Guest host Jazz (episode #41) talks with returning expert Dr. Casey Grover, an addiction medicine physician with both clinical expertise and lived experience of PTSD. Together, they explore the frequent intersection of trauma and addiction, breaking down how adverse childhood experiences, big “T” and little “t” traumas, and even intergenerational stress shape vulnerability to substance use. Dr. Grover discusses diagnostic criteria for PTSD, explains treatment approaches ranging from medications like prazosin and SSRIs to EMDR therapy and stellate ganglion blocks, and weighs in on newer options such as psychedelic-assisted therapy. The conversation also highlights the stigma around mental health in the medical community, the importance of trauma-informed care, and the healing potential of honesty and vulnerability. Resource links from episode:

Grover, Casey MD. Goodbye Emergency Medicine—I Wish I Could Say Thanks for the Memories. Emergency Medicine News 47(2):p 22, March 2025. DOI: 10.1097/01.EEM.0001108624.36353.82 https://journals.lww.com/em-news/fulltext/2025/03000/goodbye_emergency_medicine_i_wish_i_could_say.14.aspx

DSM-5 diagnostic criteria for PTSD: https://www.ncbi.nlm.nih.gov/books/NBK207191/

Addiction Medicine Made Easy (Dr. Grover’s podcast) https://addictionmedicinemadeeasy.com

MDCalc – Adverse Childhood Experiences (ACE) Calculator https://www.mdcalc.com

Last Day Podcast – Episode with Dr. Gabor Maté https://podcasts.apple.com/us/podcast/addiction-17-trauma-with-dr-gabor-mat%C3%A9/id1468896686?i=1000488387968

Book: What Happened to You? (Oprah & Bruce Perry) https://www.oprahdaily.com/what-happened-to-you

Book: The Body Keeps the Score (Bessel van der Kolk) https://www.besselvanderkolk.com/resources/the-body-keeps-the-score

GeneSight – Pharmacogenomic Testing https://genesight.com

Eye Movement Desensitization and Reprocessing (EMDR Therapy) https://www.emdria.org/about-emdr-therapy

Stellate Ganglion Block (SGB) for PTSD – Information https://www.stellateinstitute.com/sgb-for-ptsd

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Lily & Charlie discuss - Is the last thing you quit the hardest? John, an engineer and outdoor enthusiast, recounts his decade-long struggle with kratom addiction that began as an alternative to pain pills, leading to escalating use (from 120 grams per day in the early 2010s to 7oh isolates in 2025), financial ruin, and the loss of a significant relationship. After multiple failed attempts to quit (including a relapse after 2 years kratom free), he ultimately finds success through a combination of medication, family support and cold plunges, and now shares his story to help others facing similar challenges.

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In the open, Charlie and Nolan discuss the fed's proposed 7OH ban. Jacob talks to interview guest Alyse about her journey from discovering kratom during bodybuilding training to struggling with addiction, multiple relapses, and ultimately seeking recovery through detox, medically assisted treatment, and support systems. While at time of this broadcast, she is kratom free for a couple months now, she is on a wait list to go to 30-day residential rehab to invest in long term abstinence from the green kava-kratom drinks, an addiction that caused her to lose a job and major strains on important relationships.

To get in touch with this week's guest: https://www.tiktok.com/@alyse.heun

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Jacob and Nolan open on how addiction is a lifetime journey thought not a permanent ongoing struggle. In the interview, Jonny became addicted to 7-OH in both liquid and tablet versions, which led to rapid tolerance and severe dependence. He ultimately quit after a car accident by entering a treatment facility, where he used Suboxone to help with withdrawal and later the Sublocade injection as part of his treatment plan, combined with structured recovery housing, community support, and daily routines like yoga and AA meetings.

RPT model discussed by Johnny:

"Relapse Prevention Therapy" (RPT) based on research by Terence Gorsky:

The Dynamics of Relapse: Cunning, Baffling and Predictable – RecoveryView – Behavioral Health Community

https://recoveryview.com/article/the-dynamics-of-relapse-cunning-baffling-and-predictable/

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Lily and Jacob explore the potential of cannabis becoming a substitute or cross addiction to kratom. Ryan talks to Lily about his struggles this past year relapsing on kava-kratom tonics, and escalating to other substances such as alcohol and opiates.

Heads up, this episode's interview includes talk of suicide. Remember to dial 988 to talk get help, or text HOME to 741-741 to reach the Crisis Text Line or www.Crisistextline.org

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Charlie and Jacob catch up and discuss how easy access to kratom can influence use. Violet discusses with Lily her journey through Kratom addiction and withdrawal, highlighting its impact on her active lifestyle as an onsite seamstress and stylist for weddings, as well as her experiences with Ecstatic Dance and sobriety. She shares insights on the effects of Kratom on her daily routines, the vital role of support systems in recovery, and her personal history with addiction, including the influence of her community and her various coping mechanisms during recovery.

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Lily and Nolan open to discuss methods to improve well-being after quitting, emphasizing the importance of slowing down and staying present, including a focus on withdrawals and tapping into ideas found in yoga. In the interview, Jacob sits down with Seth, who shares his journey of overcoming kratom addiction. Seth talks about emotional challenges and his experiences with treatment centers, as well as his ultimate decision to use buprenorphine and its impact on his recovery. They also touch upon the importance of a support system, Seth's hobbies, and his advice for others battling addiction.

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In the intro, Jacob talks about the importance of a positivity mindset. In the interview, Lily chats with James K., a professional cameraman from San Diego. He initially believed kratom to be a natural remedy, but it led to severe addiction alongside struggles with alcohol, marijuana, and opiates. He found kratom to involve intense withdrawals and found therapy and a healthy lifestyle key in sustaining his recovery.

WHATSAPP Group: https://chat.whatsapp.com/E5Mgjff4TLBENsqIBL3U4o

QK Facebook: https://www.facebook.com/share/g/16ZF1nAw7U/

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