All Things Substance - podcast cover

All Things Substance

Betsy Bylerwww.betsybyler.com
Welcome to the All Things Substance podcast, the place for therapists to hear about substance use from a mental health perspective. I’m your host, Betsy Byler, and I’m a licensed therapist, clinical supervisor, and a substance abuse counselor. It is my mission to help my fellow therapists gain the skills and confidence needed to add substance use to their scope of practice. So join me each week as we talk about All Things Substance. You can visit me at https://www.betsybyler.com
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Episodes

Are you avoiding talking about substance use?

Avoiding topics of conversation is super normal for people. We work hard to help our clients talk about the hard things and to face the things that need to come to light. There’s an area that we might not be asking about that could make a huge difference in our work.

Apr 29, 202437 minEp. 174

What Real Recovery is Like

What is recovery? Recovery really is, at its core, the process of change. It is a living and active process through which people make long lasting changes in their lives. There isn’t an end date or a destination. There are stages to it though and everyone goes through it differently from another person. In today’s episode, we’ll talk about all of this and more.

Apr 22, 202438 minEp. 173

Stages of Addiction-Where are you clients in these stages?

Stages of addiction can help us understand how severe someone’s use is and if you need to refer out. What’s the difference between dependence and addiction? When does normal use move to risky use? On today’s episode we’ll talk about the 6 stages of addiction.

Apr 15, 202437 minEp. 172

Managing Triggers is a Vital Recovery Skill

Triggers and cravings are a huge key to what helps addiction develop. It’s not just the reward pathways that drive addiction progression. Today we’ll talk about how triggers and cravings impact this process.

Apr 08, 202444 minEp. 171

Liability and Risk When Treating Substance Use

Some therapists worry that adding substance use to their scope of practice will expose them to more risk and liability. Our licenses are super important to us and we want to protect ourselves. Today we are going to be talking about what risk there is, if any, when we take on substance use clients.

Mar 25, 202439 minEp. 170

A Snapshot of the 12 Steps of AA

The 12 Steps of Alcoholics Anonymous have brought many into recovery and saved lives all over the world. Most people know that there are 12 Steps, but they don’t know what the Steps are and most haven’t heard of the 12 Traditions. Today we’ll be covering exactly what these pillars of recovery are and how they work together to create a plan of recovery.

Mar 20, 202444 minEp. 169

Recovery Meeting Basics-What, Why and Behind the Scenes

Recovery meetings can be a giant help to people as they move through recovery from all kinds of things. Today we’ll talk about the benefits of recovery meetings, the spiritual aspect to meetings and what clients can expect when they attend a meeting.

Mar 13, 202440 minEp. 168

Sex and Recovery

Sex is a vital part of who we are as humans. When people are using substances, sex becomes entwined with their use. So what happens when a person has to navigate sexual experiences without the use of substances? It can be tricky to navigate and today we’ll talk about the things that should be addressed and considered.

Mar 04, 202433 minEp. 167

Addiction and love-Andrea Owen interviews Betsy

Addiction and love? I got a chance to sit down with Andrea Owen (our January recovery story) on her podcast Make Some Noise. During that conversation she talks a bit about her own recovery journey and the concept of love addiction. We talked about addiction from the perspective of brain science and what love addiction means.

Feb 26, 202458 minEp. 166

Looking for love in all the wrong places: A Recovery Story

It was all about love. That’s what Dufflyn was looking for from the time she was a small girl all the way into her 40’s. She consistently was seeking to fill a need and find a place to belong. For a long while alcohol and drugs were the answer. Recovery was a process and today we’ll hear her story of finding peace and freedom.

Feb 19, 202444 minEp. 165

What does CBD do according to research?

Is CBD good for anxiety and/or PTSD? Is CBD good for treating substance use disorders? Is CBD good for chronic pain and arthritis? With CBD being added to more things all the time (drinks, lotion, vitamins and even water) it can be hard to know what is real and what isn’t. In our work as therapists we really need to know what science is saying about CBD and its benefits. I took on the task of sorting through research to find the truth....

Feb 12, 202441 minEp. 164

What is CBD? Part 1-The Basics

What is CBD? Is CBD what people say it is? We start from the beginning and go over its origins, how it works and what to look for. In the second part we’ll talk about fact vs fiction according to the research. Join me as we this product that is popping up everywhere.

Feb 06, 202438 minEp. 163

Risks Associated with Rx Sleep Meds

In this episode we talk about the three most popular sleep medications used in the non-benzodiazepine class. We’ll discuss the risks inherent in these medications as well as the risk of addiction.

Jan 29, 202441 minEp. 162

Sleep Disorders and the Role of Medication

What type of sleep disorder warrants prescription sleep medication? What types of sleep medications are there? Sleep medications are an important tool in treating insomnia. There are different kinds that each act in a different way in the body. This episode addresses all of that and more.

Jan 22, 202440 minEp. 161

What Gets a Client Sober, Won’t Keep Them Sober

The key to staying sober isn't loving others enough, fear of getting in trouble, nor the hope of a good future. These reasons are unique to each person and vary wildly. The thing these people have in common is that the original reason that got them on this path won’t hold up forever. The reason to get sober isn’t going to be the reason to stay sober. That, is something else entirely.

Jan 15, 202440 minEp. 160

Making Treatment Decisions About Substance Use-A Practical Guide (A repost)

Check out this free downloadable resource and this podcast episode will give you more information on it. It's a quick reference guide to help you determine if someone’s substance use is appropriate for you to work with or if they need a specialist. Today I’ll walk through it and explain how it works.

Jan 08, 202432 minEp. 159

The Complexity of ADHD Treatment for Adults

ADHD treatment can bring to mind a few different things. Medications, particularly stimulants are usually at the top of the list. ADHD treatment for adults can be complicated due to the abuse of stimulant medications, the medical providers being hesitant to prescribe and the lack of access to psych testing to confirm a diagnosis. For our purposes, we are focused on the medication part and talking about what our role, as therapists, might be in this side of treatment. This is a repost of Episode ...

Dec 25, 202337 minEp. 158

All About ADHD Medications

ADHD diagnoses are becoming more common for children but especially in the adult population. Research tells us that approximately 70% of people with ADHD benefit from stimulant medication. This means that the number of prescriptions for ADHD medications are higher than ever. What impact do these things have on us and our clients? Check out this episode of All Things Substance.

Dec 18, 202334 minEp. 157

Ativan, Klonopin and Xanax

What are the benzodiazepines used for anti anxiety? What’s the difference between them? Are benzodiazepines ever safe? Ativan, Xanax and Klonopin are some of the most prescribed medications in America for anti anxiety.. What’s the difference between them? Tune in to this week’s episode of All Things Substance.

Dec 11, 202342 minEp. 156

Benzodiazepines: Benefits and Risks

What are benzodiazepines? How are they used? What are the risks? Benzodiazepines can feel like a miracle for a person with anxiety. Feeling panicked to feeling ok in a matter of minutes. But there’s more to them than that. Tune in to this week’s episode of All Things Substance.

Dec 04, 202333 minEp. 155

Legalization of Marijuana-Repost

Why is marijuana illegal anyway? What’s the difference between legalization and decriminalization? What implication does this have for therapists? The debate over legalization of marijuana is all around us. It’s a complex issue and there are a lot of terms used that we should know and understand. This podcast explores the origins of the ban on marijuana and talks about the reasons for and against legalization.

Nov 27, 202342 minEp. 154

Common Claims about Marijuana-Repost

What are common things people say about marijuana? What are the facts about those common claims? What implication does this have in therapy? Marijuana conversations give rise to really interesting information being shared. Much of it isn’t based on science or fact. It can be really hard to know what the real truth is, even if you know where to look. This week we’ll be discussing the common things people say when they talk about marijuana.

Nov 20, 202335 minEp. 153

Marijuana Basics-Repost

What is marijuana and how is it used? Why is THC potency important? What does this have to do with therapy? Marijuana is here to stay and it looks like we’re heading towards legalization. The use of marijuana comes up often in therapy circles and we need to know about it. Join me for an up-front conversation about weed.

Nov 13, 202343 minEp. 152

Eat, Drink and Be Merry: Holiday Skills (Repost)

The holidays are here, no matter what your faith tradition or country, there's a holiday in here for everyone. For some the holidays are a joyful time where they look forward to seeing family and friends. For others, the holidays can be a difficult time. For people who struggle with substances, it tends to be a difficult time to navigate. There's an expectation that we will "indulge" ourselves with food and alcohol. If someone chooses NOT to drink, they would get questioned on a normal day. Duri...

Nov 06, 202337 minEp. 151

Meeting Our Own Professional and Personal Needs

I don’t believe we can rely on our agencies or employers to take care of our development or help us with safe care. I believe we need to make sure we are being proactive to make sure we have what we need to help us keep developing as therapists and that we are doing what we can to prevent burnout so we can continue to do the work we love. This is why I LOVE THERABUNDLE. Today I want to introduce you to my friend and colleague, Tamara Howell who created it.

Oct 16, 202345 minEp. 150

Substance Use in the LGBTQ+ Community

Trauma and substance use have a bidirectional relationship. According to my guest, Eric Sullivan, growing up gay is a form of complex trauma. The LGBTQ+ community faces a lot of factors that put them at risk for higher rates of problematic substance use. Today I’ll talk with Eric, a therapist and member of the LGBTQ+ community about what contributes to this risk, his professional and personal experiences.

Oct 10, 202350 minEp. 149

Therapists Deserve to be Cared for Too

How do we not just survive, but thrive in our work? How do we get to keep being our badass therapist selves and still enjoy what we do? There really are things we can do to help ourselves. Our workplaces, agencies or bosses aren’t going to take care of us the way we need. Today, I continue my conversation about how we can help protect ourselves and even walk-back from burnout. I’m joined by two friends and colleagues who share their experiences with us.

Sep 13, 202335 minEp. 148

Why Therapists Burn Out & How to Protect Yourself

Being a therapist is badass. We are depicted as cardigan-wearing, somewhat nerdy, mild-mannered intellectuals or touchy-feely, overly sensitive, preschool teacher-esque guides for people. The reality of our jobs is far grittier and messier than people expect. We choose to go into the storms with people. We have to stay grounded and help them find the way out. We not only do it everyday, we do it for decades. Is it any wonder we burn out? Ours is sacred work and it puts us at risk for compassion ...

Sep 11, 202329 minEp. 147

5 Reasons Therapists Don’t Assess for Substance Use & 5 Reasons They Should

Many therapists shy away from asking about substance use. There are some very common and very valid reasons for this. Today, I want to share the top 5 most common reasons I’ve heard for avoiding talking about substance use. Then I want to share my top 5 reasons why I really believe we all should be assessing for substance use. If you resonate with any of the reasons why folks don’t assess, you are not alone! My hope is that you will end the podcast feeling encouraged to give screening a try. I’m...

Sep 08, 202343 minEp. 146

Trauma and Substance Use are Bidirectional

Bidirectional means “moving or taking place in two usually opposite directions.” This concept is super important to understanding how trauma and substance use connect. They don’t just intersect, they interact and drive the other. Let’s talk about the research that is out there about this connection.

Sep 05, 202334 minEp. 145
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