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Is Dr. Drew Too Dangerous for Prime Time?

February 25, 2013 in Blogs

By Maia Szalavitz, The Fix



With the news last week of country star Mindy McCready’s suicide by gun, the death toll among Dr. Drew’s Celebrity Rehab patients now stands at five, giving the show an unusually high mortality rate of nearly 13%. But what’s even more disturbing is that most of those deaths—possibly even McCready’s—might have been prevented if the program had utilized treatment practices proven to be most effective.

Although Dr. Drew appears to truly believe in what he does, addiction experts say that the treatment philosophy and policies demonstrated in his show and public statements often do not reflect the best evidence-based practices. His rejection of maintenance treatments, use of punitive detox practices and humiliating therapy and insistence that people cannot truly recover without complete abstinence through 12-step programs reflect the conventional wisdom of the 1980s, not the data of the 21st century. Indeed, Celebrity Rehab’s treatment—leaving aside the massive confidentiality violation of being televised—diverges dramatically from the National Institute on Drug Abuse’s (NIDA)Principles of Drug Treatment, a guide that lays out standards for the best addiction care.

Take the harsh way McCready was treated during her detox on season three of Pinksy's show, which premiered in 2010. As the cameras rolled, the country star began shaking and making involuntary movements. Her roommate, Mackenzie Phillips, simply laughed at her, apparently buying into the stereotype that addicts who seem ill must be faking it. But as Phillips belatedly realized that the seizure was all too real, the cameras continued to roll. She raced around, screaming and searching for a nurse; nearly a minute goes by with no one stopping the production to help. Instead, the cameraperson actually zoomed in as McCready shuddered and shook. 

Prior to treatment, McCready admitted to drinking and taking benzodiazepines (anti-anxiety drugs like Valium and Xanax)—both of which can cause withdrawal seizures if patients aren’t adequately medicated during detox. Indeed, withdrawal from benzodiazepines and alcohol—unlike methadone or heroin withdrawal—can be fatal because these seizures can progress into a condition called status epilepticus.

Charles O’Brien, MD, PhD, is the director of the University of Pennsylvania’s Center for Studies in Addiction. He has developed drugs to treat dependence to alcohol, opioid and cocaine, done pioneering research into the clinical aspects of addiction and …read more
Source: ALTERNET

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