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	<title>RecoveryView.com &#187; Member Blogs</title>
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	<link>http://recoveryview.com</link>
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	<pubDate>Fri, 12 Mar 2010 18:55:47 +0000</pubDate>
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		<title>An Invitation from Circle Tree Ranch</title>
		<link>http://recoveryview.com/2010/03/an-invitation-from-circle-tree-ranch/</link>
		<comments>http://recoveryview.com/2010/03/an-invitation-from-circle-tree-ranch/#comments</comments>
		<pubDate>Fri, 12 Mar 2010 18:55:47 +0000</pubDate>
		<dc:creator>Circle Tree Ranch</dc:creator>
		
		<category><![CDATA[Member Blogs]]></category>

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		<title>Starve the Ego: Feed the Soul! Souldrama: Ignite your Spiritual Intelligence. March Discount! Buy Now!</title>
		<link>http://recoveryview.com/2010/03/starve-the-ego-feed-the-soul-souldrama-ignite-your-spiritual-intelligence-march-discount-buy-now/</link>
		<comments>http://recoveryview.com/2010/03/starve-the-ego-feed-the-soul-souldrama-ignite-your-spiritual-intelligence-march-discount-buy-now/#comments</comments>
		<pubDate>Fri, 12 Mar 2010 14:22:08 +0000</pubDate>
		<dc:creator>Connie Miller, TEP, NCC, LPC</dc:creator>
		
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		<description><![CDATA[Starve the Ego: Feed the Soul! Souldrama: Ignite your Spiritual Intelligence. March Discount! Buy Now!
By Connie Miller Endorsed by Zerka Moreno, Clark Baim and Stevan Thayer!
You can go see it at http://www.lulu.com/product/paperback/starve-the-ego-feed-the-soul-souldrama-ignite-your-spiritual-intelligence/6390589


$24.99
Ships in 3–5 business days Today, we seem to search for meaning and purpose in our lives and begin a spiritual journey as we [...]]]></description>
			<content:encoded><![CDATA[<p style="text-align: center;"><strong>Starve the Ego: Feed the Soul! Souldrama: Ignite your Spiritual Intelligence. March Discount! Buy Now!</strong></p>
<p style="text-align: center;">By Connie Miller Endorsed by Zerka Moreno, Clark Baim and Stevan Thayer!</p>
<p style="text-align: center;">You can go see it at <a href="http://www.lulu.com/product/paperback/starve-the-ego-feed-the-soul-souldrama-ignite-your-spiritual-intelligence/6390589" target="_blank">http://www.lulu.com/product/paperback/starve-the-ego-feed-the-soul-souldrama-ignite-your-spiritual-intelligence/6390589</a></p>
<p style="text-align: center;">
<p style="text-align: center;"><img class="aligncenter" src="http://us.mg2.mail.yahoo.com/ya/download?mid=1%5f243963%5fADMxvs4AALewS5pNMgEwJiSkeZ0&amp;pid=2&amp;fid=Inbox&amp;inline=1" alt="" /></p>
<p style="text-align: center;">$24.99</p>
<p style="text-align: center;">Ships in 3–5 business days Today, we seem to search for meaning and purpose in our lives and begin a spiritual journey as we ask ourselves,&#8221;Is this all there is?&#8221; In troubled times, new approaches and new initiatives are needed to break through the present impasse to restore health and vibrancy. What keeps people stuck in relationships, careers, addictions? Souldrama is a dynamic new therapeutic process that integrates psychology and spirituality,and aligns the ego and soul to move past the resistance in our lives preventing us from accessing our higher purpose. Similar to the stages of a pilgrimage, moving through seven levels of transformation, Souldrama integrates all three levels of intelligences, our rational, emotional, and spiritual, through a group process that puts spirituality into action. The end result helps us to create spiritually intelligent leadership. Souldrama moves group therapy and psychodrama to another level, that of the transpersonal.</p>
<p style="text-align: center;">
<p style="text-align: center;">Connie Miller TEP, LPC. NCC<br />
<a href="http://www.souldrama.com/" target="_blank"><span id="lw_1268403509_6" class="yshortcuts">http://www.souldrama.com/</span></a><br />
The International Institute of Souldrama</p>
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		<title>News from Hero House - March 2010</title>
		<link>http://recoveryview.com/2010/03/news-from-hero-house/</link>
		<comments>http://recoveryview.com/2010/03/news-from-hero-house/#comments</comments>
		<pubDate>Fri, 12 Mar 2010 13:56:43 +0000</pubDate>
		<dc:creator>Hero House - Atlanta</dc:creator>
		
		<category><![CDATA[Member Blogs]]></category>

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		<description><![CDATA[Gratitude
Hi everyone.  My name is Jana and I started working with the HERO House in June 2009 and became a full time staff member in January 2010.  My experience over the last nine months has been very positive and exciting.  Our team has set goals for the year and we are constantly refining our community [...]]]></description>
			<content:encoded><![CDATA[<p><strong>Gratitude</strong></p>
<p>Hi everyone.  My name is Jana and I started working with the HERO House in June 2009 and became a full time staff member in January 2010.  My experience over the last nine months has been very positive and exciting.  Our team has set goals for the year and we are constantly refining our community in an effort to provide the best possible environment for our residents to achieve long-term sobriety.  Throughout this process, I have realized how grateful I am to work with such a dedicated and supportive staff that genuinely cares about the impact they make in our community.  I would like to say THANK YOU for providing me with such a wonderful opportunity.  <strong>Jana Pearce, Program Coordinator</strong></p>
<p><strong>Hero News:</strong></p>
<p><em>Open House</em> - March 12 11-2pm.  Please take the opportunity to come meet our staff and visit our facility.</p>
<p><em>Family Weekend March 2010</em> Friday - Graduation.  Congratulations to our three residents for completing the program!  Saturday - All day workshops for family and residents.  Sunday - individual sessions available upon request.</p>
<div style="2px;">
<p class="MsoNormal" style="0px;" align="left"><em><strong><span style="x-small;"><span style="bold;">Collegiate Challenge</span></span></strong></em><span style="x-small;"><span style="13px;"> is Habitat for Humanity’s year-round alternative break program that provides opportunities for students from youth groups, high schools and colleges to spend a week of their school break <span class="yshortcuts">building a house</span> in partnership with a <span class="yshortcuts" style="pointer;">Habitat for Humanity</span> affiliate in the United States. A Collegiate Challenge trip may be the best school break trip you will ever have. Not only do you help people in need — it’s also fun! </span></span></p>
<p class="MsoNormal" style="0px;" align="left"><span style="x-small;"><span style="13px;">The HERO House recognizes the power of a truly alternative break, giving students the opportunity to not only have a great time on an affordable trip, but to do so while making a difference. Partici­pants will enjoy being able to clearly see the impact their hearts and hands can have on a Habitat for Humanity house and its host community in just one week. </span></span></p>
<p class="MsoNormal" style="0px;" align="left"><span style="x-small;"><span style="13px;">We look forward to taking our residents on this service trip.  While in Augusta, not only will we work with Habitat, we will explore the culture and history of this enduring city.  We will set aside the time for 12-Step Meetings in the <span class="yshortcuts" style="pointer;">Central Savannah River Area</span>.  We look forward to our HE­ROes becoming heroes for the week in Augusta!</span></span></p>
<p class="MsoNormal" style="0px;" align="left">
<div style="2px;">
<p class="MsoNormal" style="center;" align="center"><span style="large;"><span style="#ff6600;">Welcome HERO House <span class="yshortcuts">California</span></span></span></p>
<p class="MsoNormal" style="0px;" align="left"><span style="x-small;"><span style="#4a4a4a;">The house is centrally located in a residential neighborhood within the <span class="yshortcuts">City of San Juan Capistrano</span>, Orange County, California.  It is a beach community without the beach traffic. Recovery meetings of all types are within a short walking distance. Residents will attend <span class="yshortcuts">Saddleback College</span>, UC-Irvine, <span class="yshortcuts" style="pointer;">CSU Fullerton</span> (Irvine campus), or <span class="yshortcuts">Chapman University</span> (Irvine campus).</span></span></p>
<p class="MsoNormal" style="0px;" align="left"><span style="x-small;"><span style="#4a4a4a;">For more information on our expansion in California please contact our Executive Director Randy Haveson at <span class="yshortcuts" style="pointer;">678-612-1765</span> or <span class="yshortcuts" style="pointer;">randy@herohouse.com</span></span></span></p>
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<p class="MsoNormal" style="0px;" align="left"><span style="underline;"><strong><span style="x-small;"><span style="bold;">Definition of a hero</span></span></strong></span><span style="underline;"><span style="x-small;"><span style="underline;">:</span></span></span></p>
<p class="MsoNormal" style="16px;" align="left"><span style="xx-small;"><span style="#3e3e3e;">he·ro Pronunciation Key (hîro) </span></span><em><span style="xx-small;"><span style="italic;">n. pl. he·roes</span></span></em></p>
<p class="MsoNormal" style="16px;" align="left"><span style="xx-small;"><span style="#3e3e3e;"> </span></span></p>
<p class="MsoNormal" style="16px;" align="left"><span style="xx-small;"><span style="#3e3e3e;">1. In mythology and legend, a person, often of divine ances­try, who is endowed<br />
with great courage and strength, celebrated for their bold exploits, and<br />
favored by the gods.</span></span></p>
<p class="MsoNormal" style="16px;" align="left"><span style="xx-small;"><span style="#3e3e3e;"> </span></span></p>
<p class="MsoNormal" style="16px;" align="left"><span style="xx-small;"><span style="#3e3e3e;">2. A person noted for feats of courage or nobility of purpose, especially one who has risked or sacrificed his or her life.</span></span></p>
<p class="MsoNormal" style="16px;" align="left">
<p class="MsoNormal" style="center;" align="center"><span style="xx-small;"><span style="blue;">Questions or Comments?</span></span></p>
<p class="MsoNormal" style="center;" align="center"><span style="xx-small;"><span style="blue;">Please email  jana@herohouse.com</span></span></p>
<p class="MsoNormal" style="center;" align="center"><span style="xx-small;"><span style="blue;">or call <span class="yshortcuts" style="pointer;">770-635-7587</span></span></span></p>
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		<title>The Chronic Pain Management Price Tag is Growing Out of Control</title>
		<link>http://recoveryview.com/2010/03/the-chronic-pain-management-price-tag-is-growing-out-of-control/</link>
		<comments>http://recoveryview.com/2010/03/the-chronic-pain-management-price-tag-is-growing-out-of-control/#comments</comments>
		<pubDate>Wed, 10 Mar 2010 17:55:52 +0000</pubDate>
		<dc:creator>Dr. Stephen F. Grinstead, LMFT, ACRPS, CADC-II</dc:creator>
		
		<category><![CDATA[Member Blogs]]></category>

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		<description><![CDATA[According to the Ohio State University Medical Center chronic pain has been said to be the most costly health problem in US. Increased medical expenses, lost income, lost productivity, compensation payments, and legal charges are some of the negative economic consequences of chronic pain. Consider the following:
Low back pain is one of the most significant [...]]]></description>
			<content:encoded><![CDATA[<p>According to the Ohio State University Medical Center chronic pain has been said to be the most costly health problem in US. Increased medical expenses, lost income, lost productivity, compensation payments, and legal charges are some of the negative economic consequences of chronic pain. Consider the following:</p>
<blockquote><p><em><strong><span style="#000080;">Low back pain is one of the most significant health problems. According to the Centers for Disease Control and Prevention (CDC), 70 percent to 85 percent of all people have back pain at some time in their life. Back pain is the most frequent cause of activity limitation in people younger than 45 years old.</span></strong></em></p>
<p><em><strong><span style="#000080;">Cancer pain affects the majority of patients in intermediate or advanced stages of cancer. About 1.4 million new cases of cancer are diagnosed each year in the US.</span></strong></em></p>
<p><em><strong><span style="#000080;">Arthritis pain affects nearly 47 million Americans each year.</span></strong></em></p>
<p><em><strong><span style="#000080;">Headaches, according to the National Institute of Neurological Disorders and Stroke (NINDS), affect millions of US adults. The three most common types of chronic headaches are migraines, cluster headaches, and tension headaches.</span></strong></em></p>
<p><em><strong><span style="#000080;">Other pain disorders such as the neuralgias and neuropathies that affect nerves throughout the body, pain due to damage to the central nervous system (the brain and spinal cord), as well as pain where no physical cause can be found - psychogenic pain - increase the total number of reported cases.</span></strong></em></p></blockquote>
<p>According to US News &amp; World Report (February 2009) chronic pain is a problem that—when healthcare, lost income, and lost productivity are taken into account—is estimated to cost over $100 billion in the United States each year. More than a quarter of Americans age 20 or older, or about 76.5 million people, say they&#8217;ve experienced pain that lasted longer than 24 hours, according to the American Pain Foundation—and 42 percent have endured pain lasting longer than a year.</p>
<p>This high cost is why effective chronic pain management is so important.  What further complicates pain management is the presence of coexisting disorders including addiction.  These conditions cause even more of an over-utilization of the healthcare system.  That is one of the many reasons I developed the <span style="#000080;"><strong>Addiction-Free Pain Management® System</strong></span>—a multidisciplinary team approach that address the chronic pain condition and any coexisting disorders.</p>
<p>Learn more about the importance of using a team approach by reading my article <a href="http://www.addiction-free.com/articles/articles/view/the-need-for-multidisciplinary-chronic-pain-treatment-" target="_blank"><em>The Need for Multidisciplinary Chronic Pain Management</em></a> that you can download for free on our Article page.</p>
<p><img src="http://www.addiction-free.com/images/p-1.gif" alt="" width="152" height="216" /></p>
<p><span style="#000000;"><span style="#000000;"><span style="#000000;">You can learn about the <strong><span style="#000080;">Addiction</span><span style="#000080;">-Free Pain Management® System</span></strong> at our website <a href="http://www.addiction-free.com/" target="_blank">www.addiction-free.com.</a> If you are working with people undergoing chronic pain management and want to learn how to develop a plan for managing their chronic pain and coexisting psychological disorders; including depression, addiction and other coexisting psychological disorders effectively; please consider my book <span style="#000080;"><em><strong>Managing Pain and Coexisting Disorders: Using the Addiction-Free Pain Management® System.</strong></em> </span></span><span style="#000000;"><span style="#000000;">To purchase this book please <a href="http://www.relapse.org/custom/cart/edit.asp?p=118358" target="_blank"><em>Click Here. </em></a></span></span></span></span></p>
<p><span style="#000000;"><span style="#000000;">To read the latest issue of <span style="#000080;"><strong><em>Chronic Pain Solutions Newsletter</em></strong></span> please <a href="http://www.addiction-free.com/feb-2010-newsletter.html" target="_blank">click here. </a></span></span><span style="#000000;"><span style="#000000;">If you want to sign up for the newsletter, please <a href="http://www.addiction-free.com/contact.html" target="_blank">click here </a>and input your name and email address. You will then recieve an autoresponse email that you need to reply to in order to finalize enrollment.</span><span style="#000000;"> </span></span></p>
<p><span style="#000000;"><span style="#000000;">To see an online overview of Cognit delivering <em><strong><span style="#000080;">Addiction-Free Pain Management®</span></strong></em> please go to this <a href="http://www.cognitsa.com/APM/Presentation_Files/index.html" target="_blank">Link</a> for a free demo. </span></span></p>
<p><span style="#000000;"><span style="#000000;">To learn about my upcoming trainings you can check out our <a href="http://www.addiction-free.com/calendar.html" target="_blank">Calendar </a>page. </span></span></p>
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		<title>Newport News</title>
		<link>http://recoveryview.com/2010/03/newport-news/</link>
		<comments>http://recoveryview.com/2010/03/newport-news/#comments</comments>
		<pubDate>Wed, 03 Mar 2010 18:05:21 +0000</pubDate>
		<dc:creator>Newport Academy</dc:creator>
		
		<category><![CDATA[Member Blogs]]></category>

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		<description><![CDATA[
























Volume 1 &#124; Issue 1 &#124; March 2010









Families &#124; Professionals


















Physicians Corner



Benzodiazepine Dependence and
Poly-drug Abuse in Adolescence
David Smith, MD, FASAM
Chair, Addiction Medicine Newport Academy







David Smith, MD




Benzodiazepines are part of a broad drug class called sedatives hypnotics and include a broad range of widely used medications from Librium (chlordiazapoxide) for anxiety, Halcion (Triazolam) for sleep, to Midazolam [...]]]></description>
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<td width="274">Volume 1 | Issue 1 | March 2010</td>
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<h1>Physicians Corner</h1>
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<td width="268" align="left" valign="top"><span class="headertext"><em>Benzodiazepine Dependence and<br />
Poly-drug Abuse in Adolescence</em></span></p>
<p class="bodytext"><strong>David Smith, MD, FASAM</strong><br />
<em>Chair, Addiction Medicine Newport Academy</em></p>
<table border="0" cellspacing="0" cellpadding="0" width="160" align="left">
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<td class="volumetext" align="center" valign="middle">David Smith, MD</td>
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<p class="bodytext">Benzodiazepines are part of a broad drug class called sedatives hypnotics and include a broad range of widely used medications from Librium (chlordiazapoxide) for anxiety, Halcion (Triazolam) for sleep, to Midazolam (Versed) for anesthesia depending on the potency and duration of action of the chemical compound. There has been a dramatic rise in prescription drug abuse in adolescents involving opioids and benzodiazepines as part of a poly-drug abuse pattern.</p>
<p>The development of sedative hypnotic abuse and dependence in adolescents poses a new challenge to adolescent addiction treatment programs not familiar with the potential serious medical consequences. Sedative-hypnotics include a chemically diverse group of medications primarily prescribed for treatment of anxiety, panic disorders, sleep disturbances and seizure disorders. They may be misused, and their use can result in development of a substance use disorder, abuse or dependence with physiological dependence. Inadequately treated, withdrawal of sedative-hypnotics may be life-threatening.  Considerations of sedative-hypnotic use disorders should reflect a sensible balance between their medical uses, and abuse and dependence.</p>
<p>Establishing whether or not the dysfunctional behavior is the &#8220;result&#8221; of drug use is extremely important. The patient may need to be observed medication-free to determine whether dysfunction is &#8220;caused&#8221; by drug use. The patient, the patient&#8217;s family members and the treating psychiatrist may disagree about what is causing symptoms or behavioral dysfunction. Likewise, the underlying motivation for &#8220;drug-seeking&#8221; behavior may vary. For example, a patient whose panic attacks are ameliorated by a medication may exhibit what may be interpreted as drug-seeking behavior if access to the medication is threatened.</p>
<p>Drug dependence may arise as an inadvertent consequence of medical treatment or through patient&#8217;s self abuse of sedative-hypnotics. The prevalence of abuse of a particular sedative-hypnotic is to some extent a reflection of its accessibility through medical channels.<br />
Most abuse of benzodiazepines is in the context of a poly-drug use pattern in which they are taken in combination with other primary intoxicants, such as alcohol or heroin, to intensify the desired subjective effects.</p>
<p>Addicts episodic attempts to stop using heroin by self-medicating opiate withdrawal symptoms with sedative-hypnotics without entering drug abuse treatment rarely results in opiate abstinence and may result in the secondary development of sedative-hypnotic dependence.</p>
<p>Addicts may also use sedative-hypnotics to reduce unpleasant side effects of stimulants, e.g., cocaine or methamphetamine. Impairment of judgment and memory produced by the sedative-hypnotic in combination with wakefulness or a stimulant may result in unpredictable behavior.</p>
<p>For recreational purposes, benzodiazepines are rarely used alone. More commonly, they are used in combination with an opiate, alcohol, or some combination of drugs. Sedative-hypnotics can produce tolerance and physiological dependence.</p>
<p>The withdrawal syndrome arising from the discontinuation of short-acting sedative-hypnotics is similar to that from stopping or cutting down on the use of alcohol. Signs and symptoms of sedative-hypnotic withdrawal include anxiety, tremors, nightmares, insomnia, anorexia, nausea, vomiting, postural hypotension, seizures, delirium, and hyperpyrexia. The syndrome is qualitatively similar for all sedative-hypnotics: however, the time course of symptoms depends on the particular drug. With short acting sedative-hypnotics withdrawal symptoms typically begin 12-24 hours after the last dose and peak in intensity between 24 and 72 hours. With long-acting drugs withdrawal signs and symptoms peak on the fifth to eighth day.</p>
<p>The withdrawal delirium may include confusion, visual and auditory hallucinations. The delirium generally follows a period of insomnia. Some patients may have only delirium; others only seizures; and some may have both delirium and convulsions.</p>
<p class="bodytext">Some people who have taken benzodiazepines in therapeutic doses for months to years can abruptly discontinue the drug without developing withdrawal symptoms. Others develop symptoms ranging from mild to severe when the benzodiazepine is discontinued.</p>
<p>Characteristically, patients tolerate a gradual tapering of the benzodiazepine until they are at 10- 20% of their peak dose. Further reductions in benzodiazepine dose then cause patients to become increasingly symptomatic. In addiction medicine literature, the low-dose withdrawal may be called therapeutic-dose withdrawal, normal-dose withdrawal, or benzodiazepine discontinuation syndrome. They symptoms can ultimately be categorized as symptom reemergence, symptom rebound, or a prolonged withdrawal syndrome.</p>
<p>Protracted benzodiazepine withdrawal may consist of relatively mild withdrawal symptoms such as anxiety, mood instability, and sleep disturbance similar to the protracted withdrawal syndrome described for alcohol and other drugs. In some patients, the protracted withdrawal syndrome from benzodiazepines can be severe and disabling and last many months.</p>
<p>For discontinuation of benzodiazepines that are being used at dosages above those generally prescribed, one pharmacotherapy strategy is to substitute Phenobarbital and stabilization period of 3-7 days, to taper the Phenobarbital 30 mg/day. As discussed next, some patients who take high doses of benzodiazepines, or even therapeutic doses for months to years, may have prolonged withdrawal symptoms.</p>
<p>Three general strategies are used for withdrawing patients from sedative-hypnotics, including benzodiazepines. They first is to use decreasing doses of the agent of dependence. The second is to substitute Phenobarbital or some other long-acting barbiturate for the addicting agent, and gradually withdraw the substitute medication (Smith and Wesson 1970, 1971). The third, used for patients with a dependence on both alcohol and a benzodiazepine, is to substitute a long acting benzodiazepine, such as chlordiazepoxide, and taper it during 1-2 weeks.</p>
<p>The preferred withdrawal strategy depends on the particular benzodiazepine, the involvement of other drugs of dependence, and the clinical setting in which the detoxification program takes place. Psychosocial treatments are those services in addition to the medical management of withdrawal. At settings like Newport Academy, where I serve as Chair of Addiction Medicine, both psychosocial treatments and medical management of symptoms can be adequately addressed. When provided by psychiatrists, psychotherapy may be combined with medical management. Usually, in an inpatient drug abuse treatment setting like Newport Academy, psychosocial services are groups and counseling provided by chemical dependence counselors, who may be in recovery from drug or alcohol dependence. While there are specific types of therapy, such as relapse prevention, motivational enhancement or cognitive behavioral therapy, most counselors use a blend of their own recovery experience, the 12-step recovery, and professional training.</p>
<p class="bodytext">Smith De &amp; Wesson DR &#8220;A new method for treatment of Barbiturate Dependence.&#8221; JAMA 213 (2) 294-95</p>
<p class="bodytext">Substance Abuse: Sedative, Hypnotic or Anxiolytic Use Disorders; Wesson DR, Smith DE, Ling W, Sabnai S, C 64 Psychiatric, Third Edition.</p>
<p class="bodytext"><img src="http://www.newport-academy.com/mailings/images/break.gif" alt="" width="275" height="18" /></p>
<p class="headertext" align="left"><em><strong>Newport Academy Chair of Addiction Medicine Dr. David Smith to be presented the Annual Award by the American Society of Addiction Medicine (ASAM)<br />
at the 41st Annual Medical Scientific Conference</strong></em></p>
<p class="bodytext" align="left">Newport Academy is proud to share that its&#8217; Chair of Addiction Medicine, David Smith, MD, FASAM, FAACT, will be presented the Annual Award at the American Society of Addiction Medicine (ASAM) during the ASAM awards luncheon <span id="lw_1267637480_4" class="yshortcuts" style="border-bottom: 1px dashed #0066cc; cursor: pointer;">on April 17, 2010</span>. This award is given annually for &#8220;outstanding contributions to the growth and vitality of the American Society of Addiction Medicine, for thoughtful leadership in the field, and for a deep understanding of the art and science of Addiction Medicine.&#8221;</p>
<p class="bodytext" align="left">This award will be presented at the annual ASAM conference which is being held in San Francisco, CA <span id="lw_1267637480_5" class="yshortcuts" style="border-bottom: 1px dashed #0066cc; cursor: pointer;">April 15-18, 2010</span>. This is an association of physicians dedicated to improving the treatment of alcoholism and other addictions, educating physicians and medical students, promoting research and prevention, and enlightening and informing the medical community and the public about these important issues.</p>
<p><a rel="nofollow" href="http://r20.rs6.net/tn.jsp?et=1103117769988&amp;s=501&amp;e=001_OCzbwPzUo5bfA7I71A7jPQeJBA1LhpDn0WOgSK85RU5mak5z5zqplJUj7aJW4LDuK27j6AJg6JuE_-SPOpfRitZ6vNsWAgRdh29wj4DXSKLzQW8FZATnJ6Ae50PI8Z0" target="_blank"><span id="lw_1267637480_6" class="yshortcuts">View Article at ASAM Site</span></a></p>
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<h1>Staff Spotlight</h1>
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<td align="center"><span class="volumetext">Mika Roux</span></td>
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<p><span class="bodytext"><strong>Mika Roux, MA, IMFT, HHS</strong> is a primary therapist at Newport Academy and works extensively with the residents and families. Since joining Newport Academy as a Primary Therapist Mika has been willing to go beyond her job description of providing individual therapy to participating in the family program whenever needed, as well as doing clinical outreach to local area schools, and working with our alumni on their transition to the next level of care. Mika offers the residents and families a calming energy which is often lacking in their chaotic lifestyles. She engages our residents in exploring their spirituality by introducing them to the local meditation gardens or by walking the labyrinth. Mika was also responsible for making the initial contact at Torrey Pines High School which resulted in educational presentations for all the faculty and staff. She is a shining example of the spirit of cooperation and team work. Mika can often be found at Newport Academy in the late hours of the evenings chatting with the girls or on the phone with parents or alum. Newport Academy is blessed to have Mika on our staff and grateful for the contribution she makes every day to our residents and their families.</span></td>
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<h2>Newport Academy Events</h2>
<p><strong>January 28 - January 30, 2010:<br />
Exhibitor</strong> <strong>David E. Smith, M.D., FASAM, FAACT</strong>. Newport Academy upcoming 2009/2010 conference and event participation. La Jolla, CA, NATSAP.<br />
<strong>February 5, 2010: Jeff Fortuna Dr. P.H. </strong>Fish Oil &amp; Omega 3 Fatty acids in the Treatment of Psychiatric Syndromes. Medical Grand Rounds at St. Joseph Hospital, Orange, Ca.</p>
<p><strong><span id="lw_1267637480_7" class="yshortcuts" style="border-bottom: 1px dashed #0066cc; cursor: pointer;">April 16, 2010</span>:                  Jeff Fortuna Dr. P.H.</strong> Sugar Addiction &amp; the Sweet Tooth: Genetic Determinants in the Alcoholic Family. Adolescent &amp; Young Adult Treatment Conference, for the US Journal Adolescent &amp; Young Adult Treatment Conference in Las Vegas, Nevada.</p>
<p><strong>April 16, 2010:                  Jeff Fortuna Dr. P.H. </strong>Basic Nutritional Guidelines for Adolescent Patients. Adolescent &amp; Young Adult Treatment Conference, for the US Journal Adolescent &amp; Young Adult Treatment Conference in Las Vegas.</p>
<p><strong><span id="lw_1267637480_8" class="yshortcuts" style="border-bottom: 1px dashed #0066cc; background: transparent none repeat scroll 0% 0%; cursor: pointer; -moz-background-clip: border; -moz-background-origin: padding; -moz-background-inline-policy: continuous;">April 17, 2010</span>:                  Jeff Fortuna Dr. P.H.</strong> Street Drug Trends- 2010. Adolescent &amp; Young Adult Treatment Conference, for the US Journal Adoelsecent &amp; Young Adult Treatment Conference in Las Vegas.</td>
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<td class="bodytext" width="278" height="347" align="left" valign="top"><span class="headertext"><em>Equine-Assisted Psychotherapy<br />
with Adolescents in a Residential Setting</em></span></p>
<p class="bodytext"><strong>Mickey K. Troxell, MS, CATC, CEAT II</strong><em><br />
Owner, CEO - Pegasus ECT, Centaur University<br />
Costa Mesa, California<br />
Equine Therapist, Newport Academy</p>
<p></em>My passion and love for horses began when I was a young girl, this connection [with horses] began before I was able to speak or walk.</p>
<p>My professional journey working with horses began when I studied Equine Assisted Psychotherapy under Greg Kersten, the Founder of Equine Assisted Psychotherapy. Greg has set the standard in teaching techniques for working with horses to help humans.</p>
<p>The therapeutic value and benefit of working with horses is historically cited as long ago as 460BC in which Hippocrates spoke of [the] &#8220;healthy pace of the horse.&#8221;</td>
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<td class="bodytext" height="3905" valign="top">(EAP) Equine Assisted Psychotherapy is utilized by Pegasus ECT (Experiential Counseling Techniques) in individual and group counseling sessions. In these sessions Certified Therapy Horses are used as significant partners in collaboration with Certified Equine Assisted Therapists / Counselors and Certified Equine Specialists to stimulate growth and development in people who have a desire to grow emotionally, mentally, spiritually and physically. (EAP) Equine Assisted Psychotherapy and (EFT) Equine Facilitated Therapy is client-based therapy that provides hands-on opportunities to experience new solutions, to develop healthy coping skills and [new] tools for effectively realizing and managing internal happiness.</p>
<p><img src="http://www.newport-academy.com/mailings/images/break.gif" alt="" width="275" height="18" /></p>
<p><strong>Case Example</strong> - Equine Assisted Psychotherapy at Newport Academy, a Gender Specific Adolescent Facility in Orange, CA</p>
<p>A journey to redefine one precious life was guided and nurtured by Levi, a certified therapy horse, who bonded quickly with a young, depressed and withdrawn teenage girl named Suzanne <em>(named changed to protect confidentiality)</em>. Levi quickly assessed this young girl&#8217;s disposition, her deep-seated need to stay disconnected from him and everyone else. Levi was patient and steadfast.</p>
<p>Suzanne knew that Levi was an abuse survivor, that prior to becoming a therapy horse he had been severely abused by his owners because of this knowledge, she experienced an initial bond or connection, that despite her desire to stay separated, caused her to move closer as she watched Levi interact with her peers. Horses like Levi intuitively know what people need to work on, usually before they do and he patiently works at their pace never intruding on their boundaries, never forcing them farther than they can go. Suzanne, while inclined to stay as removed as possible, found herself drawn to the process, but was terrified of revealing too much of herself. The damaged inner self that she had spent a lifetime building a wall around dictated that she stay a part from rather than a part of, as in all relational experiences since she was abused.</p>
<p>This experiential reasoning caused her to deny the trauma within, as well as her need to connect with others, and, as such, she fabricated even the most trivial occurrences about her life during the initial therapy sessions common amongst abuse survivors. Levi, the consummate professional, met Suzanne where she was at and worked with her at <em>her </em>pace and slowly exposed every detail of her fabrications, the depth of her denial, and her desperate need for recovery for the hurt she had experienced. It was mutual perseverance and stubbornness that brought Suzanne out of her internal prison. The young girl who didn&#8217;t want to bond bonded intensely and began her process of recovery through the spirit of the horse. Through Equine Therapy, Suzanne allowed herself to become vulnerable in order to grieve and heal from the debilitating wounds within.</p>
<p>Levi walked <em>with </em>Suzanne out of the dark solitude of a life of abuse into the Light of healing her transformation was awe inspiring her miracle began with a horse named, Levi.</p>
<p>Equine Assisted Psychotherapy addresses a variety of mental health and human developmental needs including behavioral issues, Attention Deficit Disorder (ADD), Attention Deficit Hyperactivity Disorder (ADHD), substance abuse/chemical dependency, eating disorders, depression, anxiety, Autism, communication and relational issues, and has found much success in addressing Post Traumatic Stress Disorder with veterans and others who have witnessed or have been subjected to traumatic events. At Pegasus ECT we work individually and in groups with adolescents, adults, veterans, at-risk youth, and Native Americans. We strive to utilize the latest advances in this field for the continued growth and recovery of our clients.</p>
<p>Utilizing EAP I work with individuals or in groups of 6-8<em>.</em> One of the most thought-provoking and engaging learning experiences for clients is conducted in a group where the clients are placed in two teams and given one instruction to take the horse(s) through a series of exercises, utilizing only a lead and each other within the confines of the corral without verbal communication.</p>
<p>In this exercise clients learn the following: a) how to consciously communicate with one another and the horse(s) non-verbally; b) while there is only one instruction, its limitations are either stifling or liberating, depending upon the individual and collective perceptions of the participants; and, c) the arena, the horse, and the people in it are all part of the same team (collective consciousness) even when divided. This experience is tangible and it resonates in the lives of the participants and is forever branded into their experience it&#8217;s all about perspective in and/or out of the corral; in and/or out of disorder, dysfunction or disease; in and/or out of the experiential reasoning that human beings are forever bound to. The experience of Equine Therapy is miraculous and dynamic in its therapeutic value to the individuals who engage in its awesome, healing power.</p>
<p><img src="http://www.newport-academy.com/mailings/images/break.gif" alt="" width="275" height="18" /></p>
<p><em><strong>A former client&#8217;s perspective</strong> - </em>Equine therapy was a foreign concept to me when I arrived at the stables for the first time. I couldn&#8217;t imagine how a horse could supplement the traditional forms of therapy I&#8217;d been engaged in throughout my life.</p>
<p>Psychiatrists, counseling, group therapy, etc.I had been searching for something to sort out the roots of my dysfunctional behavior and addiction for years. It was only by chance (or design?) that I ended up working with Mickey and the time I spent with her and the horse impacted me in ways that I couldn&#8217;t have anticipated. What I learned about myself and the work I needed to do in a few hours was profound compared to my experience of many months of therapy in past counseling endeavors. The exercises we did and its relevance to my life inspired an awareness and clarity about the road ahead of me, the process of recovery, and developed within me an amazing willingness that I had never felt before.</p>
<p>Horses have an ability to read people and their body language which works in conjunction with equine therapists who assess the client&#8217;s personality/needs/issues based on the horse&#8217;s responses to [the client's] energy, movement, and non-verbal cues. Mickey&#8217;s translation of my behavior and the decision-making process I engage in (in and out of the corral), became a microcosm for my life. There are unhealthy or dysfunctional aspects of my personality that dictate how I behave in situations, these responses are so ingrained in my psyche that I have, in the past, chosen to be oblivious to because change seemed like such a monumental, arduous task.</p>
<p>Engaging with a horse, who is by nature intuitive and responsive, provided me with an interactive ability to view and assess my interactions with people. For example, there are things I do on a daily basis during introductions and engagements with people that I had never recognized as choices <em>I make</em> - watching the horse mirror my energy coupled with Mickey&#8217;s observation and insight about my responses, forced me to acknowledge behavioral patterns that were adversely affecting my life main example: shutting down emotionally, mentally, psychologically, and spiritually when I feel intimidated. It is difficult to deny that you act a certain way or to manipulate your interpretation of your behavior after it has been witnessed and discussed in the forum of change that the corral became for me. Mickey was able to describe what she saw and use the experience with the horse as a metaphor for daily struggles I experienced.</p>
<p>Equine therapy is an experiential alternative to interactive group therapy. It is an opportunity to <em>recognize </em>and<em> practice</em> different ways of responding to situations without the fear of judgment that interferes with growth. In addition to building my awareness about what was limiting my success in different areas of my life (i.e., that my perceptions are often skewed; that reservations limit my options; and, that only by confronting my fears can I acquire a rational outlook on life and develop effective, healthy coping skills to live life on life&#8217;s terms), I developed a new way to approach situations that used to baffle me. The equine therapy exercises that I participated in strengthened my confidence and gave me a newfound willingness to begin working on overcoming these limitations.</p>
<p>Mickey says that people often react to people and places the way they do because of a perceived lack of options. I, like many people, tend to confine myself between the proverbial rock and a hard place because I don&#8217;t <em>allow</em> myself to see that I have multiple choices in <em>most</em> situations.<br />
Through the process of equine therapy and the introspection it spurred within me, I learned that I have a tendency to focus on what I can&#8217;t do, rather than what I can. The enormity of this realization freed me from a deeply-rooted internal prison I didn&#8217;t even know I was in. This &#8220;ah ha!&#8221; moment, this perceptual shift, afforded me a life-altering freedom I am grateful for.</p>
<p>Equine therapy addressed my perceived limitations based on past experiential reasoning more directly and dramatically than anything I had or have ever experienced. I learned unequivocally that most of my fears are irrational and that the most effective way to overcome fear is to walk through it not around it, over it, or under it through it. By acknowledging this realization on a daily basis and moving through my fears, my self-efficacy is developing and increasing.</p>
<p>Now this may seem like common sense to many people but it isn&#8217;t to someone like me. This simple exercise with the horse which had an outcome I couldn&#8217;t foresee provided tangible evidence of my faulty thinking and how it prevents me from taking risks on a daily basis. Most importantly, it gave me the faith I desperately needed to trust that, contrary to my beliefs, outcomes just may turn out to be positive, and that [taking] risks is the only way to experience this faith and the potential of changed outcomes. Today I approach situations I used to view as obstacles as opportunities to overcome my fears and grow.</p>
<h2>Let the Spirit of the<br />
Horse lift you up!</h2>
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<p>Newport Academy is dedicated to providing comprehensive, gender-specific, integrated treatment programs for adolescent males and females in an environment of caring and compassion by which teens and their families may recover from the destructive effects of addictive disease and related behavioral health issues.</p>
<p>Located in Orange County, California Newport Academy has separate residential campuses for adolescent boys and girls as well as an outpatient program in Newport Beach, CA.</p>
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		<title>The Challenges of Neuropathic Chronic Pain Management</title>
		<link>http://recoveryview.com/2010/03/the-challenges-of-neuropathic-chronic-pain-management/</link>
		<comments>http://recoveryview.com/2010/03/the-challenges-of-neuropathic-chronic-pain-management/#comments</comments>
		<pubDate>Tue, 02 Mar 2010 23:53:25 +0000</pubDate>
		<dc:creator>Dr. Stephen F. Grinstead, LMFT, ACRPS, CADC-II</dc:creator>
		
		<category><![CDATA[Member Blogs]]></category>

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		<description><![CDATA[Neuropathic pain is a complex chronic pain state that is usually accompanied by tissue injury. With this type of pain, the nerve fibers themselves may be damaged, dysfunctional or injured. These damaged nerve fibers send erroneous signals to other pain centers in your brain. The impact of nerve fiber injury includes a change in nerve [...]]]></description>
			<content:encoded><![CDATA[<p>Neuropathic pain is a complex chronic pain state that is usually accompanied by tissue injury. With this type of pain, the nerve fibers themselves may be damaged, dysfunctional or injured. These damaged nerve fibers send erroneous signals to other pain centers in your brain. The impact of nerve fiber injury includes a change in nerve function both at the site of injury and areas around the injury.</p>
<p>According to the Neuropathic Pain Network, somewhere between five to twenty-three million people (that’s between 2 to 8 percent of our population) are living with neuropathic pain in the United States. Unfortunately, it is a syndrome that is often under-diagnosed and under-treated.</p>
<p>Some of the symptoms of neuropathic pain including shooting pain, burning pain, tingling, and numbness. An example of neuropathic allodynia—a non-harmful stimulus perceived as painful—is rough clothing rubbing on your skin which you feel as if it were sandpaper; another example would be someone shaking your hand in what is really a gentle grasp but you feel it as crushing or excruciating.</p>
<p>Another striking example of neuropathic pain is called phantom limb syndrome. This occurs when a limb like an arm or a leg has been removed because of illness or injury. The brain still receives (or perceives) pain messages from the nerves that originally carried impulses from the missing limb. These nerves now misfire and cause pain.</p>
<p>As anyone living with neuropathic pain knows the treatment can be frustrating and often ineffective. While acute short-term pain is usually easy to manage and most chronic pain management conditions can be treated effectively, neuropathic pain can be a major treatment challenge for both patients and their healthcare providers. Unfortunately, neuropathic pain often responds poorly to standard pain treatments and occasionally may get worse instead of better over time. For some people, it can lead to serious disability.</p>
<p>The capsaicin patch could be a much needed tool for many people experiencing neuropathic pain symptoms and find that other pain management medications (e.g., opiates or SSRI’s and SNRI’s) are not helping or have too many side effects. Of course medication management is only one component of an effective pain management treatment plan.</p>
<p>I believe that people also need to be developing nonpharmacological interventions as well as learning to better manage the psychological/emotional components of their pain. For those symptoms cognitive behavioral and rational emotive therapeutic interventions give the best outcomes.</p>
<p>To learn more about effective chronic pain management check out my article <a href="http://www.addiction-free.com/articles/articles/view/the-need-for-multidisciplinary-chronic-pain-treatment-" target="_blank"><em>The Need for Multidisciplinary Chronic Pain Management</em></a> that you can download for free on our Article page.</p>
<p><img src="http://www.addiction-free.com/images/p-2.gif" alt="" width="152" height="216" /></p>
<p>You can learn more about the <strong><span style="#000080;">Addiction</span><span style="#000080;">-Free Pain Management® System</span></strong> at our website <a href="http://www.addiction-free.com/" target="_blank">www.addiction-free.com.</a> If you or a loved one is undergoing chronic pain management, especially if you&#8217;re in recovery or believe you may have a medication or other mental health problem and you want to learn more effective chronic pain management tools, please go to our <a href="http://www.addiction-free.com/publications.html" target="_blank"><em>Publications</em> </a>page and check out my books; especially the <em><span style="#000080;"><strong>Addiction-Free Pain Management® Recovery Guide: Managing Pain and Medication in Recovery</strong></span></em>. To purchase this book please <a href="http://www.relapse.org/custom/cart/edit.asp?p=121421" target="_blank">Click Here. </a></p>
<p><span style="#000000;">To read the latest issue of<em> <span style="#000080;"><strong>Chronic Pain Solutions Newsletter</strong></span> please </em><a href="http://www.addiction-free.com/feb-2010-newsletter.html" target="_blank"><em>Click here. </em></a>If you want to sign up for the newsletter, please <a href="http://www.addiction-free.com/contact.html" target="_blank">Click here </a>and input your name and email address. You will then recieve an autoresponse email that you need to reply to in order to finalize enrollment.</span></p>
<p>To learn about my upcoming trainings you can check out our <a href="http://www.addiction-free.com/calendar.html" target="_blank">Calendar </a>page.</p>
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		<title>Couples Workshop: Early Bird Registration ends March 1st</title>
		<link>http://recoveryview.com/2010/02/couples-workshop-early-bird-registration-ends-march-1st/</link>
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		<pubDate>Thu, 25 Feb 2010 22:43:39 +0000</pubDate>
		<dc:creator>Andrew Susskind, MSW, ACC</dc:creator>
		
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		<title>Please join us for our quarterly network luncheon</title>
		<link>http://recoveryview.com/2010/02/please-join-us-for-our-quarterly-network-luncheon/</link>
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		<pubDate>Wed, 24 Feb 2010 23:05:21 +0000</pubDate>
		<dc:creator>Riverside Center for Behavioral Medicine</dc:creator>
		
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		<title>The Role of Psychotherapy in Chronic Pain Management</title>
		<link>http://recoveryview.com/2010/02/the-role-of-psychotherapy-in-chronic-pain-management/</link>
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		<pubDate>Tue, 23 Feb 2010 22:13:04 +0000</pubDate>
		<dc:creator>Dr. Stephen F. Grinstead, LMFT, ACRPS, CADC-II</dc:creator>
		
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		<description><![CDATA[Given the biopsychosocial nature of chronic pain management it is imperative to utilize a multidisciplinary treatment team approach.  True multidisciplinary pain management involves interventions such as physical therapy, massage, medication management, counseling or therapy, biofeedback, occupational therapy, exercise physiology, an anesthesiologist or pharmacologist, and a case manager all at one site, at a minimum.  It [...]]]></description>
			<content:encoded><![CDATA[<p>Given the biopsychosocial nature of chronic pain management it is imperative to utilize a multidisciplinary treatment team approach.  True multidisciplinary pain management involves interventions such as physical therapy, massage, medication management, counseling or therapy, biofeedback, occupational therapy, exercise physiology, an anesthesiologist or pharmacologist, and a case manager all at one site, at a minimum.  It may also involve some type of movement therapy such as Tai Chi, classes on spiritual wellness, yoga or meditation.</p>
<p>In our era of reducing resources, and the very limited access to a multidisciplinary team approach, many people are not getting the help they deserve and need for effective chronic pain management.  I’ve also said many times that for people living with chronic pain that knowledge is power.</p>
<p>When people are undergoing chronic pain management they are impacted in three major areas.  Physically there is damage, injury or disease to a part of the body and the pain receptors in that area send a signal to the brain.  Psychologically the brain interprets that ascending pain signal and sends a message to the cognitive section or the brain as well as the limbic system that controls emotions.  Finally there is a social and cultural context in which to experience the pain in a way that reduces suffering.</p>
<p>To learn more about using a team approach including psychotherapy in chronic pain management check out my article <a href="http://www.addiction-free.com/articles/articles/view/the-need-for-multidisciplinary-chronic-pain-treatment-" target="_blank"><em>The Need for Multidisciplinary Chronic Pain Management</em></a> that you can download for free on our <em>Articles</em> page.</p>
<p><span style="#000000;"><span style="#000000;"><span style="#000000;">You can learn about the <strong><span style="#000080;">Addiction</span><span style="#000080;">-Free Pain Management® System</span></strong> at our website <a href="http://www.addiction-free.com/" target="_blank">www.addiction-free.com.</a> If you are working with people undergoing chronic pain management and want to learn how to develop a plan for managing their chronic pain and coexisting psychological disorders; including depression, addiction and other coexisting psychological disorders effectively; please consider my book <span style="#000080;"><em><strong>Managing Pain and Coexisting Disorders: Using the Addiction-Free Pain Management® System.</strong></em> </span></span><span style="#000000;"><span style="#000000;">To purchase this book please <a href="http://www.relapse.org/custom/cart/edit.asp?p=118358" target="_blank"><em>Click Here. </em></a></span></span></span></span></p>
<p><span style="#000000;"><span style="#000000;">To read the latest issue of <span style="#000080;"><strong><em>Chronic Pain Solutions Newsletter</em></strong></span> please <a href="http://www.addiction-free.com/feb-2010-newsletter.html" target="_blank">click here. </a> </span></span><span style="#000000;"><span style="#000000;">If you want to sign up for the newsletter, please <a href="http://www.addiction-free.com/contact.html" target="_blank">click here </a>and input your name and email address. You will then recieve an autoresponse email that you need to reply to in order to finalize enrollment.</span><span style="#000000;"> </span></span></p>
<p><span style="#000000;"><span style="#000000;">To see an online overview of Cognit delivering <em><strong><span style="#000080;">Addiction-Free Pain Management®</span></strong></em> please go to this <a href="http://www.cognitsa.com/APM/Presentation_Files/index.html" target="_blank">Link</a> for a free demo. </span></span></p>
<p><span style="#000000;"><span style="#000000;">To learn about my upcoming trainings you can check out our <a href="http://www.addiction-free.com/calendar.html" target="_blank">Calendar </a>page. </span></span></p>
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