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The Gathering Storm: Addiction and the Toxic Stressors that Drive Them – Patrick Carnes

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With the emerging knowledge of the nature of addiction and compulsion in their many forms, evidence from many quarters is foreshadowing our next great epidemic. Already addiction ranks as our number one public health problem dramatically outdistancing in financial costs compared to other illnesses such as cancer and diabetes.

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With the emerging knowledge of the nature of addiction and compulsion in their many forms, evidence from many quarters is foreshadowing our next great epidemic. Already addiction ranks as our number one public health problem dramatically outdistancing in financial costs compared to other illnesses such as cancer and diabetes. Unfortunately, deep public prejudice against mental health and addiction professionals as inept or even fraudulent is a steep barrier to the changes we need to make.

The good news is that other countries have pioneered models for changing cultural attitudes. Further, catalytic combinations from genetics, trauma research, neuroscience, emotional regulation, and addiction treatment have cleared a path of hope via effective, core strategies that all clinicians and their patients can access. The real questions are, do we have the resolve and do we have time?


  1. Apply three evidence-based teachable resilience-based interventions for traumatized clients.
  2. Appraise how addictions occur in those that are not genetically predisposed to addiction.
  3. Evaluate the relationship between compulsive behaviors and addictive behavior.

Understanding the field of trauma and addiction treatment

The connection between compulsions and addictions

Resilience-based strategies  

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