Jakob Miller Is Back: Treatment, Harm Reduction, and the Hard Truth About Getting Clean Jakob Miller is back in the studio for a classic Pondoff’s Anonymous drive-by episode...which means the conversation starts somewhere ridiculous and somehow ends up getting very real. Chris, Zoë, Jeff, and Jakob talk through what’s new in Jakob’s life, the work happening at Illinois Recovery Center, and some of the bigger conversations happening in recovery right now: ibogaine, ketamine treatment, Suboxone, methadone, Vivitrol, naltrexone, harm reduction, detox, fentanyl, Adderall abuse, and what it actually takes to help someone get clean. Jakob shares his perspective from both lived experience and working in treatment, especially around the idea that harm reduction can save lives, but it shouldn’t become the final destination. The group also talks about ACEs, trauma, recovery structure, medication-assisted treatment, and why real recovery usually requires more than just one tool. It’s honest, funny, uncomfortable, scattered in the best way, and full of the kind of recovery talk that makes this show what it is. Topics include: - Jakob’s return to the studio - Marriage, family, and life after stepping back from the show - The protest at a sensory-friendly Easter service - Ibogaine, ketamine, and psychedelic-assisted treatment - Suboxone, methadone, Vivitrol, and naltrexone - Fentanyl detox and precipitated withdrawal - Harm reduction before and after treatment - Adderall abuse and stimulant addiction - ACEs, trauma, and childhood adversity - Why recovery requires structure, support, and honesty This episode is brought to you by McKelvey Insurance Group. If you’ve ever felt confused or overwhelmed by insurance, McKelvey Insurance Group keeps it simple. They’re an independent agency, which means they compare options from multiple providers to find coverage that actually fits you and your needs...not just one company’s policy. Call Evan McKelvey at McKelvey Insurance Group at 618-623-0080 or visit: https://mckelveyins.com This episode is also brought to you by LightSource Psychotherapy. What do we need when we’re in the dark? Sometimes it’s simply just a light source. Find out more at: http://findyourlightsource.com And don’t forget Light in the Dark, the Pondoff’s Anonymous dark roast created with our friends at Long Story Coffee. Every bag helps support the conversations and community behind the show. Order online at: https://pondoffsanonymous.com/coffee Pondoff’s Anonymous is hosted by Chris Pondoff with Zoë Mendenall and Jeff Allen. Produced, engineered, mixed, and filmed by Jeff Allen. Recorded at Illinois Recovery Center in the Pondoff’s Anonymous Studio. Music by McCall. The track is “Anti-Hero.” This podcast shares stories and conversations. It is not a substitute for professional help. If you need support, visit: https://pondoffsanonymous.com