction Project#116 Working with personality disorders: Dialectical Behaviour Therapy (DBT)Third wave psychotherapies are starting to show efficacy for people who use drugs. Here, Addiction psychiatrist Dr. Wiplove (Wip) Lamba and addictions case manager and former addict Jean-Paul (JP) Michael discuss the diagnosis of borderline personality disorder, Marsha Linehan, CBT, the dialectic of acceptance and change, the 4 components of DBT including group, individual, phone coaching and case conferences and the 4 key skills for the groups. Those skills are distress tolerance, mindfulness, emotion regulation and distress tolerance.
Here are the 3 key books that helped Wip learn DBT:
https://www.amazon.ca/Doing-Dialectical-Behavior-Therapy-Practical/dp/1462502326/ref=nodl_
https://www.amazon.ca/DBT®-Skills-Training-Manual-Second/d...2022-12-0127 min
Captain Hooked: The Addiction Project#115 Psychiatric Assessment: What vs HowAddiction psychiatrist Dr. Wiplove (Wip) Lamba, addictions case manager and former addict Jean-Paul (JP) Michael have been discussing the clinical assessment. In a previous talk, they discussed the content and compared and contrasted different kinds of assessments. Today, they discuss the “process”. This includes the context, the questions you ask, how you formulate the person, and how you give recommendations. Here they share different approaches in different situations, pros and cons of different ways of dressing, the importance of authentic acceptance before you can give advice on change, and most interestingly the value of direct vs indirect communication.
Here is an i...2022-11-2632 min
Captain Hooked: The Addiction Project#114 Overview of the Psychiatric assessment: focus on contentAddiction psychiatrist Dr. Wiplove (Wip) Lamba and addictions case manager and former addict Jean-Paul (JP) Michael discuss the basic outpatient psychiatric assessment. Wiplove covers the key headings including identifying data, reason for referral, chief complaint, history of presenting illness, past psychiatric history, review of symptoms and personal history. JP has questions about how the assessment would change in different contexts and also asks “what is an addiction psychiatrist”. For interviews, Wiplove discusses how the content and process are both important. It’s not just what you ask but how you ask it.
Here is an interview template for medical students and re...2022-11-2427 min
Captain Hooked: The Addiction Project#113 Understanding the patient: Case Manager QnA on the perspectives of psychiatry (Part 2 of 2)Addictions case manager and former addict Jean-Paul (JP) Michael and addiction psychiatrist Dr. Wiplove (Wip) Lamba discus the perspectives of psychiatry in more detail. This includes shifting the conversation from how the perspectives of psychiatry model is into how would you actually use it in practice. Wip is not able to fully answer the questions and for clarity, both of them decide the next best step is a mock demonstration of what a psychiatric assessment looks like with a mock patient or a standardized patient.
The key point is that a traditional psychiatric assessment is how it is. And the...2022-11-2210 min
Captain Hooked: The Addiction Project#112 Understanding the patient: Using the perspectives of psychiatry approach. (Part 1 of 2)At John Hopkins, McHugh and Slavney developed the perspectives approach to psychiatry. Addiction psychiatrist Dr. Wiplove (Wip) Lamba regularly uses it in his clinical practice. In this episode, Wip and addictions case manager and former addict Jean-Paul (JP) Michael discuss the model, the different quadrants and how they help us understand the person and match to the appropriate treatment. Wip believes this allows for a broader understanding of the person than a DSM diagnosis alone, and it is a useful complement to whichever clinical approach any of you use. It divides compliments of the person into 4 areas: disease, dimensional, behavior an...2022-11-2226 min
Captain Hooked: The Addiction Project#111 Chemsex / Party and Play (Part 3 of 3)Dr. Wiplove (Wip) Lamba has come closing questions for addictions case manager and former addict Jean-Paul (JP) Michael. A lot of things were not discussed.
Wip does ask however what it was like to have had a recent history of drug use and attend a training on chemsex for health care providers, how he can do his job better, and JP gives Wip a few ideas of what to put up into his office to make the environment more inviting.
JP also makes it clear that we need to have the conversations to get these experiences out in the open.
Here is D...2022-11-2121 min
Captain Hooked: The Addiction Project#109 Chemsex / Party and Play (Part 2 of 3)Information prepared by OHTN think tank for GBMSM
Irene Nkoroge prepared a slide deck on GBMSM (gay and bisexual men who have sex with men) and crystal meth in Ontario after a discussion with the OHTN think tank.
This is the link to the talk.
http://www.metaphi.ca/wp-content/uploads/Call_RN_CrystalMethMSM.pdf
The Ontario HIV Treatment Network
https://www.ohtn.on.ca/
Featuring addiction psychiatrist Dr. Wiplove (Wip) Lamba, addictions case manager and former addict Jean-Paul (JP) Michael, along with their guests discuss all things related to substance use, addiction, addiction medicine, psychotherapy, harm reduction, treatment and recovery...2022-11-2117 min
Captain Hooked: The Addiction Project#110 Chemsex / Party and Play (Part 1 of 3)Addiction psychiatrist Dr. Wiplove (Wip) Lamba tries to bring Dr. Dave Stuart message about 'Chemsex / Party and Play' to a different audience. Wip had to prepare a talk on chemsex and he watched numerous hours of Dave Stuart on YouTube to prepare. The storytelling is Dave Stuart’s story and he has numerous workshops and talks on YouTube. This is a topic that both sexual health workers and addiction counselors require knowledge to build compassion, desire and skill to help people that want change. Addictions case manager JP Michael listens and helps Wip fine tune his message. Please note, Wip is rea...2022-11-2127 min
Captain Hooked: The Addiction Project#102 CSAM 2022: To Hell and Back: How I turned my 2 decade long entanglement with drugs into career.In 2015, Jean-Paul ended his two-decade long entanglement with substance use. He has attempted to put that lived experience to a useful purpose. He joined St. Michael’s, Hospital Addiction Service, as one of their first Peer Support Specialists. Today, as a Community Case Manager he provides intensive case management for some of the most marginalized patients. When not working directly with patients, Jean-Paul’s other passion is as an harm reduction educator and as a consultant. Primarily providing guidance on how to better support Persons Who Inject Drugs (PWID). Prior to healthcare, Jean-Paul was a lifelong entrepreneur. At 19, he co-founded Norther...2022-11-1614 min
Captain Hooked: The Addiction Project#104 CSAM 2022: Lived-experience Peers in a clinical settingAddiction psychiatrist Dr. Wiplove (Wip) Lamba & addictions case manager and former addict Jean-Paul (JP) Michael are sharing at CSAM conference their experience of working together on an inpatient consultation service. These 15 minutes will briefly cover what it was like to train as a peer support worker, what it’s like as a clinician to have a peer support worker join your team, as well as wins and areas to improve in hospital based addiction care.
https://csamconference.org/
Featuring addiction psychiatrist Dr. Wiplove (Wip) Lamba, addictions case manager and former addict Jean-Paul (JP) Michael, along with their guests discuss all th...2022-11-1516 min
Captain Hooked: The Addiction Project#106 Dr. Wiplove Lamba learns about gay sex, PNP, crystal meth, and GHBAddiction Psychiatrist Dr. Wiplove Lamba & Addictions Case Manager and former addict Jean-Paul (JP) Michael have learnt a lot about how to help men who “party with drugs” (PNP) from Dr. David Stuart. Dr. Stuart has been a beacon of light in trying to help health care providers help those who party with drugs. In this session, Wip has to prepare a talk for Monday where he teaches on “Party and Play”. JP, having been to the training and having some lived experience in the area, agreed to answer a few of Wip’s questions. In the conversation, the following organizations come up.
htt...2022-11-1525 min
Captain Hooked: The Addiction Project#108 CSAM 2022: Some reflections from Canada's National Conference on Addiction MedicineAddiction Psychiatrist Dr. Wiplove (Wip) Lamba and Addictions Case Manager and former addict Jean-Paul (JP) Michael are in Saskatoon, Saskatchewan for the Canadian Society of Addiction Medicine (CSAM) annual conference. Wip loves this conference. When he started doing addiction medicine, he felt like he was in a bubble. Providing psychiatric care to people who use drugs or addiction medicine care to psychiatric patients may seem like commonplace, but usually those two fields are siloed. CSAM connected Wip to a community of health care providers that were really trying to figure out how to best serve people who use drugs. It's...2022-11-1528 min
Captain Hooked: The Addiction Project#103 CSAM 2022: Why CSAM (Canadian Society of Addiction Medicine) matters?Canadian Society of Addiction Medicine is the main national health care providers organization for those practicing addiction medicine. For Wiplove, it has allowed him to stay connected to a community of addiction practitioners even though his primary practice was in a general hospital setting. For any health care providers, he strongly recommends membership and attendance at the conference to help develop and maintain competence.
Featuring addiction psychiatrist Dr. Wiplove (Wip) Lamba, addictions case manager and former addict Jean-Paul (JP) Michael, along with their guests discuss all things related to substance use, addiction, addiction medicine, psychotherapy, harm reduction, treatment and recovery. Wip an...2022-11-1507 min
Captain Hooked: The Addiction Project#107 Motivational Interviewing: Trainee asks the MI Trainer Dr. Wiplove Lamba some questionsAddictions Case Manager and former addict Jean-Paul (JP) Michael is attending a training with Psychwire on motivational interviewing. JP is having a conversation with Addiction Psychiatrist Dr. Wiplove (Wip) Lamba. JP has done 8 hours of their 16 hour training program, and he has a few questions for Wip. How do you give advice or a diagnosis in MI? How do you do the delicate dance of informing without offending people? How do you share your expertise in a way that empowers the patient? While Wip did not have all the answers, the conversation increased his curiosity to learn more about Dr...2022-11-1425 min