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Thread: Sober House

  1. #241
    FORT Fogey Brandy's Avatar
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    Re: Sober House

    Speaking of detox. How does that usually go? The way they do it on these reality shows looks cruel. It seems like the person is just left to sweat it out cold turkey. A couple pills thrown their way when they are about to break in two.

    Isn't there a system at UCLA that's been around for ages, that filters the person's entire bloodstream and removes all drugs? It clears their system overnight. Why don't they use something like that?

    It just seems like someone like Mike especially, who says he's a hard core heroin addict, needs something a bit more than a bed to sweat in. He needs to be (detoxing) in a hospital.

  2. #242
    FORT Fogey
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    Re: Sober House

    Quote Originally Posted by Coco46;3859271;
    What kind of credentials does Dr Drew have? Is he a psychiatrist, a psychologist, none of these? A psychiatrist is a medical doctor who went through medical school and then specialized in the field of psychiatry. Didn't Kari Ann say something to him like, "You're not even a real doctor."? Did I hear that right? Also, at the end of one of the shows, there was a tribute to a Dr. Pinski, Sr. I guess that was his father and wonder what kind of doctor he was.
    Hi Coco46 - Although Dr. Drew isn't a psychiatrist, psychologist or licensed ounselor, he is a medical doctor, and an Assistant Clinical Professor of Psychiatry at USC. Also, the Medical Director of the Pasadena Recovery Center, and also has a private practice. He is very open about not being a psychiatrist. He has had years of professional experience as an Addiction Medicine Specialist, and I don't think it's just a piece of paper he has paid for. He holds some highly esteemed professional positions, and although he isn't a licensed counselor, he isn't the hack that some people think he is.

    Also, I think his father was a doctor, too, and the dedication at the end of one of the shows was due to the recent passing of his father. Not sure what type of medicine his father practiced.

  3. #243
    FORT Fogey causingchaos's Avatar
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    Re: Sober House

    There are various ways to detox from chemicals. You can do chemical induced comas for one. I would think going through a dialysis for drug detoxification would be unnecessarily risky and I have never heard that about being commonly used but I can't even begin to count all the people I know who would love to get cleaned out, get their liver back in working order, pass a whiz quiz and go get blasted again on the streets. But realistically the vast majority of people go cold turkey with medications to ease some of the symptoms but the reality are a lot of symptom easing medications are also narcotics and you really want to be careful taking an addict off of one narcotic and getting them on another one. You can quickly run into a situation where someone isn't really detoxing but they are just moving to a new drug.

    Detox is not pretty and there's little reason for it to be pretty other than for the people watching it. If people are a health risk while going through the process they should be at the hospital but pains and nausea doesn't constitute an acute health risk.

    And then you get the drug seeking behavior while detoxing, the psychological addiction rearing it's head (which can't be cured by the coma), and all that junk starting to pile in at the same time. What you see when you watch people detox is a combination of all of the above and you end up walking a tight rope between the physical and the psychological in that time period. Personally I loved working with patients going through detox and it was and still is my favorite group of people to work with.

    The problem with Dr. Drew's "program" is that he runs a 28 day treatment program. At the end of the 28 day treatment program he releases his people out into the wild again. Since most of his people are not entering for phase II or aftercare they are coming in high. And instead of detoxing these people and then starting them in their 28 days of treatment he is detoxing while they are in their 28 days of treatment. One cannot get good treatment while detoxing. You are not able to absorb the information or actively participate in the program. So now you got a bunch of people who spend like 2 weeks detoxing and then get 2 weeks of treatment and they're free with the blanket "go to a halfway house" discharge. There seems to be extremely little individualized aftercare planning for these patients as well. Halfway houses are not appropriate for all individuals and no one shoudl be entering them while under the influence. They need a higher level of care if they are walking in under the influence (another factoid that the show just lets slip by).

    All these nuances in the process that are left out of the show does a huge disservice when trying to educate people. I'm also extremely bothered by what appears to be very few people on this show actually licensed to work chemical dependency counselors. You can have all the licenses you want (psychiatrist, psychologist, counselor, etc.) but if you are not licensed to work with this population specifically you should not be posing a professional in that field. It's working out of your scope of practice and it really bothers me that apparently it is so common place that it's not even mentioned on this show. It's not as simple as a reading a book on the problem or having a couple of patients who just happen to be addicts as well. There's a lot that goes into it.

  4. #244
    FORT Fogey causingchaos's Avatar
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    Re: Sober House

    Quote Originally Posted by daiseyo;3859609;
    Hi Coco46 - Although Dr. Drew isn't a psychiatrist, psychologist or licensed ounselor, he is a medical doctor, and an Assistant Clinical Professor of Psychiatry at USC. Also, the Medical Director of the Pasadena Recovery Center, and also has a private practice. He is very open about not being a psychiatrist. He has had years of professional experience as an Addiction Medicine Specialist, and I don't think it's just a piece of paper he has paid for. He holds some highly esteemed professional positions, and although he isn't a licensed counselor, he isn't the hack that some people think he is.

    Also, I think his father was a doctor, too, and the dedication at the end of one of the shows was due to the recent passing of his father. Not sure what type of medicine his father practiced.
    His addictions medicine "credential" isn't recognized as a specialty in the medical field. It's just "credential" that one gets by passing a test literally. You don't even need experience working in the field you just need to pass the test. He is an internist. Being an internist and being a psychiatrist are two different things. I would not want to have my eye doctor performing a heart surgery for example.

    He might not be a hack and he might be good in his specialty but that does not mean he should be working otu of his scope of practice.

  5. #245
    FORT Fogey
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    Re: Sober House

    I realize the differences, but thanks. I've also seen some ot the "licensed counselors" out there, and it's pretty scary.

  6. #246
    FORT Fogey Brandy's Avatar
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    Re: Sober House

    It wasn't dialysis, it was something else. A few famous folk back in the day had it done. I wish I could remember more about it (as always.) It's different than dialysis, though. It takes about 24 hours. I think they are asleep during it.

    ITA there are a lot of bad shrinks out there, degreed or not.

    I wouldn't term Dr. Drew a "hack" but as a verb it might describe how he navigates certain clients' psyches.

  7. #247
    FORT Fogey Coco46's Avatar
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    Re: Sober House

    Quote Originally Posted by daiseyo;3859609;
    Hi Coco46 - Although Dr. Drew isn't a psychiatrist, psychologist or licensed ounselor, he is a medical doctor, and an Assistant Clinical Professor of Psychiatry at USC. Also, the Medical Director of the Pasadena Recovery Center, and also has a private practice. He is very open about not being a psychiatrist. He has had years of professional experience as an Addiction Medicine Specialist, and I don't think it's just a piece of paper he has paid for. He holds some highly esteemed professional positions, and although he isn't a licensed counselor, he isn't the hack that some people think he is.

    Also, I think his father was a doctor, too, and the dedication at the end of one of the shows was due to the recent passing of his father. Not sure what type of medicine his father practiced.
    I'm glad to know he is not a hack. I wonder how many people he has helped, non celebrities, who have not been featured on a TV program. That, I think, would be the real proof of his abilities.
    I only have a kitchen because it came with the house.

  8. #248
    FORT Fogey
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    Re: Sober House

    The "work" aspect was finally carried out in this series. I recall in the last SOBER HOUSE, all we saw was Amber applying for a job, getting rejected and there was NO sign of anybody working after that. At least this time, they provided the jobs so there was some follow through

  9. #249
    FORT Fan meemee2000's Avatar
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    Re: Sober House

    Quote Originally Posted by socalledchaos;3859534;
    ...However, it looks like Mike is allowed to stay based on later clips in the supertrailer, which would be extremely disappointing in my book. He's obviously trying to get better, but he did the exact same thing to a cameraman that Kari Ann did. Why would he be allowed to stay if she's kicked out?
    Good point. The only thing I can think of is that Kari Ann has never really shown a sincere interest in getting clean whereas Mike has. Kari Ann, in my opinion, hasn't hit her rock bottom yet. I get the impression her manager is the one who keeps pushing her back on these celeb rehab shows. Until she wants to be clean for herself, she'll never do well in rehab.

  10. #250
    FORT Fan val123elephant's Avatar
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    Re: Sober House

    here are Dr. Drew's credentials:


    * BA Amherst College[3]
    * MD University of Southern California, Keck School of Medicine of USC
    * Residency Internal Medicine, Huntington Memorial Hospital
    * Board Certified, American Board of Internal Medicine
    * Board Certified, American Society of Addiction Medicine
    * Member of American College of Physicians
    * Licensed Physician and Surgeon in the State of California since 1985 [4]
    So live that anyone speaking ill of you is branded a liar

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