Our Approach :
Personalized Patient Care to dependencies on opiate & other similar drug addiction as well as prescription drug over use and illicit drugs.
We are a dedicated team of professionals including Doctors, Pharmacists, Nurses, Counsellors, Technicians and assistants. Our goal is to provide addiction treatment service that will help you to recover completely from all types of drug addictions.
Our Services : -
- Addiction Assessment and Recovery Support
- Methadone Maintenance Program
- Suboxone Maintenance Program
- Methadone taper /Methadone to Suboxone
- Testosterone Treatment
- Medication counselling
- Oxycontin addiction treatment
What is an Opioid Substitution Therapy (OST) ?
If you are addicted to opioid medications or opioid based street drugs you will go through withdrawal symptoms when you can no longer obtain the opioids your body has become accustomed to.
People refer to feeling “sick” and having severe flu like symptoms. OST is when a physician practicing in OST prescribes an opioid medication that counters the withdrawal symptoms and acts as a substitute for the opioids you were already taking.
Methadone, Suboxone (Buprenorphine & Naloxone), Sublocade, etc are prescribed as an Opioid Substitution Therapy.
https://www.camh.ca/-/media/files/oat-info-for-clients.pdf
Opioid Substitution Therapy is Effective ?
Yes ! Extensive research has shown that opiate substitution therapy is highly effective. It reduces illicit drug use, mortality rate, criminal behavior, and transmission of hepatitis and human immunodeficiency virus (HIV) infection, and permits many of those with addictions to attain normal levels of social function.
There are multiple treatment options available at Our Clinic for addiction. In one such treatment, we prescribe methadone or Suboxone to replace the opiate in an individual who is addicted.
Opioid Substitution Therapy is Legal ?
Yes ! Opioid Substituion Therpay is completely legal.
https://www.canada.ca/en/health-canada/news/2019/05/government-of-canada-approves-new-treatment-options-for-opioid-use-disorder-and-supports-research-treatment-and-harm-reduction-projects-in-ontario.html
Opioid Substitution Therapy Helps for Drug Addiction Recovery ?
Opioid substitution therapy involves taking an opioid agonist, like methadone or suboxone, to help patients suffering from opioid addiction. Because they work the same way in your brain as opioids, they are used to prevent withdrawal in a patient and reduce cravings for opioid drugs.
What is Methadone Maintenance Treatment Program?
The program is based on an Outpatient Harm Reduction Model, and includes the following:
- An initial intake interview
- Medical examination and laboratory tests, where appropriate
- Supervised urine testing
- A signed treatment contract and treatment plan
- Regular medical follow up
- Daily methadone dose
- Our Clinic utilizes a multidisciplinary treatment team approach including: Addiction Physicians, Registered Nurses, Registered Practical Nurses, Pharmacists and Many Other Allied Health Professionals.
Methadone programs are for those who are addicted to opiate based drugs. These treatment programs are generally conducted in an outpatient setting. Methadone treatment programs include the use of long acting synthetic opiate medications including methadone. The drug is taken orally and it works to repair parts of the brain that have been hijacked by drug abuse.
Methadone treatment programs are not only about taking the drug itself. These programs are highly advanced and studies have shown that patients who go through therapy have a greater chance of staying clean.
In order for a methadone program to be successful, patients must follow the directions of the methadone clinic’s medical staff. The success of a methadone program is a team effort. Both the doctor and patient should be in agreement on the steps that need to be taken in order for the patient to become clean. Without the patient’s willingness to change their life, the treatment program will likely not be successful.
What is methadone?
Methadone is a long-acting opioid medication (lasting 24-36 hours per dose).
It’s an effective and legal substitute for heroin or other narcotics (such as heroin, methadone, Oxycontin, opium, Percocet, Percodan, morphine, codeine, etc.)
Methadone has been used in treatment programs since the 1960’s. It helps to stabilize the lives of people who are dependent on opiates and reduce the harm related to drug use.
It also helps them return to a stable social, economic and home environment.
How does methadone work?
The Methadone program is not a “quick fix”. Methadone is part of a long-term and comprehensive maintenance program for opiate dependent clients.
The immediate goal is to stabilize you on your methadone dose, promote a sense of well-being and prevent physical withdrawal symptoms. Methadone will significantly decrease your drug cravings, and help you eliminate drug use.
Methadone maintenance treatment works best when combined with other services and interventions. As part of Our Clinic, you will be able to freely access addiction counselling, crisis intervention and management, as well as various medical services.
Methadone works by its effect on opiate receptors in the body. To allow it to work properly, you are best advised to abstain from the use of all other opiates. In the case that you choose to use other opiates with methadone, the effect of methadone will diminish. You will also fail to obtain the effect which you have been accustomed to after taking opiates (e.g., less or no euphoria), and you may put yourself in higher risk for overdose.
Remember, the goal of Methadone treatment is to stabilize your body physically so that you can make the desired changes in your life, and make the best of your new “drug-free” lifestyle.
How is methadone taken?
Methadone is taken orally and is diluted with orange juice. When you first start the program, you will be asked to drink your medication at the pharmacy daily.
As you stabilize your dose, and your treatment program, you may be eligible for some “carries”, or take home doses.
Carries should be refrigerated. It is your responsibility to store them safely to make sure the medication is not taken by anyone else, especially a child, or a non-opiate dependent person, for whom it may be lethal.
How long do I have to stay on methadone, and how do I taper off methadone?
There is no exact length of time that a person has to remain on methadone. Rather, this is highly variable for each patient. However, some key factors seem to be helpful in predicting successful methadone tapering, and maintaining a drug-free lifestyle. These include:
Successful stabilization, opiate abstinence, and maintenance on the methadone program for at least one to two years.
Lifestyle modification/changes, such as a stable family life, steady employment, fewer financial and legal difficulties, and social support from non drug-using partner, family and friends.
Once these have been reached, the decision to taper off methadone is made by the patient, with support of the treating physician. The methadone dose is then typically tapered by approximately 10% of the daily dose, at weekly or biweekly intervals. This is only a guide, and many other tapering schedules are available and may be used upon mutual decision with your treating physician.
It is important to understand that when methadone is taken as prescribed, and in conjunction with a comprehensive treatment program, it is a safe and effective medication that patients can take for many years to both achieve and maintain a drug-free lifestyle.
For people who are dependent on opioids, methadone has a number of benefits over other opioids.
These are:
The effects of methadone can last 24 to 36 hours. For most people, as long as you take your one dose a day at the same time every day, you won’t get sick with opioid withdrawal.
You drink your dose of methadone, usually in a mixture with orange juice. Taking an oral dose is much safer than injecting, snorting or smoking.
Drinking methadone won’t get you high, but it can help to keep away the physical drug cravings, or the feeling that you need to get high. Some people experience no cravings at all once they’re on methadone. Others may continue to struggle with the “conditioned” cravings, or those that are triggered by something or someone you associate with drug use. The counselling you can get with MMT can help make it easier to cope with cravings.
When prescribed by a doctor and dispensed by a pharmacist, methadone is legal. The source is reliable and safe, and there’s no fear of arrest.
Methadone is made using strict manufacturing guidelines. The exact potency is known, and it’s never cut with unknown substances. You know what you’re getting.
The cost of methadone is less than $6 a day. If you have an Ontario Drug Benefit Card, or are covered by a prescription drug plan at your work, or through a member of your family, methadone costs you nothing. You may also qualify for financial assistance through the Trillium Drug Plan. (For more information on help with the cost.
Some illicit-drug users participate in a lifestyle that involves crime and other risky activities to support their need for drugs. Methadone replaces this need with a substance that is legal and cheap. Methadone treatment can result in less crime, fewer people in jail and a safer community.
People on methadone are less likely to use or share needles. If you’re not using needles, the risk of becoming infected with HIV or hepatitis C is reduced. And since methadone lets you think straight and use your head, you’ll be more likely to practice all you know about safe sex.
Methadone blocks the euphoric effect of other opioid drugs. For example, if you take a hit of heroin when you’re on methadone, you may not feel it. Methadone’s opioid-blocking effect can be a benefit because it takes away the main reasons why you might continue to use other opioids. If you can’t get high, and you won’t get sick if you don’t use, why waste your money?
Going on methadone treatment can put you in touch with people who understand where you’re at, and can help you get where you want to go.
Once you’ve been on methadone for a while, you should feel more energetic and clear-headed. This lets you focus your life on things like work, school and family.
Of all treatments for opioid dependence, MMT has the best record for keeping clients off other opioid drugs.
Methadone is a medication that will control your addiction, so you can get back to normal functioning in life.
Methadone doses vary for each person. Some people need 10mg others need 100mg.
The initial dosage given when a patient starts a methadone treatment program does not exceed 30 mg. Once a patient’s body has been given time to react to that dosage, doctors can determine how much a patient will need to continue to take daily.
Cannabis use is not associated with poor outcomes for methadone patients except in those patients that meet the criteria for cannabis dependency. Cannabis causes relaxation and a feeling of well-being, accompanied by mild hallucinogenic effects.
Does methadone have any side effects?
Most people experience few, if any, side effects. Once your dose is stabilized, methadone is usually a very well-tolerated medication.A few of the most common side effects and solutions are:
Constipation: you can try increasing fibre, fluid intake and regular exercise.
Sweating: this can be due to a methadone dose that is too high or too low.
Sleepiness or drowsiness: may be due to too much methadone, and should be assessed by your doctor. If this is a problem, please do not drive until the symptoms are resolved.
Weight change: some people will put on weight, but this is usually because they are eating properly and are healthier.
How do I access the program?
Please contact the Our Clinic at 905-279-4848 to get further information.
Please call us any time from Monday through Friday and identify yourself as a patient who is interested in receiving treatment program.
Your family physician, psychiatrist, clinical psychologist, addiction counselor, other allied health professional, or employer may also call on your behalf for further information.
How is the program paid for?
All services are covered by the Ontario Health Insurance Program (OHIP).
Additional nominal fees may be applicable for non-OHIP covered services. Non-OHIP services may be covered in part, or in full, by your workplace extended health benefits plan, or other private insurance health care plans.
The cost of Methadone is covered by the Ontario Drug Benefit Program for those patients who are covered by the plan (i.e., Family Benefits, Welfare Assistance, Disability, etc.)
Why should I start the Methadone Maintenance Program?
If any of the following benefits are desirable to you, or are part of your future goals, then you should give this program your attention and consideration:
- A drug-free lifestyle
- A stable personal, social, family and financial life
- No physical withdrawal symptoms
- Decreased or eliminated drug cravings
- Resolution of legal concerns
- A chance to obtain or complete an education
- A chance at stable employment
- Improved self-esteem, self-worth & independence
- Improved memory, concentration, attention & thinking
- Improved health and the prevention of drug related health problems (e.g.HIV, Hepatitis, Liver disease, etc.)
- Improved overall quality of life
- A chance to regain respect, trust and relationships with your spouse, children, family members, friends and associates
- Remember, you are the one making the changes. We are here to support you in whatever way you feel will help improve the quality of your life.
Providing you with the best doctors for the best care !
What is Suboxone (Buprenorphine & Naloxone) Maintainance Treatment Program ?
The program is based on an Outpatient Harm Reduction Model, and includes the following:
- An initial intake interview
- Medical examination and laboratory tests, where appropriate
- Supervised urine testing
- A signed treatment contract and treatment plan
- Regular medical follow up
- Daily Suboxone dose
What is suboxone?
Suboxone is a combination pill, composed of both buprenorphine and naloxone. It is available in two strengths, in combination (2 mg buprenorphine / 0.5 mg naloxone ) as well as (8 mg buprenorphine / 2 mg naloxone).
In terms of a pharmacological therapy for opioid addiction, many consider suboxone to be the “new kid on the block”. It has been around for some time, both in the United States (where it is slowly surpassing methadone as the treatment of choice) and throughout Europe.
How is it taken?
Unlike methadone, suboxone comes in a pill form and is taken “sublingually”, meaning it is placed under the tongue to dissolve. The buprenorphine component is absorbed quite quickly by the generous bloodstream under the tongue. The naloxone portion, however, is not absorbed and remains in the mouth, either to be swallowed or spit out.
Why is the buprenorphine mixed with naloxone?
Naloxone is a very powerful opioid antagonist, meaning once taken, it will cause an abrupt and powerful withdrawal syndrome, characterized by nausea, vomiting, diarrhea, muscle cramps, etc. However, for this to take place, the naloxone must enter the blood stream, usually by injection. Taken orally, as is the case with suboxone, the naloxone has no action. If swallowed, the medication does not get absorbed into the blood stream via the stomach or intestines. This is the reason the manufacturers combined naloxone with buprenorphine. Quite simply, it is to prevent people from crushing the tablets and injecting them.
What are the advantages of Suboxone (buprenorphine/naloxone) over that of methadone?
There are many reasons why suboxone may be the preferred form of therapy.
Less stigmatizing than methadone. Can often get to a stabilized or maintenance dose within the first or second day. Has a better safety profile (less likely to cause overdose, little to have no effect on heart rhythms).
May be easier to come off of than methadone.
Longer acting than methadone so may not require daily dosing.
Fewer side effects, such as constipation, than methadone.
What are the disadvantages of suboxone (buprenorphine/naloxone) over that of methadone?
May not fully satisfy cravings or block withdrawal symptoms for those with high tolerances.
May be more costly if not covered by Ontario Drug Benefit Program.
Dose adjustments may be more difficult.
May cause a “PRECIPITATED WITHDRAWAL”.
What is Precipitated Withdrawal?
To fully understand what precipitated withdrawal is, some background information is needed.
In a pharmacological sense, suboxone is said to have “low intrinsic activity”. What this means is that once the molecule is attached to a receptor site on the brain, it does not activate or light up that receptor to the same extent most other opioids do, including methadone. You can think of it like a light switch. Where methadone is like turning the light on, suboxone is like a dimmer switch.
suboxone is also said to have “high affinity”, meaning it is a very sticky molecule. Once attached to the receptor, it does not like to come off. This is one of the reasons it so long acting.
So what does this have to do with precipitating withdrawal?
If an individual who takes suboxone for the first time also has recently taken any other opioid, the subloxone will be forced to compete with that other opioid for the receptor. Because of its “high affinity”, it often wins the battle and throws the other opioid off the receptor site, taking its place instead. This alone does not cause the precipitated withdrawal. Once suboxone is in the receptor its “lower intrinsic activity” does not light up the receptor to the same extent as the opioid that was just removed. This is what causes the withdrawal. It is “precipitous”, meaning it is a steep or abrupt onset to symptoms.
Bottom line, if you are planning on going onto suboxone, it is very important that you present for the first dose in a state of mild to moderate withdrawal. If you get the first dose while actively using other opiates, it was cause a severe withdrawal that is difficult to reverse for hours.
How long should I wait after my last dose before starting suboxone?
In general, most short acting opioids (like heroin, morphine, oxycodone) result in withdrawal symptoms starting about 6 hours after consumption. Long acting opioids (like methadone, oxycontin, etc) take much longer to leave the system. The question really comes down to how soon the individual feels mild to moderate symptoms kick in. These symptoms include yawning, sneezing, slight nausea, slight muscle cramping. They should not be severe symptoms such as vomiting and diarrhea. Once a person has established how soon withdrawal symptoms kick in for their last use, adding on a few more hours usually does the trick. In general, for short acting opioids, most people should present in the morning, not having used anything else, including codeine, from at least the night before. For long acting opioids, sthe person may need to miss one or two full days.
Withdrawal is uncomfortable and often causes a lot of anxiety along with physical symptoms. It is important to note that even mild symptoms can often trigger much anxiety as it reminds the dependant of a time when withdrawal became severe. Be aware of this and remember that the mild to moderate symptoms you are experiencing will soon be alleviated.
Can suboxone be used during pregnancy?
The short answer is no. If you are pregnant, methadone would be a better choice. If you become pregnant while on suboxone, you can either switch to methadone or your physician can apply to Health Canada to get Subutex for you. This product is not commercially available le in Canada but can be accessed if needed. It is buprenorphine but without the naloxone portion. It has been shown to be a safe alternative to the combination product.
Is methadone maintenance treatment (MMT) or suboxone maintenance treatment (SMT) right for you?
If you’ve been using opioid drugs such as heroin, OxyContin, codeine, Dilaudid, Percocet and others, and you’ve come to a point where you know you can’t go on using, but you can’t seem to stop either, methadone maintenance treatment (MMT) may be right for you.
If you’re pregnant, and you’re using heroin, seek MMT right away. Methadone prevents opioid withdrawal, which can threaten the life of your baby
Users who are HIV or hepatitis C positive are strongly urged to begin methadone/suboxone treatment immediately. Treatment helps to stabilize your health, and it lets you focus on getting the best possible care.
You may be ready for MMT/SMT if you’ve been using for a year or more, and you’ve tried to stop. You’ve been through withdrawal, you’ve seen a counsellor, perhaps you’ve gone through a residential treatment program. If you can’t seem to stop using for more than a few hours, days, weeks or months at a time, and you know you want to stop, think about going on MMT/SMT.
You’re ready for MMT/SMT when you’re still using and all it’s doing for you is keeping you “normal.” If there’s any high at all, it isn’t worth it anymore. You’re scared of being sick and all you want is to feel well and be free of the craving that nags you to keep on using. You want to be more in control of your life, your work, your home. You want to feel better about yourself; you want to be able to offer more to the people you care about.
Methadone maintenance has the best record in terms of keeping clients in treatment and off opioid drugs for the longest period of time. On the other hand, it does carry some side-effects that may be unpleasant, and it does require a long-term commitment. If you have tried one or more of the other treatment options listed, and you are still using, and you know you want to stop, methadone may be your best choice.
OPIOID OVERDOSE :
Preventing opioid overdose :
Do you know how to prevent an overdose?
Here’s what you need to know.
Risk of intoxication and overdose
An opioid overdose can happen when a person:
· uses a drug in a way they don’t normally use it (e.g., crushing, smoking or snorting pills, or injecting instead of swallowing)
· takes an opioid that their body isn’t used to
· relapses or uses after a period of not consuming drugs
· switches to a stronger opioid or switches to heroin
· changes where they get their opioids
· mixes street drugs and/or alcohol and/or medications (e.g., opioid painkillers, antidepressants, sedatives, anti-seizure meds)
· takes a higher dose than they’re used to
· is sick or tired, has liver or kidney damage, or has an illness that affects their breathing
· has a period of not using (e.g., when in custody).
Preventing overdose
· Avoid mixing drugs and alcohol. Your risk of overdose goes up if you mix opioids with alcohol, sleeping pills or anxiety pills, other opioids, or many prescription medications.
· Don’t use opioids alone or in an unfamiliar setting.
· If you’re using opioids after a period of cutting down or not using, be sure to start low and go slow. After even a few days without using, a dose that might once have been fine could kill you.
· If you switch to a stronger opioid, use less and do a test dose.
· Remember that the risk of overdose goes up when you increase or change the opioid dose or use a new supply.
Signs of overdose
A person may have overdosed if:
· they are not breathing at all or are breathing very slowly
· their lips and fingertips are turning blue or purple
· they are asleep and making an unusual gurgling or loud snoring sound
· they can’t be woken and/or don’t respond to pain (e.g., pinching)
· the person is “on the nod” (falling asleep).
What to do if someone has overdosed
· Call 911 right away and ask for an ambulance.
· Shake the person and shout their name.
· Give the person Narcan (naloxone) if available.
· Provide rescue breathing if person is showing signs of respiratory distress
· Turn them on their side to prevent choking.
· Stay with the person until help arrives.
OVERDOSE DO'S & DON'TS
DO:
Call 9-1-1
Support breathing by performing rescue breathing.
Administer naloxone, a drug that reverses the effect of opioids, as an injection or nasal spray.
Place the person in recovery position on their side if breathing independently.
Stay with person and keep him/her warm and until help arrives.
DON’T:
Slap or try to forcefully stimulate the person — it will only cause further injury. If shouting, rubbing knuckles on the sternum, or light pinching will not awaken the person, he/she may be unconscious.
Put the person into a cold bath or shower. This increases the risk of falling, drowning or going into shock.
Inject the person with any substance (salt water, milk, speed, heroin, etc).
Try to make the person vomit drugs that he/she may have swallowed. Choking or inhaling vomit into the lungs can cause death.
Addiction, Its Reasons, and Indications
Addiction is a state when an individual engages in an activity that may be pleasurable initially but has been escalated to an extent where life, work, relationships, and health are affected. It can be for substances like cocaine, alcohol, nicotine, and opiates. An addiction can be both physical and psychological. The factors that make an individual addicted are:
- Emotional stress
- Depression
- A first-degree relative who has also suffered from addiction
- Lack of social support and family
People suffering from addiction may behave differently and cause problems to themselves and people close to them. A few indications of addiction are:
- Restricting the intake of drug or substance leads to physical problems like sweating, chills, muscle aches, insomnia, nausea, vomiting, and more
- Inability to cut down on drug or continue using it despite being aware of its consequences
- Increasing quantity and duration of a substance
- Negative impact on family, social, work, and recreational activities
LINKS TO WEB RESOURCES
This is a list of selected links to a variety of public resources relevant to mental health and substance use issues:
•Find a board certified addiction specialist (this directory includes Canadian cities)
https://www.asam.org/education/addiction-medicine-certification
•Canadian Centre on Substance Abuse
https://www.ccsa.ca/
•Methadone Saves Lives
http://www.methadonesaveslives.ca/
•Centre for Addiction and Mental Health
https://www.camh.ca/en/driving-change/about-camh/contact-camh
•Ontario Drug and Alcohol Helpline
https://www.connexontario.ca/en-ca/
•National Alliance for Medication Assisted Recovery
https://www.methadone.org/
•Centers for Disease Control on Methadone
https://www.cdc.gov/hiv/basics/hiv-transmission/injection-drug-use.html?CDC_AA_refVal=https%3A%2F%2Fwww.cdc.gov%2Fhiv%2Frisk%2Fidu.html
•World Health Organization: Treatment of opioid dependence
https://www.ccsa.ca/sites/default/files/2019-04/CCSA-Best-Practices-Treatment-Opioid-Use-Disorder-2018-en.pdf
•National Institute on Drug Abuse: Prescription Drug Abuse
https://nida.nih.gov/research-topics/over-counter-medicines
•National Institutes of Health: Drug Abuse and Addiction
https://nida.nih.gov/
Resources and links : Opioid Resource Hub
Contact the Ontario Harm Reduction Distribution Program for information and resources on opioid overdose prevention and response: www.ohrdp.ca/opioid-overdose-prevention or 1 866 316-2217.
For more information on preventing, recognizing and responding to an overdose, see the U.S. Harm Reduction Coalition’s Opioid Overdose Basics page.
In the longer term, addiction treatment is strongly recommended. Contact ConnexOntario at 1 800 565-8603 or www.connexontario.ca for available addiction treatment resources in your area.
You can also visit the Ministry of Health and Long-Term Care’s Ontario’s Narcotic Strategy home page for a list of resources and references.
ADDICITION RECOVERY BOOKS
We are often asked about recommending user-friendly books on various recovery-related issues. The following are paperback books that we routinely recommend to patients who are in the early stages of recovery from various substance-related disorders. Please note that this is by no means an exclusive list, and such books are not designed to replace aftercare addiction treatment. Instead, they are intended to serve as an adjunct to your treatment.
1. Willpower’s Not Enough (Washton) https://www.amazon.ca/Willpowers-Not-Enough-Recovering-Addictions/dp/0060919698
2. Sex, Drugs, Gambling, and Chocolate (Horvath) https://www.amazon.ca/Sex-Drugs-Gambling-Chocolate-Overcoming/dp/1886230552
3. Stop The Chaos (Tighe)https://www.amazon.ca/Stop-Chaos-Control-Beating-Alcohol/dp/1568382820
4. Addict in the Family (Conyers)https://www.amazon.ca/Addict-Family-Stories-Loss-Recovery/dp/156838999X
5. The Addictive Personality (Nakken)https://www.amazon.ca/Addictive-Personality-Understanding-Compulsive-Behavior/dp/1568381298
6. Kill the Craving (Santoro, Deletis & Bergman)https://www.amazon.com/Kill-Craving-Joseph-Santoro/dp/0972048022
7. The Staying Sober Workbook: A Serious Solution For The Problem Of Relapse (Gorski)https://www.amazon.ca/Staying-Sober-Workbook-Solution-Problems/dp/0830906215
8. Staying Sober (Gorski)https://www.amazon.ca/Staying-Sober-Workbook-Solution-Problems/dp/0830906215
9. The Heart of Addiction (Dodes)https://www.amazon.ca/Heart-Addiction-Understanding-Alcoholism-Addictive/dp/0060958030
10. Addicted: Notes from the Belly of the Beast (Crozier & Lane)https://www.amazon.ca/Addicted-Notes-Belly-Lorna-Crozier/dp/1553651154
11. Addictive Thinking: Understanding Self-Deception (Twerski)https://www.amazon.com/Addictive-Thinking-Self-Deception-Abraham-Twerski/dp/0062553976
12. More, Now, Again: A Memoir of Addiction (Wurtzel)https://www.amazon.com/Addictive-Thinking-Self-Deception-Abraham-Twerski/dp/0062553976
13. It Will Never Happen To Me (Black)https://www.amazon.ca/Will-Never-Happen-Youngsters-Adolescents/dp/1568387989
14. First Year Sobriety: When All That Changes Is Everything (Kettelhack)https://www.amazon.ca/First-Year-Sobriety-Changes-Everything/dp/1568382308
15. Managing Your Drug or Alcohol Problems Client Workbook (Daley & Marlatt)https://www.amazon.ca/Managing-Your-Drug-Alcohol-Problem/dp/0195183746
16. The Alcoholism & Addiction Cure-A Holistic Approach (Prentiss)https://www.amazon.ca/Alcoholism-Addiction-Cure-Holistic-Approach/dp/0943015448
17. Overcoming Your Alcohol or Drug Problem Workbook (Daley & Marlatt) https://www.amazon.ca/Overcoming-Your-Alcohol-Drug-Problem/dp/0195307747
18. Substance-Abusing High Achievers: Addiction as an Equal Opportunity Destroyer (Twerski) https://www.amazon.ca/Substance-Abusing-High-Achievers-Addiction-Opportunity/dp/0765701103
19. Addiction : Why Can’t They Just Stop (Hoffman & Froemke) https://www.amazon.ca/Addiction-Cant-They-Just-Stop/dp/1594867151
For More Info :
Visit us at
Mississauga Addiction Clinic
3047 Hurontario St, Mississauga, ON L5A 2G9
Phone : 905-279-4848
https://www.mostmethadone.com/