Is it Enough to Manage Addiction?

Dr. Cameron (1963) in his article, “Addiction - Current Issues” explored the “management of addicts” in relation to narcotic addiction.  I thought it is time to bring up this issue, as we are, after 54 years, still in the same boat, managing withdrawals from drugs and maintenance of addicts on narcotics. As we have seen nationwide, we have repeated this event in a lifetime (for most of us). Strategies in dealing with the current opiate epidemic seem to also favor old strategies of managing withdrawals and maintenance with more medication available to people. The question is, “is it enough?”

The act of using a drug is behavior. This undesirable behavior to extinguish requires a replacement behavior. Is replacing opiates with Medication-Assisted Treatment (MAT) the silver bullet needed to end the current epidemic? There are numerous self-reports from clients available at different online forums discussing “drug-seeking behaviors” of clients on MAT, and some clients require withdrawal from MAT when it becomes the new addiction.

The strategy of “managing addiction” maybe the focal issue. Addiction is chronic and requires the person to learn to manage his or her own disease (Improving Chronic Illness Care, n.d.). Self-management support needs to be added to the MAT for the client to learn to monitor and problem-solve for themselves.


Cameron D. (1963). Addiction – Current Issues, American Journal of Psychiatry, 120:4, 313-319 

Improving Chronic Illness Care. (n.d.). Steps for improvement. Retrieved from

You Might Also Enjoy...

The Connection Between Unresolved Trauma and Addiction

A history of emotional abuse, physical violence, or another trauma can shape your brain and make you more susceptible to addiction. Learn how trauma influences your brain and may increase your risk for self-medicating and other risky behaviors.

Sleep Hygiene and Recovery

It seems like the last thing people think about when it comes to wellness is sleep. With everyone trying to squeeze the last second of each day to be productive and catch up on whatever deadline they believe they have.

Failure to Launch ? Insight can help!

Insight's collaborative and integrated, strengths-based approach to recovery helps clients fit the last missing pieces of the puzzle together,....from overcoming adversity, to interview skills, and setting achievable goals.