George Kolodner , in the 1970s, was one of the first psychiatrists to innovate with treatment of addiction by offering an alternative to in-patient hospitalization. He co-founded the Kolmac Clinincs in the Washington, DC area and pioneered the now incredibly vital and commonplace intensive outpatient addiction treatment model.
“We lost 100,000 people due to opioid overdose last year. At the same time we lost almost half a million people to nicotine.”
George and I talk about the tragic mistake of Bill Wilson, the founder of Alcoholics Anonymous, who actually encouraged people to smoke if it helped them quit alcohol.
“My alcoholic and drug addict people painfully but successfully get sober only to die of nicotine.”
Bill Wilson himself died a miserable death.
Kolodner has been learning the cutting edge psychotherapy intervention known as Internal Family Systems and putting it to use especially to confidently speak hope to parts that feel despair toward a seemingly unstoppable addiction.
“My patients for years would say you know doc I’ve got a devil on one shoulder and an angel on the other. Use and don’t use. IFS is like motivational interviewing on steroids. It’s not just one angel and one devil it’s multiple parts in front and in back and the patient is caught in the middle of this.”
Finally, I ask George whether he thinks Ketamine may be the kind of gamechanging breakthrough medication that many people are reporting it to be.