addiction

With David Wright

Writer Michael Pollan turns his attention to psychedelic mushrooms and the new science of psychedelics. He joins us.

Drew was in his early 30s. His medical history included alcohol abuse, but he had been sober for several months when he became my patient.

His previous doctor had given him a prescription for Ativan, or lorazepam, which is frequently used to allay tremors and seizures from alcohol withdrawal.

Look up from this screen right now. Take a look around. On a bus. In a cafe. Even at a stoplight. Chances are, most of the other people in your line of sight are staring at their phones or other devices. And if they don't happen to have one out, it is certainly tucked away in a pocket or bag.

But are we truly addicted to technology? And what about our kids? It's a scary question, and a big one for scientists right now. Still, while the debate rages on, some doctors and technologists are focusing on solutions.

A one-paragraph letter, barely a hundred words long, unwittingly became a major contributor to today's opioid crisis, researchers say.

"This has recently been a matter of a lot of angst for me," Dr. Hershel Jick, co-author of that letter, told Morning Edition host David Greene recently. "We have published nearly 400 papers on drug safety, but never before have we had one that got into such a bizarre and unhealthy situation."

When her youngest daughter, Naomi, was in middle school, Ellen watched the teen disappear behind a screen. Her once bubbly daughter went from hanging out with a few close friends after school to isolating herself in her room for hours at a time. (NPR has agreed to use only the pair's middle names, to protect the teen's medical privacy.)

"She started just lying there, not moving and just being on the phone," says Ellen. "I was at a loss about what to do."

Nearly 1.5 million Americans were treated for addiction to prescription opioids or heroin in 2015, according to federal estimates, and when those people get seriously hurt or need surgery, it's often not clear, even to many doctors, how to safely manage their pain. For some former addicts, what begins as pain relief ends in tragedy.

Michael Botticelli served as President Obama's director of National Drug Control Policy, and pushed Congress to pass a funding measure last year making more money available for the treatment of opioid addiction.

Now he's concerned that the proposed Republican health plan will reduce access to health services for people with addiction.

The American Medical Association has adopted new policies to prevent tobacco use in young adults.

Flinging birds at pigs and moving jelly beans around a little screen are not human instincts. Game designers create the urge to do those things for hours at a time.

"From the way the games are designed to help us start playing the game, to the way they keep us coming back to the game, to how they involve our friends in the game — all of these things have underpinnings in consumer psychology," says game consultant Nir Eyal.