Author Archives for James Cocores MD

wasp spray meth - meth - methamphetamine

Who Gets High on Methamphetamine Made from Wasp Spray?

July 18, 2019 6:04 pm Published by Leave your thoughts

Is wasp spray really the latest pawn in substance abuse? The answer will follow. But first let’s look at a more profound and pertinent answer regarding why reducing availability of a particular drug or alcohol does not often stop or reduce substance abuse. So, for example, a beer lover is more likely to drink wine or spirits when beer is not available rather than say: Today’s the day I am calling Royal Life Centers for alcohol detoxification and rehabilitation or just stop drinking entirely. In addition, noble government efforts to jam and block Singapore exports of fentanyl and carfentanil may have helped reduce the amount of these super-deadly opioids in the streets of America. But have big brother’s efforts stopped or reduced the momentum of those engaged in the repetitive... View Article

being a parent in recovery - parent in recovery - parenting - addiction recovery - parental love

Being a Parent in Recovery

June 12, 2019 5:12 pm Published by Leave your thoughts

Alcoholism and drug abuse have been called “equal opportunity destroyers.” They destroy everybody the touch, without discriminating. But what the touch most powerfully is the family in general and parents specifically. Parents who facilitate or enable their children’s choice to engage in substance use have been called “codependents” by the empress of codependency treatment, Melody Beattie, and “coaddicts” by one of our associates, the same one that filled in for one of Melody’s keynote addresses circa 1986. They both professed essentially the same stuff, such as essentially all addicts are coaddicts and coaddicts are behavioral addicts with the high risk for cross addiction. And active coaddicts need to stop loving their children to death, while recovering coaddicts/addicts make up the bulk of the counselors that have been honored to treat... View Article

medicated-assisted treatment - MAT - medication assisted treatment - detox - maintenance - suboxone maintenance - naltrexone - medication treatment

Medication-Assisted Treatment: What Should I Expect?

May 30, 2019 4:09 pm Published by Leave your thoughts

In the beginning there was no medication-assisted treatment. Regardless, herds of alcoholics recovered with the help of self-help groups alone. Similarly, opiate addicts, such as jazz singer Billie Holiday, stopped using “cold turkey” while in jail or under similar restricted and oppressive circumstances. Then physicians and hospitals began detoxifying alcoholics with chlordiazepoxide (Librium) because not doing so often resulted in grand mal seizures and death within 72 hours of their last drink. Herds of detoxified alcoholics left their 72 hour detox and relapsed because they did not attend self-help groups. By 1950 it became clear that cognitive behavioral therapy (CBT) alone was more useful than medication-assisted treatment (MAT) alone. Also, the potential value of combining CBT and MAT became very enticing. Leaders in the self-help and medical communities shared their... View Article

Cannabinoid Hyperemesis - chronic marijuana use - chronic weed smoking - dangers of smoking weed - royal life centers

Cannabinoid Hyperemesis: Chronic Cannabis Use Results in New Clinical Sign of Cannabis Withdrawal, Tolerance & Progression

May 23, 2019 8:05 pm Published by Leave your thoughts

The incidence of chronic cannabinoid abuse is likely to continue to soar as more and more states sanction prescriptions and edibles, and push for decriminalization and recreational legalization. Old Amsterdam here we come. The ever rising prevalence of chronic cannabis dependence comes with collateral damage both to the people who choose to indulge, and the microcosms which enable them. For example, treatment resistant and seemingly unstoppable chronic cannabis induced vomiting, Cannabinoid Emesis (CE), is increasingly compromising the wellness, productivity and longevity of chronic cannabis dependent people. If that is not enough of a consequence to chronic cannabinoid dependence, the average Emergency department visit and radiological evaluation for Cannabinoid Hyperemesis (CE) averaged $76,920.92 per patient (McCauley). Chronic cannabis abuse in general and CE, in particular, have consequences both to the individual... View Article

Losing Your Balance: How Addiction Affects Dopamine in Your Brain

May 21, 2019 8:18 pm Published by Leave your thoughts

Why We Didn’t Understand the Dopamine-Addiction Connection Before? Most addiction neuropsychiatry researchers are likely to be awkward if not inadequate substitute elementary school teachers and elementary school teachers are likely to be awkward if not inadequate addiction neuropsychiatry research temps. Each of these two disciplines collectively conceptualizes the dopamine-addiction connection in a similar descriptive manner as two blind people holding a different part of an elephant. Each conceptualizes the relationship between dopamine and addiction in an occupationally specific fashion. Each does not fully understand the overall picture of the relationship between dopamine and repetitive self-defeating behavior. Researchers publish and teach their findings. Their audiences often walk away with only a fraction of the research team’s or lead author’s collective knowledge. Similarly, the elementary school teacher is charged with teaching a... View Article

Tiger Woods - addiction


May 17, 2019 8:45 pm Published by Leave your thoughts

IS TIGER OUT OF THE WOODS YET?   Why are we losing the opioid and substance abuse epidemic? One Answer: We continue to enable substance abusers and their significant others to not be accountable for their behaviors. One of the main prompts to continued substance abuse is blaming others for one’s own actions. Similarly, family and friends often blame others for their loved one’s deficiencies. Society is no different. Drug epidemic war rooms attempt to cover two major bases: Reduce international and domestic drug trafficking Sanction exporters of drugs Strict penalties for dealers Disallow journalists, politicians, lawyers and judges to operate regarding recovery decisions without pertinent expert opinion Raising age restrictions on gateway drugs such as vaping and CBD purchases Year round substance use disorder education beginning before puberty Reduce... View Article