Paul Thomas - The Addiction Spectrum: A Compassionate, Holistic Approach to Recovery
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PAUL THOMAS, MD, ABAM, FAAP, is an integrative physician and addiction specialist with a thriving clinical practice in Portland, Oregon. He is the founder of Fair Start, an addiction clinic that has successfully treated over 500 opioid addicts since it opened in 2009. His YouTube channel has over 592,000 active and engaged subscribers and his most popular video has had upward of 31 million views. Dr. Paul received his medical degree from the Dartmouth Geisel School of Medicine and completed his pediatric residency at the University of CaliforniaSan Diego. He is a diplomat of the American Board of Addiction Medicine and a board-certified pediatrician. He is the father of nine children (ages twenty-one to thirty-five), three biological and six adopted. Dr. Paul lives with his family in Portland, Oregon. Learn more about him at www.paulthomasmd.com.
JENNIFER MARGULIS, PhD, is an award-winning science writer, Fulbright grantee, and sought-after speaker. She has worked as a journalist, media consultant, and health advocate for over fifteen years. Her articles have appeared in the New York Times, the Washington Post, Smithsonian magazine, Ms. magazine, More magazine, O: The Oprah Magazine, and dozens of other magazines, newspapers, and online sites. She received her BA from Cornell University, her MA from the University of CaliforniaBerkeley, and her PhD from Emory University. She also produces radio features for Jefferson Public Radio. Dr. Margulis has taught literature in inner-city Atlanta, appeared live on prime-time TV in France, and worked on a child survival campaign in Niger, West Africa. Originally from Boston, she lives with her husband and four children in southern Oregon. Learn more about her at www.jennifermargulis.net.
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This book contains advice and information relating to health care. It should be used to supplement rather than replace the advice of your doctor or another trained health professional. If you know or suspect you have a health problem, it is recommended that you seek your physicians advice before embarking on any medical program or treatment. All efforts have been made to assure the accuracy of the information contained in this book as of the date of publication. This publisher and the authors disclaim liability for any medical outcomes that may occur as a result of applying the methods suggested in this book.
All but two of the addicts who shared their stories in this book chose to remain anonymous and picked their own pseudonyms. Because of the sensitive and personal nature of this topic, every effort was made to give them the opportunity to review their stories for accuracy. Names and some personal characteristics of patients have been changed to disguise their identities. Any resulting resemblance to persons living or dead is entirely coincidental and unintentional.
Some of the material in chapters first appeared in a different form in The Jefferson Monthly and The Jefferson Journal, respectively.
THE ADDICTION SPECTRUM . Copyright 2018 by Paul Thomas, MD, and Jennifer Margulis, PhD. All rights reserved under International and Pan-American Copyright Conventions. By payment of the required fees, you have been granted the nonexclusive, nontransferable right to access and read the text of this e-book on-screen. No part of this text may be reproduced, transmitted, downloaded, decompiled, reverse-engineered, or stored in or introduced into any information storage and retrieval system, in any form or by any means, whether electronic or mechanical, now known or hereafter invented, without the express written permission of HarperCollins e-books.
Cover design HarperCollins
Cover art: mw2st and Atstock Productions | Shutterstock
Illustrated by Han Sayles
FIRST EDITION
Library of Congress Cataloging-in-Publication Data
Names: Thomas, Paul, MD, author. | Margulis, Jennifer, author.
Title: The addiction spectrum : a compassionate, holistic approach to recovery / Paul Thomas, MD, and Jennifer Margulis, PhD.
Description: First edition. | New York, NY : HarperOne, 2018
Identifiers: LCCN 2018014674 | ISBN 9780062836885 (hardback)
Subjects: LCSH: Substance abuseAlternative treatment. | Integrative medicine. | BISAC: SELF-HELP / Substance Abuse & Addictions / Alcoholism. | SELF-HELP / Substance Abuse & Addictions / Drug Dependence. | HEALTH & FITNESS / Alternative Therapies.
Classification: LCC RC564 .T48 2018 | DDC 362.29dc23
LC record available at https://lccn.loc.gov/2018014674
Digital Edition SEPTEMBER 2018 ISBN: 978-0-06-283690-8
Version 08102018
Print ISBN: 978-0-06-283688-5
To Pauls wife, Maiya,
and
Jennifers mother-in-law, Susan,
and
every reader whos ever done battle with addiction
may this book guide you on your journey.
Contents
It is abundantly clear to anyone who watches or reads the news that the world is in the midst of an addiction crisis. Opioids steal most of the headlines. Whether it is from heroin, meth, or another substance, thousands of people have died, and sadly more will die in the coming months and years. Many of you reading this book are terrified that someone you love will be a casualty of this crisis. If that is your fear, and you are reading this book to prevent that from happening, you are in the right place. But I want you to stop and take a breath before you dig in to what I hope will become a valuable life-giving resource for you. This book does not address politics or policy, the legal or penal system, or the first responder issues involved with drug overdoses. As critical as all these factors are, we see them as the end result of a broken approach to addiction. If addiction is a tree, these are the leaves on the tree. In this book, we will address the entire treethe roots, the trunk, the branches, even the soil in which the tree is growing, as well as many of the leaves.
Addiction is a chronic condition, not a broken leg that can be fixed by setting the bone and putting the limb in a cast; nor can it be solved by throwing someone in jail or even in a hospital detox unit. Chronic conditions have a multiplicity of causes, but also a multiplicity of factors that can promote healing. Everything that you do to support that healing decreases the chances that you will someday receive the nightmare phone call that your loved one has overdosed. I sincerely hope that within the pages of this book you find all the support, strength, and resources that you need to deal with this terrifying and difficult condition.
M Y NAME IS P AUL , and Im a recovering alcoholic. My wife, Maiya, is a recovering opioid addict. Five of our nine kids (we have three biological and six adopted, all of whom are young adults now) have struggled with substance use. As much as addiction has affected my life on a personal level, it is also one of the most critical health problems of our time.
We are in the midst of a devastating addiction crisis in the United States and around the worldone that is affecting each and every one of us. You picked up this book because you or someone you love is struggling with addiction. That addiction probably involves opioids or even heroin, though it may be an addiction to another hard drug like cocaine or meth, to alcohol or marijuana, or to something more seemingly benign, like gaming, the internet, or that brand-new smartphone you cant stop yourself from checking over eighty times a day (the national average).
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