Addiction Medicine Made Easy | Fighting back against addiction

Casey Grover, MD, FACEP, FASAM
  • 4.9 (74)
  • Medicine
  • Updated Weekly

Addiction is killing us. Over 100,000 Americans died of drug overdose in the last year, and over 100,000 Americans died from alcohol use in the last year. We need to include addiction medicine as a part of everyone's practice! We take topics in addiction medicine and break them down into digestible nuggets and clinical pearls that you can use at the bedside. We are trying to create an army of health care providers all over the world who want to fight back against addiction - and we hope you will join us. *This podcast was previously the Addiction in Emergency Medicine and Acute Care podcast*

  1. 5d ago

    Far From Over: We're Still Fighting Stigma

    Stigma doesn’t just hurt feelings, it changes medical decisions, family dynamics, and whether someone stays in care long enough to recover. That’s why we sat down with Jeanne Foot, founder and CEO of the Recovery Concierge and host of the Naturally High Podcast, for an honest conversation about what stigma against substance use disorders looks like in real life and what we can do differently. We trace stigma from the personal to the systemic: Jeanne’s experience entering recovery in the early 1990s, the shame that follows families when a child is struggling, and the quiet “whispering” that keeps people isolated. We also talk about stigma in healthcare, including how people in alcohol withdrawal or opioid withdrawal can be treated as if they don’t deserve comfort or evidence-based care, even though alcohol detox can be fatal and fentanyl has made relapse risk terrifyingly high. From there, we get practical. We share how compassion and advocacy help clients face judgment without bolting from care, why nervous system regulation tools matter in the hardest moments, and how fundamentals like sleep, nutrition, and movement can support mental health and addiction recovery alongside therapy and medication. We also dig into language, why labels can wound, and why the best recovery plan is the one that fits the person, whether that’s AA, SMART Recovery, peer support, or something unconventional that actually works. If you care about addiction medicine, harm reduction, trauma-informed care, or supporting a loved one, hit play, then subscribe, share with someone who needs it, and leave a review so more people can find the show. To learn about The Recovery Concierge: https://therecoveryconcierge.com/ To check out the Naturally High podcast: https://naturallyhigh.transistor.fm/ To contact Dr. Grover: ammadeeasy@fastmail.com

  2. Jul 6

    What Is Trauma-Informed Care and How Do I Provide It???

    Trauma-informed care is often explained with jargon, but we think it lands best as a promise: we will help you feel safe. Dr Casey Grover sits down with psychologist Dr Angela Chanter, Chief Clinical Officer at Sierra Health and Wellness, to translate that promise into what it looks like in real addiction treatment settings, especially detox and residential rehab where every sound, shift change, and schedule surprise can hit like a trigger. We talk about how consistency becomes a clinical intervention, why leadership and communication are essential when a program has to pivot, and what “service-minded” care looks like without slipping into control or shame. Dr. Grover also shares his own experience with PTSD from emergency medicine and why the emergency department can unintentionally become trauma-worsening care for both patients and clinicians. From there, we connect the dots between clinician wellness, compassion fatigue, and the ability to stay present when people are struggling. On the clinical side, we dig into restoring agency as a cornerstone of trauma recovery and substance use disorder treatment. We cover practical approaches like written exposure therapy and therapeutic journaling, skills from DBT and CBT, and how good aftercare planning supports long-term recovery through step-down options like PHP and IOP. We also discuss individualising care for survivors of domestic violence and sexual assault, including when gender-specific groups or programs can help someone feel safe enough to do the work. If this conversation helps you see addiction medicine and trauma-informed care in a new way, subscribe, share it with a colleague or friend, and leave a rating or review so more people can find the show. To learn more about Dr. Chanter's work: To contact Dr. Grover: ammadeeasy@fastmail.com

  3. Jun 29

    A Psychiatrist Said Bipolar. He Was Wrong. And It Almost Cost Her Everything

    A prescription is supposed to help you get your life back. What happens when it quietly takes it away instead? I sit down with Stephanie Starr, a program manager and graduate student, whose search for mental health support after a traumatic birth turned into a devastating chain of misdiagnosis, escalating medications, and loss of trust in healthcare. Stephanie walks us through being told she had bipolar disorder, being put on a rotating “cocktail” of psychiatric meds, and how side effects and instability can snowball into riskier choices, deeper shame, and substance use. We talk openly about benzodiazepines, the warning signs of a pill mill style clinic, and why “just follow doctor’s orders” is not enough when the diagnosis is shaky and the treatment plan only involves more and more medication. Her story also includes the realities of trauma, a suicide attempt, and the way stigma can show up in the very places people go for help. From there, we shift into recovery and what actually sustains it. Stephanie shares how faith and a higher power became central for her, while also naming the harm that can happen in faith-based recovery spaces that push “just pray it away” thinking or shame people who need medication. We dig into emotional sobriety, AA-style accountability, therapy tools like EMDR, and how learning to tolerate discomfort can be a turning point in addiction recovery. If this conversation helps you, subscribe, share it with someone who needs hope, and leave a review so more people can find the show. To contact Dr. Grover: ammadeeasy@fastmail.com

  4. Jun 22

    A Practical Guide To Psychiatric Medications For Addiction Care (Update from 2025)

    Psychiatric meds can feel like a maze when someone is trying to get sober and also sleep, focus, and stop panic spirals all in the same week. We made this updated, practical overview to simplify psychopharmacology for addiction treatment and recovery, using plain language and real clinical decision-making instead of jargon or hype. We start by clearing up a viral rumor and then zoom out to how medications are actually created: research pathways, FDA indications, “me-too” drugs, and why off-label prescribing is so common in psychiatry. From there, we walk through the major medication classes and what they are truly used for, including antidepressants (SSRIs, SNRIs, mirtazapine, bupropion), anxiety and insomnia options that are less risky in recovery, and the basics of antipsychotics and mood stabilisers for severe symptoms like psychosis and bipolar disorder. We also touch on pharmacogenomics testing such as GeneSight and why individual response can still require careful trial and adjustment. Because addiction medicine demands extra caution, we spend real time on benzodiazepine risks, why Z-drugs like Ambien can be problematic, and what we reach for instead when someone needs immediate anxiety relief while antidepressants take weeks to work. We wrap with a clinical case that shows how we prioritise conditions, pick meds that can treat more than one target, and avoid starting too many at once. If this helps you, subscribe, share it with a colleague, and leave a rating or review so more people can find the show. To contact Dr. Grover: ammadeeasy@fastmail.com

  5. Jun 15

    What's The Latest With Kratom?

    Kratom is being sold like a simple plant, but the way it’s packaged, concentrated, and marketed in 2026 can turn it into something much closer to an opioid problem hiding in plain sight. We’re taking you through a practical, clinician-friendly update drawn from a talk I gave to local therapists and drug and alcohol counselors, especially as the political and regulatory landscape shifts and bans and enforcement efforts expand in places like California. We break down what kratom is (Mitragyna speciosa), why it can feel stimulating at low doses, and why higher doses bring opioid-receptor effects that can lead to tolerance, dependence, and withdrawal. We also cover what kratom overdose can look like, why mixing kratom with fentanyl, alcohol, or THC raises risk, and why naloxone still belongs in the conversation even when the data is often limited to case reports. Then we get real about how people actually encounter kratom today: smoke shop “strain” menus, euphoric promises, and an online retail experience that’s faster and easier than getting medical care. The most important update is potency. Extracts are changing the game, and 7-hydroxymitragynine (7-OH) may be sold under the kratom label while acting like a far more powerful opioid. Finally, we lay out treatment pathways we use in addiction medicine, including comfort meds, tapering, Suboxone or methadone, and long-acting injectable buprenorphine (Sublocade/Brixadi) that can help some people step down without a brutal withdrawal. If this helped you understand kratom, share it with a colleague or a friend, subscribe for more practical addiction medicine, and leave a review so more people can find the show. To contact Dr. Grover: ammadeeasy@fastmail.com To see the podcast's ranking on millionpodcasts.com:  https://www.millionpodcasts.com/addiction-medicine-podcasts/

  6. Jun 8

    I Don't Have a Drinking Problem. I Drink, I Get Drunk. No Problem.

    Binge drinking can look harmless right up until it doesn’t. If you only drink on weekends, vacations, or big nights out, it’s easy to tell yourself you’re fine because you’re not drinking every day. But the consequences of one high-risk night can be life-changing, and clinically, intermittent heavy drinking can still meet criteria for an alcohol use disorder. I’m joined by Colleen Clifford, a former binge drinker who spent 36 years working at sea as a commercial fisherwoman and is now transitioning into health coaching to help clients manage binge drinking and binge eating. Colleen shares the personal grief that shaped her mission, the stories she used to justify “normal” partying, and the turning-point moment that made her drop alcohol for good. We also get practical about what actually counts as a binge, including how “one drink” is often smaller than the glass in your hand. We discuss the DSM-5 criteria for alcohol use disorder, how many people who binge drink do not think they have a problem, and why cravings can still show up years later. Colleen explains how she handles urges by observing them, naming the discomfort, and playing the tape forward. I also share a harm-reduction option many people don’t know about: medications like naltrexone that, for some patients, can be taken before drinking to reduce binge episodes. We wrap with trends like alcohol-free wine and shifting drinking culture across generations, plus Colleen’s core message: it only takes one moment of drinking too much to change your life forever. Subscribe, share this with someone who’s questioning their relationship with alcohol, and please leave a review so more people can find the show. To learn more about Colleen and her work: https://purepotential.health/ To contact Dr. Grover: ammadeeasy@fastmail.com

  7. Jun 1

    Sugar: When The Kitchen Cabinet Is Your Drug Dealer

    Sugar is everywhere, socially approved, and often handed out as comfort, reward, and love. That’s exactly why it can be so hard to spot when it stops being “a treat” and starts acting like an addiction. I’m Dr. Casey Grover, and I sit down with Mike Collins, known as the Sugar Free Man, for a clear-eyed talk about what sugar addiction looks like in real people’s lives and why willpower is such an unreliable tool when cravings take over. We get into the recovery lens: triggers, cravings, relapse language, and the emotional roots of using sugar to self-soothe. Mike shares how his own family history shaped his relationship with sweets, how his coaching and meeting-based community grew during COVID, and why support groups can be the difference between “trying again” and actually changing behavior. We also talk about who shows up for help, why so many people seek weight loss or type 2 diabetes relief first, and how diet culture has often missed the point. Then we go deeper on the science Mike leans on, especially fructose. We discuss why fructose may be a key driver of cravings, how it’s processed in the liver, and why gut health topics like "leaky gut" get brought up in the sugar conversation. Finally, we compare moderation vs abstinence, how eating disorder treatment can clash with sugar-free protocols, and how finding healthier dopamine through exercise can support long-term recovery. If this conversation helps you see your own pattern more clearly, subscribe, share it with someone who’s stuck in the loop, and leave a review so more people can find the show. To learn more about Mike's work: https://sugaraddiction.com https://www.skool.com/no-sugar-nation/about To contact Dr. Grover: ammadeeasy@fastmail.com

  8. May 25

    I Get By (And Sober) With A Little Help From My Peers

    Peer support can feel like the missing link in addiction care, not because it replaces medicine, but because it makes recovery feel possible when someone is scared, ashamed, or shutting down. I’m Dr Casey Grover, and I sit down with Mark Ehrenkranz, a certified peer recovery specialist who does bedside work across a thousand-bed hospital, from the ED and ICU to behavioral health. Mark brings decades of recovery experience, plus the clarity that comes from having lived through relapse, depression, and the brutal way substance use disorder can hijack decision-making. We get practical about what peer recovery specialists actually do: building trust quickly, sharing just enough personal story to invite radical honesty, translating brain science into plain language, and helping patients move from crisis to a realistic next step. We also talk about the real-world barriers, including stigma in medical settings, limited funding for peer teams, and how different states handle certification and reimbursement. If you’ve ever searched for recovery coaching, peer recovery support services, sober support, or how to get help for addiction, this conversation maps the terrain with honesty and hope. We also go straight at the “one path” problem. AA helps many people, but it can feel dogmatic to others, so we discuss multiple pathways like SMART Recovery, CBT/DBT, secular and Buddhist recovery, online communities, and medication for opioid use disorder support spaces. Mark shares his “Navy SEAL Recovery” approach to nervous system regulation: one-minute diaphragmatic breathing, humming to stimulate the vagus nerve, and small doses of intentional discomfort to build resilience. If you care about compassionate, evidence-informed addiction treatment that respects individual fit, you’ll leave with tools you can use today. Subscribe, share this with someone who needs it, and leave a review so more people can find the show. To learn more about Mark's work: https://www.go-humans.com/ To contact Dr. Grover: ammadeeasy@fastmail.com

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About

Addiction is killing us. Over 100,000 Americans died of drug overdose in the last year, and over 100,000 Americans died from alcohol use in the last year. We need to include addiction medicine as a part of everyone's practice! We take topics in addiction medicine and break them down into digestible nuggets and clinical pearls that you can use at the bedside. We are trying to create an army of health care providers all over the world who want to fight back against addiction - and we hope you will join us. *This podcast was previously the Addiction in Emergency Medicine and Acute Care podcast*

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