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Can mind-body therapies help reduce reliance on opioids?
A large study published online Nov. 4, 2019, by JAMA Internal Medicine offers hope for people who want to reduce their reliance on opioids. The powerful prescription painkillers, such as oxycodone (OxyContin) and hydrocodone (Vicodin), are typically used to treat severe pain after surgery, pain with terminal illness, and chronic pain. But use of these drugs comes with the risk of dependence, addiction, overdose, and death. So researchers set out to determine if mind-body therapies (such as meditation or hypnosis) could help ease pain. Scientists reviewed 60 randomized trials with more than 6,400 people taking opioids for reasons such as surgery, burns, cancer, or chronic pain. Researchers noted moderate to large improvements in pain among people who added meditation, hypnosis, cognitive behavioral therapy (CBT), or therapeutic suggestion to their pain control regimens. Meditation, hypnosis, and CBT were so effective that people were able to slightly reduce the amount of opioids they were taking. Two other therapies — relaxation therapy and guided imagery — did not have a significant impact on pain. The great news: you have nothing to lose by adding one of these mind-body therapies to your regimen, and it may even help.
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Are you drinking too much alcohol?
Here's how to tell if you may have a drinking problem.
Alcoholic beverages are a "social lubricant." At holiday and other parties, bouts of excessive drinking can seem like part of the celebration. But here's something to think about as you raise your glass: drinking too much alcohol at a party — or at any time — can be a sign of alcohol use disorder (AUD).
What is AUD?
AUD is the umbrella term for problem drinking that stems from alcohol abuse or alcohol dependence. While both are marked by problems stopping or controlling alcohol use, they're not the same.
E-cigarettes: Hazardous or helpful?
Their efficacy as a tool for quitting regular cigarettes and their long-term safety remain concerning.
Even if you never touch cigarettes, you probably know someone who does (or did) smoke. Nearly half of Americans smoked in the mid-1960s, compared with just 14% today. Still, cigarette smoking is responsible for nearly one in five deaths in the United States, and about one-third of those are due to heart disease.
What about electronic cigarettes (e-cigarettes), the latest smoking trend? These battery-operated devices heat up a liquid, creating a vapor that users inhale and exhale, a practice known as "vaping." Although e-cigarettes were initially targeted to young people, more recent ad campaigns feature middle-aged, long-time smokers who have switched to vaping. Is vaping safer than smoking, especially from a cardiovascular perspective? And can these products help people quit regular cigarettes?
Understanding the language of addiction
People allude to addiction in everyday conversation, casually referring to themselves as "chocolate addicts" or "workaholics." But addiction is not a term clinicians take lightly. Addiction is defined as a condition characterized by the loss of control over the use of a psychoactive drug or the participation in an activity, such as gambling. People with an addiction also crave their activity and continue to pursue it even though they experience adverse consequences as a result of doing so.
There are a few key terms surrounding addiction that people tend to use interchangeably. The words tolerance, physical dependence, and withdrawal can sometimes be confused with each other. These terms are related but not interchangeable.
Is an opioid really the best medication for my pain?
Is tramadol a risky pain medication?
Beer before wine? Wine before beer?
Undoing the harm: Tapering down from high-dose opioids
The CDC’s Guideline on Prescribing Opioids for Chronic Pain helps doctors and patients manage treatment at safe levels and avoid dependence. Any plan to taper medication dosage should be personalized to the patient’s needs.
Going public with sobriety
Your genes and addiction
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