Generated by All in One SEO v5.0.0.1, this is an llms.txt file, used by LLMs to index the site. # Geoff Kane, MD, MPH ## Sitemaps - [XML Sitemap](http://geoffkane.com/sitemap.xml): Contains all public & indexable URLs for this website. ## Posts - [NCADD Addiction Medicine Updates](http://geoffkane.com/ncadd/) - [Medications for Alcohol Addiction are Underutilized](http://geoffkane.com/medications-for-alcohol-addiction-are-underutilized/) - (Mark Publicker MD coauthor) An estimated 8.9 million Americans live at the severe end of the spectrum of alcohol use disorders. Regardless of terminology – alcohol addiction, alcohol dependence, or moderate to severe alcohol use disorder – these individuals satisfy diagnostic criteria for a potentially fatal chronic disease characterized by high post-treatment recidivism. The human - [From Bar to Bars: Links between Alcohol and Crime](http://geoffkane.com/from-bar-to-bars-links-between-alcohol-and-crime/) - Crimes related to illegal drugs often make headlines—seizures of substances, arrests of drug lords and dealers, and laws broken to support habits. Crimes related to alcohol are also in the news, but we may have to turn to police logs to find them. Yet alcohol is implicated in 56.6 percent of incarcerations in America, which - [Recovery: Can You Have It Your Way?](http://geoffkane.com/recovery-can-you-have-it-your-way/) - People on paths of addiction recovery -- and those who dedicate their professional lives to helping others get on such paths -- often think of recovery as a spiritual practice. These stakeholders might discuss their own sense of spirituality, perhaps referring to relationships or connectedness, and they might engage in practices such as meditation, which - [](http://geoffkane.com/ncadd-history/) - ADDICTION MEDICINE BLOGS AND NCADD The National Council on Alcoholism and Drug Dependence Inc (NCADD) was founded in 1944 as the National Committee for Education on Alcoholism (NCEA) and became a well-respected educational, support, and advocacy organization headquartered in New York City. NCADD came to represent more than 90 affiliates across America. You may download - [Let’s Not Forget Alcohol](http://geoffkane.com/lets-not-forget-alcohol/) - Communities across the United States are striving to combat opioid misuse and addiction. They can’t ignore, for example, the 47,000 opioid overdose deaths per year, which have lowered overall life expectancy and boosted the number of children in need of foster care. These same communities, however, are less motivated to combat alcohol misuse and addiction, - [Have You Ever Stepped on a Nail?](http://geoffkane.com/have-you-ever-stepped-on-a-nail/) - Ask people if they’ve ever stepped on a nail and most will say yes. It can happen to anyone, although the odds go up when lots of boards with nails in them are lying around and people are not paying attention. No one wants or expects to step on a nail. It’s a no-fault wound. - [Fuel the Recovery of Others—with Acceptance and Accountability](http://geoffkane.com/fuel-the-recovery-of-others-with-acceptance-and-accountability/) - After looking the other way for far too long, people and institutions in the United States are starting to face addiction. Respect for individuals in active addiction and resources to assist them into recovery are gradually becoming the norm. Previous Addiction Medicine Updates have identified two core responsibilities, stated as calls to action, that most - [All About Medications for Opioid Use Disorder—In One Place](http://geoffkane.com/all-about-medications-for-opioid-use-disorder-in-one-place/) - In the face of our national opioid crisis communities across the United States are taking notice and taking action. They’re proactively addressing opioid misuse, opioid addiction, and overdose deaths by distributing naloxone nasal injectors to counteract overdoses, contriving ways to move individuals treated for overdoses directly into treatment, and making treatment for opioid use disorder - [Hope & Caution – for Happy Holidays](http://geoffkane.com/hope-caution-for-happy-holidays/) - As we approach the holiday season—the time of year from Thanksgiving through New Years when "joy" is the word but not necessarily the reality—it's worth reflecting on ways we can protect ourselves and those we care about from inconvenience and tragedy due to use of alcohol or other mood-changing substances. Start by believing that some - [The Way of Recovery is Not Alone - Part 1: Science](http://geoffkane.com/the-way-of-recovery-is-not-alone-part-1/) - Addiction damages what matters most. Body, family, career, and citizenship are frequent casualties of the compulsive use of alcohol and other drugs. How human behavior becomes so self-defeating and how affected individuals change for the better has been described from many perspectives. Two sources we might expect to have differing views about recovery actually illumine - [“It all comes down to your choices.”](http://geoffkane.com/it-all-comes-down-to-your-choices/) - “It all comes down to your choices,” said a man in his fifties as he completed treatment following a brief return to drinking lots of alcohol. In the company of supportive peers and an empathic treatment team, this man had immersed himself for three weeks in mindfulness practices structured by Acceptance and Commitment Therapy (ACT). - [ADHD—Focus on Adults](http://geoffkane.com/adhd-focus-on-adults/) - Attention Deficit Hyperactivity Disorder (ADHD) is a condition characterized by inattention, disorganization, and/or hyperactivity-impulsivity that consistently disrupt a person’s activities and relationships. According to DSM-5 (p 32), “Inattention and disorganization entail inabil­ity to stay on task, seeming not to listen, and losing materials, at levels that are inconsistent with age or developmental level. Hyperactivity-impulsivity entails - [Prescription for the Nation](http://geoffkane.com/prescription-for-the-nation/) - Most healthcare professionals promote the well-being of one individual at a time. Those who work in public health, however, promote the well-being of groups of individuals. The U.S. Public Health Service and the rest of the U.S. Department of Health and Human Services (HHS) promote the well-being of overlapping groups that taken altogether represent the - [Nicotine Vapor Now Regulated with Tobacco](http://geoffkane.com/nicotine-vapor-now-regulated-with-tobacco/) - Efforts to create electronic cigarettes date from the 1930s. The first commercially successful devices were produced in China in 2003. Electronic cigarettes were introduced to Europe in 2006 and America in 2007. In the United States, regulation of these and similar products became much more stringent in 2016. The Family Smoking Prevention and Tobacco Control - [Unnecessary Debate: Is Addiction a Disease?](http://geoffkane.com/unnecessary-debate-is-addiction-a-disease/) - Imagine two stalwart fans of professional wrestling locked in debate. One holds that the wrestlers are athletes. The other argues that they are not athletes but entertainers, performing in a variety of theater. Both fans are thoughtful and persuasive. Notice that their disagreement is not about the physical attributes of professional wrestlers, or about what - [There’s No Such Thing as a Disease](http://geoffkane.com/theres-no-such-thing-as-a-disease/) - Healthcare providers are charged with helping individuals who come to them with physical, emotional, and behavioral problems. As they prepare to help, providers usually follow a routine—they get to know the person and their problem(s), examine the person, and, frequently, obtain additional information such as blood tests or x-rays. Prior to recommending specific treatment, providers - [Best Ways to Chill Out](http://geoffkane.com/best-ways-to-chill-out/) - We pay attention to our senses, which tell us about our bodies and the people and things around us. We notice our thoughts, movements, and feelings. In response to ailments or other concerns, we narrow our attention to particular body regions, organs, or organ systems—back, skin, or digestive tract, for example. But we rarely contemplate - [Curbing Addiction Is Everybody’s Business](http://geoffkane.com/curbing-addiction-is-everybodys-business/) - Addiction statistics are scary. For example, excessive alcohol causes an estimated 88,000 deaths per year in the United States. Deaths from cigarette smoke exceed 480,000 per year. In 2013, about 100 Americans per day died from drug overdoses. The annual cost to this country of addiction and other substance abuse—including healthcare, crime, and lost productivity—is - [Balance Is Everything: Thoughts on Our Collective Approach to Opioid Addiction](http://geoffkane.com/balance-is-everything/) - People who are close to individuals with active addiction sometimes have to make high-stakes decisions. Desperate situations compel them to act, and then leave them hoping and praying for a positive outcome. Parents’ decisions may be the toughest, regardless of the age of their child. “Will giving support right now save my child—or be enabling - [The Way of Recovery is Not Alone - Part 2: Spirituality](http://geoffkane.com/the-way-of-recovery-is-not-alone-part-2/) - “Spirituality”—like “love”—has many interpretations. Some identify spirituality as their personal sense of connection, meaning, and purpose. Others identify it is an elusive abstraction they have never experienced. Those who equate spirituality with religion and are not religious themselves may assume spirituality is not relevant to them. But when spirituality is understood as pertaining to all - [The Two Pillars of Recovery®](http://geoffkane.com/article-the-two-pillars-of-recovery/) - In the United States, an estimated 20 million people have problems with alcohol or other drugs. Many of these individuals attempt to get sober, but remain stuck using addictive substances because they try to fix things their own way—and berate themselves when nothing changes—unaware they are working against the laws of nature. Much like drivers who hit the gas - [Keep Your Distance!](http://geoffkane.com/keep-your-distance/) - Ask people engaged in addiction treatment for a single word to describe where they just came from—a word that sums up the experience of active addiction—and they quickly agree on “hell.” Many years ago someone asked the then famous and now controversial evangelist Billy Sunday, “What must I do to go to hell?” Sunday replied, “Nothing.” - [Opioids for Pain Management: Less is More](http://geoffkane.com/ncadd/opioids-for-pain-management-less-is-more/) - Written by Mel Pohl, MD and Dan Mager, MSW Approximately 100 million Americans suffer from chronic pain. Nationwide, chronic pain causes more disability than cancer and heart disease combined, and costs $550 million annually in lost workdays. Clinicians classify pain as acute or chronic. Acute pain is "useful" - [Reduce the Demand!](http://geoffkane.com/reduce-the-demand/) - Misuse of prescription opioids is the fastest growing drug problem in the United States. And it will only get worse unless the population, especially youth, realizes that nonmedical use of these potent pain relievers is uncool and dangerous. A common misconception is that these substances are safe because they are prescribed by physicians and dispensed through - [Alcohol and Bodily Harm to Women](http://geoffkane.com/alcohol-and-bodily-harm-to-women/) - Popular belief does not expect women to "hold their liquor" as well as men, and this is one of those instances when science agrees with popular belief. If a man and a woman drink the same amount of alcohol, even if they are equal weight, the woman will have a higher concentration of alcohol in - [The Prevention of Substance Use Disorders: Part One - Overview and Terminology](http://geoffkane.com/the-prevention-of-substance-use-disorders-part-one-overview-and-terminology/) - Written with Michael Ballue CADC II, BSBA Our society pays far more attention to disease treatment than disease prevention. And some of the reasons for this are understandable. When medical-scientific technology saves lives, for example, the outcomes often generate hype because they are dramatic. When prevention works, however, nothing happens. The resulting non-events attract little if - [Intervening on Alcohol? Style Matters!](http://geoffkane.com/intervening-on-alcohol-style-matters/) - The World Health Organization identifies "The harmful use of alcohol [as] a global problem which compromises both individual and social development. It results in 2.5 million deaths each year. Alcohol is the world's third largest risk factor for premature mortality, disability, and loss of health." (WHO) Yet, perhaps because of our collective affection for beverage - [Healthcare Reform — Now is the Time to Make It About You!](http://geoffkane.com/healthcare-reform-now-is-the-time-to-make-it-about-you/) - Confused about healthcare financing and where it's headed? What about future access to addiction treatment? These days it's hard not to be confused; the experts can't even agree on what's happening now, never mind on what will happen next. For example, analysts concur that the United Statesspends far more on healthcare—dollars per capita and percent of - [DSM-5 – Coming May 2013](http://geoffkane.com/dsm-5-coming-may-2013/) - Addiction treatment and other mental health professionals are accustomed to applying the diagnostic criteria published by the American Psychiatric Association (APA) in the 1994 Diagnostic and Statistical Manual of Mental Disorders Fourth Edition (DSM-IV) and the 2000 "Text Revision" version of the same compendium (DSM-IV-TR), which updated the narrative material but kept the same diagnostic - [Falling Dominoes: Or, Why You Can't Have "Just One"](http://geoffkane.com/falling-dominoes-or-why-you-cant-have-just-one/) - Search the Internet or type in "falling dominoes" on YouTube and you will be deluged with opportunities to watch videos, often set to music, of vast numbers of colorful rectangles knocking one another over. These productions are extravagant examples of the original "domino effect." They show domino tiles arranged in both straight lines and intricate - [Bath Salts: Devastation from Addictive "Thinking"](http://geoffkane.com/bath-salts-devastation-from-addictive-thinking/) - The phenomenon of "bath salts" abuse and dependence is hard to believe. Nevertheless, since late 2010 young people and adults have been swallowing, smoking, sniffing, and injecting dangerous white or colored powders that they purchase from head shops, convenience stores, or the Internet.[NIDA Message] Colorful packages with catchy names such as Arctic Blast, Cloud 9, Ivory - [Reduce the Supply!](http://geoffkane.com/reduce-the-supply/) - Epidemic misuse of prescription pain medication in the United States is partly due to the availability of opioid analgesics (medication in pills, patches, injections, nasal sprays, and even lollipops that contain natural or synthetic substances that cause pain relief and euphoria by stimulating endorphin receptors in the brain). Can individuals and communities possibly do anything - [Too Many Painkillers?](http://geoffkane.com/too-many-painkillers/) - United States data for 2009 showed that more individuals died from unintentional drug overdoses (37,485) than from motor vehicle crashes (36,284). These casualties included individuals with histories of extensive drug use as well as drug-naïve experimenters, partly because overdoses are often "mixed," and anyone consuming a combination of sedating substances, such as alcohol plus medications - [Watch Your Language!](http://geoffkane.com/watch-your-language/) - In addition to their literal definitions, the words we use can invoke powerful ideas and feelings. The extended cognitive and emotional meanings of words are their connotations. Words, particularly their connotations, help shape sense of self and expectations, which makes it important to choose words carefully when characterizing others and ourselves. Affirmations enrich sense of self - [Ask for Help!](http://geoffkane.com/ask-for-help/) - Ever wonder why so many of us lose our voice precisely at the moment we need to ask for help? Credit shame, the pivotal emotion that drives self-defeating behavior, together with all-or-nothing thinking, our most common cognitive distortion. “Shame,” much like “stress,” means different things to different people. Here, shame refers to our ongoing sense that we are - [Childhood Matters — Very Much](http://geoffkane.com/childhood-matters/) - Educators and clinicians have long recognized that children and youth with social, emotional, and learning problems often experience neglect and abuse in earlier years. Research now shows that harm associated with traumatic childhood experiences does not end when young people grow up. In the Adverse Childhood Experiences Study (ACE Study) investigators from the Kaiser Permanente Health Appraisal - [How to Blow Your Mind — Synthetic Marijuana and Salvia](http://geoffkane.com/how-to-blow-your-mind-synthetic-marijuana-and-salvia/) - After alcohol and marijuana, what mood altering substance is the next most popular among U.S. high school students? You might reasonably suspect prescription pain relievers or prescription stimulants. But in a 2012 survey of drug use in the past year by 9th to 12th graders, synthetic marijuana took third place. “Synthetic marijuana” refers to a group of products that - [Marijuana – A Country Divided](http://geoffkane.com/marijuana-a-country-divided/) - People in the United States don’t shrink from passionate expressions of opposing views. Whigs vs. Tories, Republicans vs. Democrats, and Red Sox fans vs. Yankees fans are just a few cases in point. People’s views on marijuana are no less passionate and no less polarized. During treatment for addiction to opioids a man in his early - [Five Ways You Can Reduce Stigma](http://geoffkane.com/five-ways-you-can-reduce-stigma/) - Too often society is unfair to people with addiction—a fact that disturbs most people with active addiction, most people who are recovering from addiction, and most people who advocate for those groups. Fortunately we can do something about it. Don’t be daunted—small steps can have a powerful impact. Social stigma exists within culture. Culture may be understood as the - [The Prevention of Substance Use Disorders: Part Three - Evidence-Based Practices](http://geoffkane.com/the-prevention-of-substance-use-disorders-part-three-evidence-based-practices/) - Written with Michael Ballue CADC II, BSBA This series has advocated that society make disease prevention a priority—especially the prevention of substance use disorders—while recognizing that the prevention of substance use disorders (SUDs) is already a priority for some providers and agencies. Before organizers of SUD prevention services present an intervention to a target population, they - [The Prevention of Substance Use Disorders: Part Two - Preventing Alcohol Problems](http://geoffkane.com/the-prevention-of-substance-use-disorders-part-two-preventing-alcohol-problems/) - Written with Michael Ballue CADC II, BSBA The harmful use of alcohol is the third leading risk factor for poor health worldwide and the estimated costs of alcohol abuse in the United States, which encompass lost productivity as well as medical problems, top $220 billion per year. There’s a lot to be done. Fortunately, a lot is being - [Sedative-Hypnotic Medications: Nothing to be Relaxed About](http://geoffkane.com/sedative-hypnotic-medications-nothing-to-be-relaxed-about/) - Sedative-hypnotic medications are not good choices for individuals with addiction. Even those with vulnerability to addiction due to, for example, a family history of alcohol dependence, run a higher risk of developing problems. Nevertheless, some medical practitioners are quick to prescribe these drugs when patients complain of anxiety or insomnia. The prescribers aim to be ## Pages - [Home](http://geoffkane.com/) - Dr. Geoff Kane has focused on the treatment and prevention of substance use disorders (SUDs) especially addiction, the severe end of the SUD spectrum, for more than fifty years. Drawing upon vast clinical experience, scientific studies of the brain and behavior, and population research, Dr. Kane helps professionals and the public understand how personal - [Beyond The Two Pillars of Recovery® Podcast](http://geoffkane.com/beyond-the-two-pillars-of-recovery-podcast/) - The Two Pillars of Recovery® (Keep Your Distance! and Ask For Help!) remind individuals with addiction—the severe end of the spectrum of substance use disorders—how to establish recovery by working with nature. These podcasts go beyond The Two Pillars of Recovery® because they speak to everyone, or at least to everyone concerned about the rising - [The Two Pillars of Recovery® Videos](http://geoffkane.com/the-two-pillars-of-recovery/the-two-pillars-of-recovery-videos/) - The Two Pillars of Recovery® Videos Please enter your email address to view these videos Email The Two Pillars of Recovery®: IntroductionThe Two Pillars of Recovery®: Behavior and the Laws of Nature The Two Pillars of Recovery®: Addiction and the Laws of Nature (The First Pillar of Recovery) The Two Pillars of Recovery: Recovery and - [Contact](http://geoffkane.com/contact/) - Geoff Kane, MD, MPH P O Box 6278 Brattleboro, VT 05302 Get 4 Pages Of Exercises From "The Two Pillars of Recovery Workbook" FREE Email: We respect your email privacy - [Available as a Speaker](http://geoffkane.com/available-as-speaker/) - With plain language, stories, and images, Geoff conveys brain science and practical wisdom to all listeners—a background in science is not necessary. Individuals stuck in addiction learn how they can become unstuck by adopting The Two Pillars of Recovery® (Keep Your Distance! and Ask for Help!) to work with rather than against the laws of - [The Two Pillars of Recovery® Presentations](http://geoffkane.com/the-two-pillars-of-recovery/presentations/) - The Two Pillars of Recovery® Presentations I often present the metaphor of The Two Pillars of Recovery® to patients during their treatment for addiction—in both group and individual sessions—as a tool to help them understand and remember the actions that are essential to maintain sobriety. My teaching aids with patients are usually just a whiteboard - [Addiction Treatment Bare Essentials](http://geoffkane.com/videos/addictiontreatmentbareessentials/) - Full presentation online: addictiontreatmentbareessentials.com "Dr. Kane’s presentation makes the considerable task of entering addiction treatment and experiencing healthy recovery accessible and achievable. The essential elements of treatment and recovery are presented with humor and humility. For individuals and their families struggling with addiction, his message replaces stigma with hope." ~ David C. Lewis, MD Professor - [About Geoff](http://geoffkane.com/about/) - Geoffrey P. Kane, MD, MPH is Emeritus Chief of Addiction Services at the Brattleboro Retreat, a 190-year-old psychiatric and addiction treatment hospital in southeastern Vermont. In 2017, Geoff founded Meetinghouse Solutions, LLC to promote resilience and recovery at the community level. He is a graduate of Boston College, Yale School of Medicine, and Yale School - [Short Format Video Library](http://geoffkane.com/videos/) - Beware of the coronavirus—and alcohol People who persistently consume alcohol to relieve stress and boredom may not be able to stop. Stress is a threat to addiction recovery These resources protect addiction recovery without compromising social distancing. Early Drinking and the Risk of Addiction - Geoff Kane, MD, MPH Starting to drink by - [Thank you!](http://geoffkane.com/confirmation/) - Now check your email for a message from Geoff Kane with the subject line "Your FREE 4 Pages Of Exercises From “The Two Pillars of Recovery Workbook” Click on the link in that email and download the FREE 4 Pages Of Exercises From “The Two Pillars of Recovery Workbook” or to view the full version - [Thank you!](http://geoffkane.com/confirmation-exercise-book/) - Now check your email for a message from Geoff Kane with the subject line "Confirm your subscription." Click on the link in that email to confirm your request to join our mailing list and get the FREE 4 Pages Of Exercises From “The Two Pillars of Recovery® Workbook” - [Inspirational Quotes](http://geoffkane.com/quotations/) - Here are words for thought and perhaps inspiration. If any are familiar, I suspect that, like me, you do not tire of them... "Getting discouraged is a total waste of your time." John Cleese "Adopt the pace of Nature. Her secret is patience." Ralph Waldo Emerson "Experience is the teacher of all things." Julius Caesar - [The Two Pillars of Recovery Video 2020](http://geoffkane.com/the-two-pillars-of-recovery-video-2020/) - The Two Pillars of Recovery – Geoff Kane, MD, MPH The two pillars of recovery “Keep your distance!” and “Ask for help!” identify actions that led many people to long-term recovery: embrace changes in lifestyle and cultivate positive interpersonal relationships. To learn more about addiction and what to do about it, especially The Two Pillars of - [Early Drinking and the Risk of Addiction](http://geoffkane.com/early-drinking-and-the-risk-of-addiction/) - Early Drinking and the Risk of Addiction – Geoff Kane, MD, MPH Starting to drink by age 12 more than doubles the risk of future addiction to alcohol. To learn more about addiction and what to do about it, especially The Two Pillars of Recovery®, visit www.GeoffKane.com/Workbook. - [Stress is a Threat to Addiction Recovery](http://geoffkane.com/stress-is-a-threat-to-addiction-recovery/) - Stress is a threat to addiction recovery These resources protect addiction recovery without compromising social distancing. - [Beware of the Coronavirus - and Alcohol](http://geoffkane.com/beware-of-the-coronavirus-and-alcohol/) - Beware of the coronavirus—and alcohol People who persistently consume alcohol to relieve stress and boredom may not be able to stop. - [Books by Geoff Kane, MD, MPH](http://geoffkane.com/books/) - Inner-City Alcoholism Inner-City Alcoholism, published in 1981, was praised for clarity and scholarship. The core of the book is a descriptive study of 372 black and Hispanic men and women in the South Bronx who sought help for alcohol problems at the storefront addiction treatment facility where the author worked from 1974 to 1978. - [Let's Talk about Addiction & Stigma](http://geoffkane.com/videos/lets-talk-about-addiction-stigma/) - The Community Opioid Response Committee Presents Ways to Think about and Talk about Addiction: A Community Conversation on Stigma, moderated by Dr. Geoffrey Kane. The Community Opioid Response is a collaboration between various community partners including VT Dept. of Health, Brattleboro Area Prevention Coalition, Turning Point Recovery Center, Nar-anon Family Groups, Brattleboro Retreat and concerned - [The Hard Part is Finding Hope](http://geoffkane.com/the-hard-part-is-finding-hope/) - The Hard Part is Finding Hope - Geoff Kane, MD, MPH People in deep with alcohol and other drugs often have difficulty understanding that they can change and have safe and satisfying lives. To learn more about addiction and what to do about it, especially The Two Pillars of Recovery®, visit www.GeoffKane.com/Workbook. - [How To Help Someone Struggling With Addiction](http://geoffkane.com/how-to-help-someone-struggling-with-addiction/) - How To Help Someone Struggling With Addiction - Geoff Kane, MD, MPH To help someone struggling with addiction, avoid extreme responses, set realistic expectations, and follow up. To learn more about addiction and what to do about it, especially The Two Pillars of Recovery®, visit www.GeoffKane.com/Workbook. - [Is This How You Describe Addiction and Recovery?](http://geoffkane.com/is-this-how-you-describe-addiction-and-recovery/) - Is This How You Describe Addiction & Recovery? Geoff Kane, MD, MPH Individuals with addiction have relationships with substances that dominate their lives; their relationships with self and others are pushed aside. Recovery sets that right. To learn more about addiction and what to do about it, especially The Two Pillars of Recovery®, visit www.GeoffKane.com/Workbook. - [Workbook](http://geoffkane.com/workbook/) - Two Pillars of Recovery Workbook: What People with Addiction Need to Know and Do for Lasting Sobriety Second Edition now available on Amazon.com The Two Pillars of Recovery® -- Keep Your Distance and Ask for Help -- tell people stuck in addiction what to do when they have had enough. Changing routines and becoming honest - [ncadd history](http://geoffkane.com/wp-content/uploads/2014/06/NCADD-HISTORY-BOOK.pdf) - [Thank you!](http://geoffkane.com/thank-you/) - Now check your email for a message from Geoff Kane with the subject line Confirm your email address with Addiction Treatment Bare Essentials. Click on the link in that email to confirm your subscription to our mailing list. - [Shop](http://geoffkane.com/shop/) - [The Two Pillars of Recovery®](http://geoffkane.com/the-two-pillars-of-recovery/) - The Two Pillars of Recovery® Introduction Not long after becoming medical director of an inpatient addiction unit at a hospital in New Hampshire in 1988, I realized that most of my patients—two-thirds or more—had been in treatment before. Their stories of relapse were unique, but also remarkably similar. All the relapsed patients wound up back - [The Two Pillars of Recovery®](http://geoffkane.com/the-two-pillars-of-recovery/) - [Don’t Let Listening to Story Slip from Your Clinical Practice](http://geoffkane.com/dont-let-listening-to-story-slip-from-your-clinical-practice/) - by Geoff Kane, MD, MPH, FASAM | Jun 12, 2014 Stories are everywhere. They inspire and entertain; they enrich family and culture; they lead and persuade. Our personal stories carry our sense of identity and worth. Interpersonal relationships shape our stories and, if relationships have been hurtful, our stories - our lives - often repeat - [The Two Pillars of Recovery Videos: Implications for Treatment](http://geoffkane.com/the-two-pillars-of-recovery/implications-for-treatment/) - Addiction Treatment Bare Essentials: The Two Pillars of Recovery: Introduction The Two Pillars of Recovery: Behavior and the Laws of Nature The Two Pillars of Recovery: Addiction and the Laws of Nature (The First Pillar of Recovery) The Two Pillars of Recovery: Recovery and the Laws of Nature (The Second Pillar of Recovery) The Two - [The Two Pillars of Recovery Videos: Recovery and the Laws of Nature (The Second Pillar of Recovery)](http://geoffkane.com/the-two-pillars-of-recovery/recovery-and-the-laws-of-nature-the-second-pillar-of-recovery/) - Addiction Treatment Bare Essentials: The Two Pillars of Recovery: Introduction The Two Pillars of Recovery: Behavior and the Laws of Nature The Two Pillars of Recovery: Addiction and the Laws of Nature (The First Pillar of Recovery) The Two Pillars of Recovery: Recovery and the Laws of Nature (The Second Pillar of Recovery) The Two - [The Two Pillars of Recovery Videos: Behavior and the Laws of Nature](http://geoffkane.com/the-two-pillars-of-recovery/behavior-and-the-laws-of-nature/) - Addiction Treatment Bare Essentials: The Two Pillars of Recovery: Introduction The Two Pillars of Recovery: Behavior and the Laws of Nature The Two Pillars of Recovery: Addiction and the Laws of Nature (The First Pillar of Recovery) The Two Pillars of Recovery: Recovery and the Laws of Nature (The Second Pillar of Recovery) The Two - [The Two Pillars of Recovery Videos: Introduction](http://geoffkane.com/the-two-pillars-of-recovery/introduction/) - Addiction Treatment Bare Essentials: The Two Pillars of Recovery: Introduction The Two Pillars of Recovery: Behavior and the Laws of Nature The Two Pillars of Recovery: Addiction and the Laws of Nature (The First Pillar of Recovery) The Two Pillars of Recovery: Recovery and the Laws of Nature (The Second Pillar of Recovery) The Two - [The Two Pillars of Recovery Videos: Addiction and the Laws of Nature (The First Pillar of Recovery)](http://geoffkane.com/the-two-pillars-of-recovery/addiction-and-the-laws-of-nature-first-pillar-of-recovery/) - Addiction Treatment Bare Essentials: The Two Pillars of Recovery: Introduction The Two Pillars of Recovery: Behavior and the Laws of Nature The Two Pillars of Recovery: Addiction and the Laws of Nature (The First Pillar of Recovery) The Two Pillars of Recovery: Recovery and the Laws of Nature (The Second Pillar of Recovery) The Two - [NCADD History](http://geoffkane.com/ncadd-history/) - The National Council on Alcoholism and Drug Dependence, Inc. (NCADD) is an educational, support, and advocacy organization with headquarters in New York City and more than 90 affiliates across America. You may download a history of the first 60 years of NCADD by clicking here. Frank Seixas, Medical Director of NCADD (then the National Council - [Opioids for Pain Management: Less is More](http://geoffkane.com/ncadd/opioids-for-pain-management-less-is-more/) - Written by Mel Pohl, MD and Dan Mager, MSW. Posted on October 31, 2013 Approximately 100 million Americans suffer from chronic pain. Nationwide, chronic pain causes more disability than cancer and heart disease combined, and costs $550 million annually in lost workdays. Clinicians classify pain as acute or chronic. Acute pain is "useful" in that - [Talks and Workshops](http://geoffkane.com/talks-and-workshops/) ## Categories - [NCADD Articles](http://geoffkane.com/category/articles/) - [Intro](http://geoffkane.com/category/intro/)