that is SO cool, can you write dick wolf

the three basics, all 5+ yrs old

I’m pretty sure you can still do drugs, you must just live your life enough to not

you ever smoke crack?

I’m sorry, hold up, what do you think I’m doing here? When someone comes to me for a drug and alcohol eval, I dont tell them what to do. I ask what they want, if they think their use is a problem, if they want treatment, etc. All I do is provide options. That’s what individualized person-centered care is.

What makes you think i do anything different?

I can provide you resources on substance use disorders if you really want but I do this for a living so I’m not eager to. I would say look into ASAM. Addiction Medicine is a developing field but we’re finding more empowering ways to help people through validation and support.

the problem in the language here is really what does mental disorder really mean? it isn’t about genetics. a disorder just means life is out of order. etiology is irrelevant. is the framing of it as a mental disorder somehow uncomfortable to you? it might seem critical if you still think of MH issues as “mental illnesses”, but that’s not what’s going on. identifying problematic behavioral patterns as a psychological problem enables us to treat it appropriately instead of with stigma.

and to be clear, no one is expected to do what they don’t want to do.

substance use disorders are absolutely a mental disorder and it’s damaging to treat them as anything else. too long they’ve been considered moral failings and people are fucking dying because of it. when a substance gets in the way of life, that’s a disorder.

as for doing what you want… im not arguing for sobriety or abstinence, that’s another approach to addiction that KILLS PEOPLE. you can still do what you want.

Heya, I’d love to follow up with you on some of this stuff. This actually isn’t accurate for the current understanding of addiction. Substance use disorders are more than just dependence, tolerance, and withdrawal. There are a number of other factors that constitute “addiction” (aka, SUDs). Check out the DSM criteria for cannabis use disorder for starters.

It turns out that, while not medical emergency level akin to ethanol or benzo w/d, cannabis does have some seriously addictive properties.

Really the trouble is that we misunderstand addiction itself. It’s not about chemicals. It’s about context, and overall life functioning.

Legalize all drugs. Addiction is a severe mental health disorder, not a crime. Literally end of discussion.

oh god, it’s just a saying, chillax

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what is it