Addiction & Recovery

The Practice of Staying

A different way to think about change—and what it really takes to heal I had a conversation recently that stayed with me. I was speaking with a spiritual teacher about the idea of grace—not as a theological concept, but as something deeply human. We talked about grace as the space we offer one another: patience, understanding, and the willingness to stay present with someone exactly as they are. It struck me how much this mirrors the work we do.   So much of healing doesn’t come from pressure or perfection. It comes from relationship—from the ability to stay connected to someone, [...]

By |April 6, 2026|Addiction & Recovery, Healing|

KRATOM: A Wellness Trend with Hidden Risks

I feel compelled to share a public service announcement about something I've been noticing more often in my clinical work: a surprising rise in Kratom use. Some people are intentionally using Kratom, aware that it's a plant with opioid-like properties. But more concerning are those who are unknowingly consuming it—often through "health drinks" sold at upscale health food stores, where Kratom is just one ingredient on the label. Kratom is derived from the leaves of the Mitragyna speciosa tree, native to Southeast Asia. While it has traditional uses and can act as a pain reliever or even help with opioid [...]

By |September 25, 2025|Addiction & Recovery, Psychiatry, Psycho Education|

Ketamine Assisted Psychotherapy as Published in Los Angeles Psychotherapy Association Digest, Spring Volume 2024

Eva Altobelli, MD David Laramie, PhD We are experiencing a mental health crisis, and rates of depression and suicide continue to rise. According to the Surgeon General, Dr. Vivek Murthy, “Mental health has become the defining public health and societal challenge of our time ” (CDC, 2023). Over 30% of the population is suffering from mental health disorders and addiction (SAMHSA, 2021), and seventy percent of those suffering do not receive any mental health treatment. (Chatterjee, 2023). In the face of this, it is imperative that the field of mental health broaden its horizons in search of potential treatments.

By |June 23, 2025|Addiction & Recovery, Personal/Spiritual Growth, Psychiatry, Trauma|

Brave New Medicine: Ketamine’s Promise and Pitfalls

Aldous Huxley’s Brave New World describes a futuristic society pacified by a daily dose of soma—a drug that ensures collective compliance and emotional numbness at the expense of curiosity, dissent, and authentic feeling. As an addiction psychiatrist and clinician who offers Ketamine-Assisted Psychotherapy (KAP), I often find myself reflecting on the parallels between Huxley’s vision and the rapidly expanding, commercialized use of ketamine in modern psychiatry. Ketamine has undeniable therapeutic potential Ketamine has undeniable therapeutic potential. When delivered within a structured, multidisciplinary framework—including careful preparation, guided administration, and integrative psychotherapy—it can be profoundly transformative. It offers individuals the possibility of [...]

By |March 25, 2025|Addiction & Recovery, Psychiatry, Psycho Education|

Addiction and Spirituality

What is addiction? My philosophy is that addiction is a behavioral response to feel better, to avoid pain or discomfort. Our society has driven us to become less tolerant of discomfort so one part of an  addiction treatment model would be distress tolerance education. There is often a deeper wound  that  Carl Jung and William James explored, they viewed addiction as spiritual thirst for wholeness– a misguided search for spiritual connection.  Alcohol was referred to as spirits originally and was seen as a way to relax into making a spiritual connection;  kind of ironic because addiction has become something we [...]

By |September 6, 2024|Addiction & Recovery|

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