PART 3:  Cravings and Forming Habits

PART 3: Cravings and Forming Habits

James Clear, author of Atomic Habits defines the Habit Loop as consisting of four components: the cue or trigger, the craving, the response and the reward. By breaking each component down he offers strategies for those who are attempting to create a new habit or...
Do This 1 Thing to Stay Off Opioids Forever

Do This 1 Thing to Stay Off Opioids Forever

Using willpower to change a behavior means working hard to achieve something; Merriam Webster defines will power as “energetic determination.” If I need willpower to accomplish something, then I am attempting a task that I feel some level of conflict about doing. Like...
The Connection Between Mental and Physical Pain

The Connection Between Mental and Physical Pain

My trauma occurred in February of 2011. As I stood in front of the podium and spoke at a state summit in Michigan, I recounted my trauma — my past — in front of a room filled with strangers. I shared my vulnerable story and my transition from victim to thriving...
Can I Really Be Addicted To Tramadol?

Can I Really Be Addicted To Tramadol?

If you think tramadol is a benign drug, think again. This past spring we met Frank, a middle-aged man from the southwest who was using large amounts of tramadol daily, originally for back pain. His doctor prescribed a certain amount, the rest he purchased online. He...
My Patient’s Most Shameful Secret

My Patient’s Most Shameful Secret

One of the most troubling aspects of my job as a medical addiction professional reared its head last week as I entered the exam room for a follow-up visit with Gordon.* Gordon has had a very successful career in banking. He is the 64-year old divorced father of three...