140 episodes

Welcome to Cracking Addiction, the show that delves deep into the world of addiction medicine. Hosted by Addiction Medicine Specialist Dr Ferghal Armstrong, this podcast covers a broad range of addiction-related topics, from the science behind addiction to the various treatment options available.


Each week, the hosts provide listeners with engaging and informative discussions on all aspects of addiction medicine. From alcohol and drug addiction to gambling addiction, they explore the various types of addiction and their impact on individuals, families, and communities.


With a focus on evidence-based information, Cracking Addiction provides listeners with a comprehensive understanding of addiction, including the latest research and treatment options. Whether you are struggling with addiction or simply interested in learning more about the topic, this podcast is an excellent resource.


The show also features regular guests and experts who share their insights and experiences on addiction-related topics.

With new episodes released every week, Cracking Addiction is your go-to source for the latest information and insights on addiction medicine. So join us as we explore this complex and fascinating topic and work to break the cycle of addiction.


Visit our website for more information and free courses https://go.meducate.com.au/courses

Cracking Addiction Meducate

    • Health & Fitness
    • 5.0 • 6 Ratings

Welcome to Cracking Addiction, the show that delves deep into the world of addiction medicine. Hosted by Addiction Medicine Specialist Dr Ferghal Armstrong, this podcast covers a broad range of addiction-related topics, from the science behind addiction to the various treatment options available.


Each week, the hosts provide listeners with engaging and informative discussions on all aspects of addiction medicine. From alcohol and drug addiction to gambling addiction, they explore the various types of addiction and their impact on individuals, families, and communities.


With a focus on evidence-based information, Cracking Addiction provides listeners with a comprehensive understanding of addiction, including the latest research and treatment options. Whether you are struggling with addiction or simply interested in learning more about the topic, this podcast is an excellent resource.


The show also features regular guests and experts who share their insights and experiences on addiction-related topics.

With new episodes released every week, Cracking Addiction is your go-to source for the latest information and insights on addiction medicine. So join us as we explore this complex and fascinating topic and work to break the cycle of addiction.


Visit our website for more information and free courses https://go.meducate.com.au/courses

    Boosting Mood and Health: Integrating Exercise into Addiction and Mental Health Treatment

    Boosting Mood and Health: Integrating Exercise into Addiction and Mental Health Treatment

    Dive into this enlightening episode of Cracking Addiction and unearth the transformative role of exercise in the journey of addiction recovery. Dr Ferghal Armstrong meticulously illustrates how incorporating physical activity can fundamentally enhance the treatment and management of substance use disorders alongside co-occurring mental health issues. Whether you're a clinician, a person in recovery, or just passionate about improving mental and physical health, this episode offers invaluable insights that could shape your approach to holistic well-being.
    00:00 Prominence of lifestyle in addiction and mood disorders.
    05:41 Exercise improves mood; small amounts daily best.
    07:12 Exercise reduces cancer incidence and improves survival.
    10:16 Exercise has numerous positive effects on health

    • 10 min
    Exploring the AFL's Drug Dilemma: Care Plans versus Punishments in Professional Sports

    Exploring the AFL's Drug Dilemma: Care Plans versus Punishments in Professional Sports

    Listen to this insightful episode of Cracking Addiction and unravel the complexities of substance use within the realm of professional sports, particularly the AFL.
    We delve into the controversial handling of illicit drug use among players, balancing the tightrope between medical treatment and role-model expectations. This discussion is crucial for anyone looking to understand the multifaceted approach to addiction and substance use in high-pressure environments.

    Join Dr. Ferghal Armstrong and guest journalist Max Laughton as they dissect the layers of policy, public perception, and personal care in the context of the AFL's recent drug use dilemma.

    The focus of this episode lies in the intricate policy and personal care considerations surrounding illicit drug use among AFL players. Max helps us unfold the doctor-patient confidentiality within clubs, the allegation of deception through manufactured injuries, and the tension between medical care and punitive actions.

    The conversation pivots to societal expectations of athletes as role models, the ethical conundra posed by possible performance enhancement, and the broader implications of substance use policies in sports. This episode offers a perspective shift urging compassion and understanding, instead of condemnation, in substance use management.

    Learning Outcome 1:

    Understanding the distinction between social substance use, addiction, and the role sports pressures play in substance use amongst AFL players. It is highlighted that not all substance use signals addiction and the pressures unique to AFL players can amplify the risks. Recognition of this nuance is crucial in addressing and managing substance use in professional sports. Ferghal articulates the importance of distinguishing occasional use from dependency and considering the broader psychosocial factors contributing to each player's situation.

    Actionable Takeaway 1:

    Encourage open dialogue about the psychosocial pressures associated with professional sports that could lead to substance use. Sports organizations can focus on preventive measures by fostering environments supportive of mental health and resilience training. It's essential to create an open forum for athletes to discuss their challenges without fear of punitive repercussions, cultivating a team culture that prioritizes well-being and support over punishment.

    Learning Outcome 2:

    The dilemma faced by AFL in balancing the medical model of substance use treatment with the expectation of punishment for 'misbehaviour'. AFL players caught using illicit substances aren't just athletes; they are individuals with complex personal circumstances and health needs. By exploring this sensitive terrain, listeners gain insight into the complexities of sports administration, ethical considerations, and the well-being of the players. Ferghal emphasizes the importance of treating substance use as a health issue rather than a criminal or purely disciplinary matter.

    Actionable Takeaway 2:

    Evaluate and potentially implement medical models of care for substance use amongst athletes in all sports sectors. By focusing on treatment rather than punishment, sports organizations can maintain the dignity of the player while addressing the health issue more effectively. Listeners involved in sports administration might consider advocating for or revising existing policies to integrate health-centric approaches to substance use.

    **Quote or Insight:**

    "AFL players caught using illicit substances aren't just athletes; they are individuals with complex personal circumstances and health needs." -
    Dr. Ferghal Armstrong.

    • 22 min
    Unraveling Alcohol Guidelines: Australia, the United States, and Canada

    Unraveling Alcohol Guidelines: Australia, the United States, and Canada

    In this episode of Cracking Addiction, Dr Fergal Armstrong explores the differences in alcohol consumption guidelines across various countries. He breaks down what constitutes a standard drink in Australia and the United States and discusses the recommended limits for men and women in each country. Dr. Armstrong also delves into the Canadian guidelines, which advocate for a very low alcohol intake to minimize the risk of alcohol-related consequences. He highlights the dose-response relationship between alcohol consumption and the increased risk of various health issues, including liver disease, heart disease, and cancer.
    Episode Focus Keyword: Alcohol Consumption Guidelines

    In this episode, listeners will learn:

    1. Understanding Standard Drink Measurements:

    Dr Armstrong explains the standard drink measurements in Australia and the USA, shedding light on the discrepancies and how they affect alcohol consumption guidelines. By understanding the concept of standard drinks, listeners can accurately assess their alcohol intake and comprehend the differences in guidelines between countries.

    Actionable Takeaway: When assessing alcohol consumption, use the standard drink measurements provided by your country's guidelines to make informed decisions about safe drinking practices.

    2. Risks of Alcohol Dependency:

    Dr Armstrong elucidates the thresholds for alcohol dependency in men and women, emphasizing the correlation between excessive alcohol consumption and the increased risk of dependency. By recognising these thresholds, individuals can monitor their alcohol intake and mitigate the risk of developing dependency.

    Actionable Takeaway: Monitor your alcohol consumption to ensure it falls within the recommended thresholds, thereby reducing the risk of alcohol dependency.

    3. Variances in Global Guidelines:

    The episode compares alcohol consumption guidelines in Australia, the USA, and Canada, highlighting the differences in recommended alcohol limits and their implications for long-term health. By understanding these variances, listeners can appreciate the diverse approaches to alcohol consumption and make informed choices based on their local guidelines.

    Actionable Takeaway: Familiarise yourself with the alcohol consumption guidelines specific to your region to align your drinking habits with the recommended limits for optimal health outcomes.

    Quote or Insight:
    "The harms of alcohol are cumulative and have a dose-response. To minimize long-term harms, you need to keep your alcohol consumption quite low." - Dr Ferghal Armstrong

    • 7 min
    The Power of Resilience in Addiction Recovery

    The Power of Resilience in Addiction Recovery

    In this episode, Dr. Armstrong delves deep into the concept of resilience and its vital role in addiction recovery. He provides practical insights on the four key processes essential for developing resilience, shedding light on the significance of mastery, vicarious mastery, exhortation, and emotional regulation. Whether you or someone you know is battling addiction, this episode offers invaluable guidance and strategies for enhancing resilience in the face of challenges.
    🎯 **Focus Keyword: Resilience in Addiction Recovery**
    🎓 **Learning Outcomes**
    1. **Understanding the Elements of Resilience**: Dr. Armstrong elucidates the crucial components of resilience, emphasizing the role of mastering daily routines and achieving small victories in fostering confidence and resilience. He highlights the significance of personal mastery in building the groundwork for resilience and sustained recovery.
    2. **The Power of Vicarious Mastery**: Through inspiring stories shared in peer support groups, individuals on their recovery journey gain access to vicarious mastery. Dr. Armstrong underscores the importance of surrounding oneself with individuals committed to similar goals, demonstrating how learning from others' experiences can ignite confidence and motivation.
    3. **Embracing Exhortation for Progress**: Dr Armstrong discusses the impact of counselling and therapeutic interventions on the stages of change in addiction recovery. He reveals how counsellors' guidance and accountability can propel individuals through the cycle of change, nurturing resilience and fortitude.
    4. **Unlocking Emotional Regulation Techniques**: The episode introduces practical techniques for emotional regulation, such as the physiological sigh, which can help individuals manage overwhelming emotions and maintain a calm state of mind. Dr. Armstrong provides insights into the importance of emotional balance in fostering resilience and overcoming temptations.
    🚀 **Actionable Takeaways**
    1. **Cultivate Mastery through Daily Achievements**: Incorporate achievable goals and routines into your daily life to build a foundation of success and confidence, laying the groundwork for resilience.
    2. **Engage in Peer Support Groups for Inspiration**: Actively participate in peer support groups to gain insight from others' recovery journeys, leveraging their experiences to fuel your own determination and resilience.
    3. **Embrace Counseling and Therapeutic Support**: Seek professional guidance and counselling to navigate the stages of change in addiction recovery, leveraging the accountability and insights provided to progress toward resilience and long-term recovery.
    4. **Harness Emotional Regulation Techniques**: Implement techniques like the physiological sigh to manage emotional upheavals and cultivate a balanced state of mind, enhancing your ability to resist temptations and build resilience.
    🌟 **Quote**: "It might be making your bed. It's something as basic as that. But if that becomes part of your routine, that routine of mastery, that routine of success, that routine of achievement will then set you up for future mastery, future achievement and future resilience."

    • 9 min
    Understanding Addiction: The Science Behind Substance Dependence and Its Impact on the Brain

    Understanding Addiction: The Science Behind Substance Dependence and Its Impact on the Brain

    On this episode of Cracking Addiction, join host Dr. Ferghal Armstrong as he delves into the science behind addiction. Dr. Armstrong explains the crucial differences between drug misuse and addiction, highlighting the complex interplay of genetic, environmental, and drug-specific factors in influencing an individual's vulnerability to addiction.
    Delving into the physiological underpinnings, he discusses the role of dopamine in the brain and how addictive substances impact various brain structures.

    Throughout the episode, Dr. Armstrong dispels misconceptions about addiction, emphasizing that it's a chronic disorder of the brain and not a moral failing.

    Tune in as he expertly breaks down the three phases of addiction—binging, withdrawal, and poor decision making—and the specific brain regions involved. If you want to gain a deeper understanding of addiction and its underlying mechanisms, this episode is a must-listen.

    **Key Points**

    - Genetic, environmental, and drug-specific factors play crucial roles in determining an individual's vulnerability to addiction.

    - Dopamine, the key molecule associated with desire and reward, is released by the nucleus accumbens when exposed to addictive substances.

    - Addiction is a chronic brain disorder, and its three phases (binging, withdrawal, lack of control) affect specific parts of the brain, leading to compulsive substance use.

    **Learning Outcomes**

    1. *Understanding Addiction Vulnerability:* Dr. Armstrong explains how genetic predisposition, environmental influences, and the nature of the drug itself collectively contribute to an individual's vulnerability to addiction. Realizing the multifactorial nature of addiction susceptibility can aid in devising comprehensive prevention and treatment strategies.

    2. *Neurological Impact of Addiction:* By examining the impact of addiction on the brain, listeners will gain insight into the physiological aspects that underpin substance dependence. Understanding the role of dopamine in mediating addiction-related behaviour can help in comprehending the complexities of addictive tendencies.

    3. *Three Phases of Addiction:* Through a detailed exploration of the binging, withdrawal, and lack of control phases, listeners can observe how addiction manifests in different parts of the brain. This insight can unveil the intricate nature of addiction progression and assist in the development of targeted interventions.

    **Actionable Takeaways**

    1. *Recognize Genetic Vulnerability:* Reflect on your family history of addiction to understand potential genetic predispositions, but bear in mind that environmental and drug-specific factors also play pivotal roles.

    2. *Educate On Dopamine's Role:* Learn about dopamine's function in the brain and its connection to addictive tendencies, enabling a deeper understanding of the neurobiological processes involved in addiction.

    3. *Identify Addiction Phases:* Recognize the distinct phases of addiction, from initial enjoyment to compulsive use, and how they correspond to neurological changes, fostering a more holistic understanding of the addiction cycle.

    **Insightful Quote**

    "Addiction is not a moral failing, it's not a poor choice, and certainly shouldn't be treated as such. It's a chronic disorder of the brain, prone to relapse." - Dr. Ferghal Armstrong

    **Hashtags**

    #AddictionScience #Neurobiology #ChronicDisorder #DopamineRelease #GeneticVulnerability #EnvironmentalInfluences #BrainNeurology #BingingWithdrawalControl #AddictionPrevention #TreatmentStrategies

    Thank you for tuning in to "Cracking Addiction." Like what you heard? Make sure to subscribe to our YouTube channel and online platforms...

    • 12 min
    Exploring Non-Stimulant Medications for ADHD: The Role of Clonidine and Guanfacine

    Exploring Non-Stimulant Medications for ADHD: The Role of Clonidine and Guanfacine

    Dr. Ferghal Armstrong and Dr. Manu Bhatnagar delve into the complexities of non-stimulant treatments for ADHD and the pharmacological aspects involved. In this episode, the experts discuss the roles of clonidine, guanfacine, and melatonin in managing ADHD symptoms, particularly focusing on improving sleep quality and addressing underlying neurobiological factors. Their insights into the impact of lifestyle, substances, and the circadian rhythm on ADHD provide valuable information for both individuals managing the condition and healthcare professionals seeking effective treatment strategies.
    Focus Keyword: ADHD non-stimulant treatments

    Key Points:

    - The episode discusses the pharmacological aspects of non-stimulant treatment options for ADHD.

    - The roles of clonidine, guanfazine, and melatonin in managing ADHD symptoms, particularly sleep disturbances, are explored in detail.

    - The impact of substances, lifestyle factors, and the circadian rhythm on ADHD symptoms is highlighted.

    - The implications of ADHD on sleep architecture and strategies for managing this aspect are deeply delved into.

    Learning Outcomes:
    1. Understanding the Role of Clonidine and Guanfacine:
    Clonidine, initially developed for lowering blood pressure, has shown effectiveness in managing ADHD symptoms, particularly in enhancing sleep quality. Guanfacine, although not widely used due to cost and regulatory concerns, presents a promising alternative with a longer duration of action. By understanding the mechanisms and impacts of these medications, healthcare providers can make informed decisions regarding non-stimulant ADHD treatments, considering factors such as duration of action and potential adjunctive benefits.

    2. Addressing Sleep Disturbances in ADHD:

    The episode sheds light on the correlation between ADHD and delayed sleep phase disorder, underscoring the significance of sleep in managing ADHD symptoms. Insight into the application of melatonin, lifestyle interventions, and lightbox therapy as components of a comprehensive sleep management strategy can equip individuals and healthcare professionals with valuable tools for improving sleep quality in individuals with ADHD.

    Actionable Takeaways:

    1. Optimizing Non-Stimulant ADHD Treatments:
    Utilize the knowledge of clonidine and guanfacine as effective non-stimulant treatments for ADHD, considering factors such as the patient's response, duration of action, and adjunctive benefits in tailoring treatment plans.
    2. Implementing Comprehensive Sleep Management Strategies:
    Incorporate strategies such as melatonin supplementation, lifestyle modifications including exposure to morning light, and sleep hygiene practices to address sleep disturbances in individuals with ADHD, fostering better overall symptom management.
    Quote:
    "Abstinence in and of itself can be one treatment for ADHD." - Manu Bhatnagar

    • 18 min

Customer Reviews

5.0 out of 5
6 Ratings

6 Ratings

Dr. Hjerpe ,

Top notch medical education

Thank you so much for this brilliant podcast! Entertaining, evidence-based, and jam-packed with practical clinical pearls!! I am listening and re-listening to episode after episode

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