The Two Pillars of Recovery® serve as reminders to individuals with addiction/serious substance use disorders of how nature works and how to work with nature to establish recovery. If someone with addiction wishes to prevent undesired substance use, Keep your distance! reminds them that talent and good intentions do not guarantee behavior, and lifestyle changes are often necessary. Ask for help! reminds them that lasting recovery from addiction is far more likely when they continuously culti ...
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Geoff Kane Podcasts
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Episode #32: Find Your Place — Find a Way Forward
55:09
55:09
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55:09Consultant and trainer Dr. Tabitha Moore encourages us to appreciate our own humanity, including our personal place in history and culture. Also appreciating the humanity of everyone else, and their place in history and culture, has huge benefits, including taking racism out of race relations.By Geoff Kane, MD, MPH
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Episode #31: Clearing a path to "the good life" of respect, connection, and kindness
50:14
50:14
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50:14Dr. J. Scott Rutan, a psychologist who spent decades training group psychotherapists, shares how he taught therapists to create safe spaces where people could be honest and vulnerable enough to get out of their own way and into mutually rewarding relationships. You don't need to be a therapist to enjoy and learn from this.…
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Trainer, facilitator, and instructional designer Jess Sneed is headed to Boston Medical Center to train community professionals in screening and brief intervention for harmful and risky substance use. Jess also is helping develop Macro Motivational Interviewing (Macro MI), which promotes beneficial changes not only in individuals but also in system…
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Clinical psychologist, researcher, author, and group psychotherapist Dr. Cheri Marmarosh describes how therapy, especially group psychotherapy, heals trauma from past relationships and helps people express who they are and cope with who they are with.By Geoff Kane, MD, MPH
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Episode #28: Nurturing Vitality and Trust
53:45
53:45
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53:45Bilingual and bicultural psychologist Dr. Carlos Canales expands on how humans develop emotionally, learn to express emotions constructively or otherwise, and become more attuned to themselves and others through group psychotherapy.By Geoff Kane, MD, MPH
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Episode #27: Building Communities: Envisioning a More Just Future
53:26
53:26
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53:26Psychologist Dr. Joshua DeSilva and the graduate students they train help marginalized individuals and groups give more to and receive more from their communities—not by telling them what to do, but by listening to who they are.By Geoff Kane, MD, MPH
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Episode #26: If you care for others, care for self is not optional
59:34
59:34
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59:34Dr. Jessi Gold—psychiatrist, educator, media presence, and author—describes healthcare workers and others who delay or altogether avoid obtaining help for their own mental health needs, which increases their risks for burnout and worse. She encourages individuals in need to get help promptly, encourages healthcare institutions to set realistic expe…
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Episode #25: Everyone is Different and That's Okay
46:20
46:20
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46:20Psychologist and group psychotherapist Dr. Kavita Avula specializes in conflict resolution and large group dynamics. She explains how we make collaboration possible and grow community when we "avoid the wish to convince" people to think and feel as we do.By Geoff Kane, MD, MPH
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Episode #24: Peace and Social Justice Will Follow Once We Better Distribute "Nutrients for the Human Soul."
50:28
50:28
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50:28Guest Maria Kontarini, as a diplomat for the Greek Ministry of Foreign Affairs in the early 2000s, helped restore stability in Bosnia after the Bosnian War—a conflict known for human-to-human atrocities. Years later, with a person-centered understanding of people and the powerful influence of social context on behavior, she believes humans' potenti…
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Episode #23: Becoming Tobacco Free Can Start With One Phone Call or Online Click
50:32
50:32
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50:32Tobacco users in every state in the U.S. can connect with well-trained helpers who listen—not lecture—and provide encouragement and resources to individuals who want to leave tobacco behind. On request, some states, including Vermont, send free nicotine replacement therapy (NRT) such as patches, gum, and lozenges. Guest Dana Bourne MPH manages tele…
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Episode #22: Explore Other's WHY of Change with Active Listening
48:50
48:50
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48:50Dr. Theresa Moyers, Professor of Psychology at the University of New Mexico, has collaborated on the methods, research, and dissemination of motivational interviewing since the early 1990s. In this episode, Terri describes therapist attitudes and skills that promote successful addiction treatment and deeper connections in relationships. Recommended…
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Episode #21: Discomfort, Balance, and Deconstruction: Buddhist Psychology in Psychotherapy Practice
49:12
49:12
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49:12Paul Rodrique—psychotherapist, teacher of insight meditation and self-compassion, and serious bicyclist— converses with Geoff and Erin about how Buddhist psychology informs his work with clients and shares his view that references to an "authentic self" can distract us from awareness of a greater whole.…
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Episode #20: We are All "Relatable" in our Pursuits of Pleasures and Rewards
51:58
51:58
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51:58Content warning: This episode contains discussion of suicide at the end of the podcast. If you or someone you know is in crisis, call or text the 988 Suicide & Crisis Lifeline at 988. The Lifeline provides 24-hour, confidential support to anyone in suicidal crisis or emotional distress. Call 911 in life-threatening situations. Addiction medicine ph…
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Episode #19: SUDs Require Socioeconomic Remedies as well as Individualized Clinical Care
52:23
52:23
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52:23Dr. Elizabeth Salisbury-Afshar applies her background— family medicine, public health, and addiction medicine— to conscientious, respectful, individualized clinical care to people with substance use disorders, including their medical complications. She reminds us all, however, not to stop there. For lasting change, we must also think about and inte…
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Episode #18: Helping Teens Find Their Place in the World
47:34
47:34
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47:34Guest Jessica Kessler is a licensed clinical social worker so attracted to the energy and idiosyncrasies of teenagers that, for 15 years and counting, she has served middle and high school students (parents and staff as well) in a small Vermont town. Jess describes the importance and satisfactions of connecting with youth, how her school system pro…
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Episode #17: Recovery Coaching – To Reach the People Who Aren't Being Reached
49:11
49:11
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49:11Guest Kevin Diakiw, a recovery coach trainer and mindfulness practitioner near Vancouver in British Columbia, Canada, serves people experiencing tremendous hardships—at times traveling to remote Indigenous communities to do so. He expresses deep appreciation and respect for those he serves, and he looks forward to when well-intentioned service prov…
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Episode #16: If you Build Muscle with Testosterone, Know and Manage the Risks
48:24
48:24
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48:24Some cisgender men, both gay and straight, inject testosterone to increase muscle mass. Dr. Eric Kutscher, researcher and specialist in primary care, addiction, and HIV medicine, describes how he helps men committed to this practice limit their risk of complications such as high cholesterol, heart problems, infection, excess blood cells, and stroke…
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Episode 15: Providing Meaningful Belonging in Portugal: The Power of Caring and Comprehensive Resources
57:56
57:56
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57:56Guest Maria Joao Cunhal was there in 2001 when Portugal decriminalized the possession of drugs for personal use and created strong incentives for entering addiction treatment. Dramatic improvements followed, but expensive interventions are difficult to maintain.By Geoff Kane, MD, MPH
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Episode 14: Helping Others with Multiple Tools, an Open Mind, and an Open Heart
52:41
52:41
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52:41Dr. Sofia Matta—psychiatrist; healthcare provider to Military, Veterans, and their families; acupuncturist; and specialist in brain injuries and addiction medicine— shares knowledge and experiences that will engage, inform, and inspire members of the public as well as healthcare professionals.By Geoff Kane, MD, MPH
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Episode 13: How to Exit States of "Overwhelm"
1:00:27
1:00:27
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1:00:27Guest Daniel Lang, occupational therapist, educator, speaker, and Advanced Level practitioner of Somatic Experiencing (SE), discusses the history and applications of SE and demonstrates how SE "can be the entry point to the present moment."By Geoff Kane, MD, MPH
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Episode 12: Paying It Forward: SUD Treatment with Compassionate Accountability
41:15
41:15
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41:15Guest Miyah Odle, area manager of outpatient facilities treating individuals with opioid, alcohol, and stimulant use disorders, shares her personal story as well as the holistic approach she brings to her work and develops in others. https://savidahealth.com/By Geoff Kane, MD, MPH
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Episode 11: Simply Noticing Puts You in the Now
45:06
45:06
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45:06Dr. Kevin Polk, the psychologist who created the Matrix diagram to help professionals and the public engage in Acceptance and Commitment Therapy or Training (ACT), explains how to anchor our lives in the present moment, which is the place to be as life happens.By Geoff Kane, MD, MPH
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Episode 10: Healing Psychological Trauma and Growing Resilience: "The Power of Humans Supporting Each Other"
57:47
57:47
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57:47Trauma fuels harmful substance use and addiction. Guest Dr. Suzanne Phillips – a psychologist who has helped communities, couples, and individuals around the globe heal emotional wounds related to natural disasters and violence including domestics, mass shootings, war, and 9/11 – promotes emotional regulation after subtle or dramatic trauma by supp…
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Episode 9: Too Many Factions, Not Enough Love: One Tribe is All We Need
49:06
49:06
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49:06Political scientist, educator, and town meeting moderator, Dr. Meg Mott, converses with Geoff and Erin about listening well, recognizing strengths, and celebrating differences to make space, for example, for 12-Step recovery and harm reduction. Diversity, Equity, and Inclusion approaches sometimes reinforce diversity in ways that actually reduce in…
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Respected clinician, administrator, and teacher, Kurt White, has a scientific side. For a recent talk he updated his own knowledge on the benefits and risks of cannabis consumption by reviewing meta-analyses of research results. Geoff and Erin explore what Kurt learned—and what surprised him—on issues such as mental health, driving, and sexuality.…
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Episode 7: Mindfulness Makes the Difference
41:40
41:40
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41:40Women's strength and weight loss specialist Trisha Selbach converses with Geoff and Erin about her new book Uncomfortable. Trisha emphasizes that mindfulness—unlike efforts to "white knuckle yourself through change"— produces sustainable results for those seeking health and satisfaction.By Geoff Kane, MD, MPH
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Episode 6: Everyone Has a Role In Prevention
41:02
41:02
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41:02Robin Rieske, a prevention specialist in Southern Vermont for over 30 years, converses with Geoff and Erin about efforts to help the public, especially adolescents, delay or avoid substance use, reduce and treat overdoses, and be wary of the uncertain contents and risks of street drugs. Reducing harmful social determinants of health is a complicate…
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Episode 5: Treating Addiction with Compassion Always — and Medication Sometimes
40:14
40:14
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40:14Dr. Talia Singer-Clark serves on teams at Boston Medical Center and at Behavioral Health Network in Springfield MA where she provides comprehensive, individualized, compassionate care to people with severe substance use disorders. She discusses her work with Geoff and answers why she finds it satisfying.…
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Episode 4: Substance Use Involves Risk: Where Do You Stand?
1:10:26
1:10:26
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1:10:26Geoff and Reggie go deep into respect in the community, autonomy, and personal risk tolerance, which all affect substance use, substance use disorders, and recovery. Are you playing Russian roulette with your life, liver, or driver's license?By Geoff Kane, MD, MPH
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Episode 3: Judgments Inhibit People from Asking for Help
50:39
50:39
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50:39Geoff's friend Bobby converses with Geoff and Reggie about how the expectation of harsh judgment make people addicted to substances reluctant to ask for the help that they desperately need. Bobby testifies that substances used "as a coping mechanism" eventually "will betray you."By Geoff Kane, MD, MPH
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Episode 2: The Changing Vocabulary of Addiction and Recovery
56:46
56:46
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56:46Everyone is different. Geoff and Reggie discuss how descriptions are often more helpful than labels and the importance of positive interpersonal relationships in the treatment and prevention of substance use disorders. Geoff answers, "What happened to 'rehab'?"By Geoff Kane, MD, MPH
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Episode 1: I need help: Where do I start?
1:03:01
1:03:01
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1:03:01Geoff and his friend and colleague Reggie discuss the experience—and the biology—of addiction and what a person or family needs to know in order to cope with it.By Geoff Kane, MD, MPH
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