Captain Hooked: The Addiction Project  By  cover art

Captain Hooked: The Addiction Project

By: Dr. Wiplove Lamba & Jean-Paul Michael
  • Summary

  • Join addiction psychiatrist Dr. Wiplove (Wip) Lamba and addictions case manager Jean-Paul (JP) Michael as they discuss all things related to substance use, addiction, and recovery. JP works on a daily basis in a renown inner city hospital in Canada's largest city. With their expertise and personal experiences, Wip and JP provide a unique perspective on addiction medicine, psychotherapy, harm reduction, and treatment. No material on this channel is intended to substitute for professional medical advice.
    Dr. Wiplove Lamba & Jean-Paul Michael
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Episodes
  • #156 Matthew Perry's Final Struggle: Understanding Ketamine's Impact in Addiction
    Jan 2 2024
    A few months back we went through Matthew Perry autobiography. https://youtu.be/xBFxfMvihLY?si=qwaDkhgwvQTyv5PX It was quite a shock to hear he had passed away. In this episode, we discuss the nuances around addiction, medical treatment and the self-medication. We begin by examining the public perception of sobriety, using Matthew Perry's tragic story to illustrate the struggles of addiction under the public eye and the pressure accompanying it. The conversation then shifts to ketamine, a drug gaining attention for its potential in treating depression, while also posing risks for misuse and abuse. Table of Contents 00:00:00 - 4 clips from episode 00:00:50 - Start - Why are we taking about ketamine? 00:01:25 - Pro/cons ketamine as medicine 00:06:32 - Celebrities and addiction 00:08:26 - JP personal experience with ketamine - tolerance, heightened enjoyment 00:13:37 - Why do some people use ketamine? 00:16:41 - Can we self medicate//shame and recovery 00:22:35 - Can celebrities get good medical care? 00:25:21 - Unscheduled pause (1 of 6) - due to Premiere Pro upgrade 00:26:07 - What to do in a world with unlimited access to drugs of abuse. 00:28:10 - Public health inverted U curve on prohibition vs government regulation of drugs. A historical perspective on the use and abuse of various substances in medicine sets the context for current addiction treatment challenges. The experts caution against overlooking ketamine's abuse potential, emphasizing careful consideration in its therapeutic use. They also discuss the burgeoning interest in psychedelics for mental health treatment, stressing the need for caution and awareness. A significant part of the discussion centers on the dangers of self-titration and microdosing, especially with drugs like ketamine. Personal experiences are shared, providing insights into the use of various substances and their impact. The unpredictability of drug-induced thought patterns and the ethical dilemmas in using drugs for depression treatment are explored. Socioeconomic factors in drug accessibility and effects, along with celebrity cases like Michael Jackson and Matthew Perry, are analyzed to understand addiction treatment complexities in different social contexts. The emotional challenges of relapse, stigma, and the importance of supportive recovery environments are discussed. The podcast also delves into tolerance development in drug use, particularly with ketamine, and the cultural and recreational aspects of its use. The complex relationship between drugs and emotions is highlighted, underscoring the importance of considering these effects in treatment. This episode offers a thought-provoking exploration of addiction treatment, the balance between medication and self-medication, and the ethical considerations in mental health treatment with substances like ketamine. It's a deep dive into the delicate intricacies of addiction and recovery. Featuring addiction psychiatrist Dr. Wiplove (Wip) Lamba, addictions case manager and former addict Jean-Paul (JP) Michael, along with their guests discuss all things related to substance use, addiction, addiction medicine, psychotherapy, harm reduction, treatment and recovery. Wip and JP share their motivation, curiosity, and passion for their craft. JP works on a daily basis in a renown inner city hospital in Canada's largest city. This work is separate from Wiplove’s clinical and academic work.
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    32 mins
  • #155 Breaking Boundaries: The Revolution of SafeR Drug Supply ?
    Dec 7 2023

    The podcast episode primarily revolves around the complex issues of addiction medicine, with a significant focus on the concept of safer supply in drug policy. The hosts begin by discussing their recent visit to Vancouver Island for an addiction conference, leading into a conversation about the Drug User Liberation Front (DULF), an advocacy group that has been in the news. A major point of discussion is the arrest of DULF members, who were involved in efforts to provide a controlled and safer supply of drugs. This action by the police raises questions about the challenges and legalities surrounding efforts to mitigate the risks of the toxic illicit drug supply. The hosts discuss the implications of these arrests and the broader impact on harm reduction initiatives. The conversation then delves into the specifics of DULF's approach to safer supply, highlighting how the group's activities aimed to reduce harm by controlling the quality of the drug supply. This leads to a broader discussion on drug policy analysis, with references to experts like Karen Ward and the importance of studies that suggest reduced drug use and overdose risks with safer supply methods. Funding for such initiatives is another key topic. The hosts scrutinize the government's stance on funding harm reduction and safer supply programs, noting the controversy and political challenges in sustaining these programs. They emphasize the need for drug checking services and harm reduction equipment in the context of safer supply. The ethical dilemmas faced by healthcare professionals in prescribing drugs for harm reduction are discussed, particularly concerning substances like fentanyl and hydromorphone. The hosts question the traditional roles and responsibilities of healthcare providers in the context of a safer supply model. Attention is given to the impact of these policies on youth and the broader societal implications. The hosts express concerns about young people's exposure to substances under safer supply initiatives and the long-term effects on their potential and health. In the concluding segments, the hosts reflect on the need for a balanced approach that incorporates diverse perspectives in drug policy. They call for sensible and practical solutions that navigate the complexities of providing a safer supply while considering the broader societal and political implications. Overall, the podcast offers a comprehensive exploration of the safer supply concept in addiction medicine, emphasizing the need for nuanced and informed approaches in drug policy and harm reduction efforts. Table of Contents 00:00:04 - Introduction: Focus on Safer Supply in Addiction Medicine 00:00:44 - Arrests of DULF Members and Impact on Safer Supply 00:01:17 - Discussing DULF's Safer Supply Approach 00:02:09 - Controversies in Funding Safer Supply Initiatives 00:07:27 - Challenges in Drug Testing: Fentanyl and Safer Supply 00:09:33 - Ethical Considerations in Prescribing for Safer Supply 00:21:17 - The Role of Prescribing Practices in Safer Supply 00:25:52 - Youth Impact in the Context of Safer Supply Policies 00:29:07 - Societal and Political Dimensions of Safer Supply 00:37:15 - Conclusion: Future of Safer Supply in Addiction Medicine Featuring addiction psychiatrist Dr. Wiplove (Wip) Lamba, addictions case manager and former addict Jean-Paul (JP) Michael, along with their guests discuss all things related to substance use, addiction, addiction medicine, psychotherapy, harm reduction, treatment and recovery. Wip and JP share their motivation, curiosity, and passion for their craft. JP works on a daily basis in a renown inner city hospital in Canada's largest city. This work is separate from Wiplove’s clinical and academic work.


    #Lived experience

    #addiction

    #recovery

    #addiction medicine

    #DULF

    #cocaine,

    #Heroin,

    #safe supply

    #decriminalization



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    38 mins
  • #154 Dr. Peter Selby, Lifetime Achievement Award Winner
    Nov 16 2023
    CSAM (Canadian Society of Addiction Medicine) has extended an invitation to our very own Dr. Wip to present their 2023 Lifetime Achievement Award to his mentor, Dr. Shelby. Dr. Wip elucidates the profound influence and enduring impact that Dr. Shelby has had on his journey. Dr. Peter Selby is a Clinician Scientist and Senior Medical Consultant at CAMH. He is the Interim Vice-Chair of Research for the Department of Family and Community Medicine and holds the Dr. Barnett & Beverley Giblon Professorship in Family Medicine Research at the University of Toronto. He is a Clinician Scientist and Director of the Mental Health and Addictions Division in the Department of Family and Community Medicine. He is also a Professor in the Department of Psychiatry and in the Dalla Lana School of Public Health at the University of Toronto. He is also a full member of the School of Graduate Studies through the Dalla Lana School of Public Health and the Institute of Medical Sciences at the University of Toronto. Areas of Research Dr. Selby's research focus is innovative methods to understand and treat addictive behaviours and their comorbidities. He also uses technology to combine clinical medicine and public health methods to scale up and test health interventions. His cohort of 280,000+ treated smokers in Ontario is an example. His most recent program of research utilizes a Learning Health Systems approach to investigate how technology enabled collaborative care can enhance the delivery of evidence-based interventions to the patient while providing a more satisfying experience of care for both patient and provider. Dr. Selby has received grant funding totaling over 100 million dollars from CIHR, NIH, and Ministry of Health, and has published 38 research reports prepared for the government. Dr. Selby mentors residents and faculty from a variety of disciplines. He is a sought after speaker for various topics including addictive disorders, motivational interviewing, and health behavior change at individual and system levels. Publications Dr. Selby has published over 150 peer-reviewed articles, 37 books or book chapters, and 125 international presentations. https://csamconference.org/ Featuring addiction psychiatrist Dr. Wiplove (Wip) Lamba, addictions case manager and former addict Jean-Paul (JP) Michael, along with their guests discuss all things related to substance use, addiction, addiction medicine, psychotherapy, harm reduction, treatment and recovery. Wip and JP share their motivation, curiosity, and passion for their craft. JP works on a daily basis in a renown inner city hospital in Canada's largest city. This work is separate from Wiplove’s clinical and academic work. The content should not be taken as direct medical advice or clinical instruction.
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    8 mins

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