DBT: A Gym Membership for Addiction Recovery

January 18, 2022
Hosted by Zachary Crouch

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Episode Description

One in 12 American adults has been diagnosed with a substance use disorder, and there are many more who go undiagnosed. This reality is fueling the need for more individualized and diversified addiction care, including true dialectical behavior therapy (DBT) and medication assisted treatment (MAT), in order to increase the likelihood of a successful recovery and ultimately survival. Today, Zach and Michael interview Michelle Dubey about Landmark Recovery's addiction treatment programs, from inpatient care to using MAT long-term. Explaining the importance of pairing dialectical behavior therapy with MAT to treat opioid use disorders, Michelle compares DBT to a gym membership – a commitment that can offer lasting results in the long run. They also discuss PTSD versus trauma disorders, measuring success after treatment, and how to determine if medication assisted treatment is right for you. Michelle has served as Chief Clinical Officer of Landmark since 2019, and she has been with the company since its beginnings in 2016. As CCO, Michelle is responsible for development and oversight of Landmark’s clinical programming, as well as quality assurance and compliance. She is a Licensed Clinical Social Worker, a Certified Clinical Trauma Specialist, and brings more than 13 years of experience working with individuals and families healing from substance use and other co-occurring disorders. SHOW NOTES: [6:45] Opioid replacement therapy (medication assisted treatment). [8:00] Dialectical behavior therapy versus DBT-informed treatment. [10:00] An intensive outpatient program is a time to identify, but not unpack, trauma related to substance abuse. [11:55] DBT isn't a trauma treatment; it's intended to develop the skills necessary to manage trauma. [15:14] Adverse Childhood Experiences (ACEs), and PTSD versus trauma disorders. [18:08] The significance of having recovery programs that fit anyone who has a need to find recovery, and why abstinence-based programs don't work for everyone. [22:23] Measuring success after treatment for a substance use disorder. [27:00] What is medication assisted treatment, and is it right for you?

Landmark Recovery Podcast

Landmark Recovery Podcast

Tuesday at 9 AM Pacific Time on VoiceAmerica Health and Wellness Channel

Landmark Recovery Podcast is the premier podcast discussing addiction, recovery, and sobriety. We talk with experts to dispel myths about what addiction is and isn’t. We hear from recovering addicts who share their stories of rock bottom, rehab, and relapse. We also tackle difficult topics like trauma, the chaos of active addiction, and how it affects our families and communities. But our favorite topic? Hope. The podcast is a production of Landmark Recovery, a rapidly growing network of local drug and alcohol rehab centers providing high quality, and affordable, clinical treatment. With the mission to unlock human potential, Landmark is committed to helping individuals live beyond their addiction.

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Zachary Crouch

Zachary Crouch

Zachary Crouch is the National Business Development Manager and former administrator for Landmark Recovery, a Louisville based residential program for drug and alcohol treatment. His background in the treatment field as a counselor includes work with the adolescent, adult and family population. Additionally, he also operated the acute medical detoxification unit for Norton Audubon Hospital in Louisville. Zachary graduated with a Bachelors in Psychology and earned his Master’s degree in Marriage and Family Therapy in 2009.

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Episode Directory

January 2022

  • 1/18/2022: DBT: A Gym Membership for Addiction Recovery Listen Now
  • 1/11/2022: Zach & Michael: Current Events & Personal Milestones Listen Now
  • 1/4/2022: Dopamine, the Limbic System, and Anhedonia Listen Now

December 2021

November 2021



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