--- title: DML (8) description: Read David Mee-Lee, M.D.’s Tips and Topics on person-centered addiction treatment, co-occurring mental health conditions, and the ASAM Criteria. 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Welcome to the November edition of Tips and Topics.  For readers in the USA, may you have a safe, joyful and meaningful Thanksgiving whether you are together with your loved ones in person or online. In **SAVVY**, I just learnt about a group called Braver Angels, an initiative to heal America in the aftermath of the 2020 election. I connect you to them in hopes you may be interested. In **SKILLS**, I summarize techniques and tips based on marriage counseling skills that Braver Angels has found effective in bridging political gaps.  These skills apply across all conflicts to improve understanding and empathy. In **SOUL**, I share WhatsApp texts with my longtime childhood friends in Australia when they asked me about the Presidential election. [Admin](https://changecompanies.net/tipsandtopics/author/admin) [Read More](https://changecompanies.net/tipsandtopics/november-2020) ### [October 2020](https://changecompanies.net/tipsandtopics/october-2020) Oct 25, 2020, 7:47:01 PM # Addiction – Disease? Willful misconduct? Harm Reduction?; How to be a child. Welcome to the October edition of Tips and Topics. In **SAVVY,** I answer two follow-up questions arising from last month’s edition. The first asks how addiction is compared to other health issues. The second asks about a Harm Reduction approach to addiction versus a “medical model”. In **SKILLS**, I have excerpted learning points and comments from several readers who responded to the dialogue about “*After a patient is discharged… is there a period of time that patients should have to wait before being readmitted to the clinic?”* In **SOUL**, I reflect on how children are focused on fun, joy, laughter and full self expression. Then we adults gradually suppress that spontaneity only to devote time, money and energy in personal development workshops to rediscover and reawaken that “inner child”. [Admin](https://changecompanies.net/tipsandtopics/author/admin) [Read More](https://changecompanies.net/tipsandtopics/october-2020) ### [September 2020](https://changecompanies.net/tipsandtopics/september-2020) Sep 27, 2020, 7:14:41 PM # Stump the Shrink and how long to ban readmission for a discharged patient; indoor plants make me happy and healthy In **SAVVY, SKILLS and STUMP THE SHRINK,** follow my thinking process as I ponder how to respond to a nurse practitioner’s question about how long should a program make a discharged client wait before readmitting them – 30 days, a year or what? In **SOUL**, I discovered that plants and nature are good for us in almost every way you can think about. My indoor plants are not only fun to see grow and develop, but they are good for my health. [Admin](https://changecompanies.net/tipsandtopics/author/admin) [Read More](https://changecompanies.net/tipsandtopics/september-2020) ### [August 2020](https://changecompanies.net/tipsandtopics/august-2020) Aug 27, 2020, 9:52:22 AM # The ASAM Criteria – Tips on assessment and treatment; 18 months since I lost my wife and Ricky Gervais’ “After Life”   In **SAVVY and SKILLS,** assessment and treatment tips for the six assessment dimensions of the ASAM (American Society of Addiction Medicine) Criteria. In **SOUL**, it is 18 months since I lost my wife. Ricky Gervais’ Netflix series “After Life” got me thinking about grief and a host of other related human interests (and it entertained). [Admin](https://changecompanies.net/tipsandtopics/author/admin) [Read More](https://changecompanies.net/tipsandtopics/august-2020) ### [July 2020](https://changecompanies.net/tipsandtopics/july-2020) Jul 30, 2020, 12:13:01 PM # What to do about COVID-19 uncertainty, anxiety and “caution fatigue”; Roman poet, Ovid’s advice Welcome to the July edition of Tips and Topics. In **SAVVY,** Gretchen Rubin, author of “The Happiness Project: Happier at Home and Better than Before” gives tips on what to do about all the uncertainty we are experiencing with COVID-19. In **SKILLS**, Jamie Ducharme, Staff Writer at Time Magazine, summarizes tips for fighting “caution fatigue” from Jacqueline Gollan, an associate professor of psychiatry and behavioral sciences at the Northwestern University Feinberg School of Medicine. In **SOUL**, Gretchen Rubin gives one last piece of advice on how to handle the uncertainty and anxiety over COVID-19 and quotes Ovid: “Perfer et obdura, dolor hic tibi proderit olim. (*Be patient and tough; someday this pain will be useful to you.*)” [Admin](https://changecompanies.net/tipsandtopics/author/admin) [Read More](https://changecompanies.net/tipsandtopics/july-2020) ### [June 2020](https://changecompanies.net/tipsandtopics/june-2020) Jun 28, 2020, 5:29:00 PM # “Blue Eyes, Brown Eyes” experiment; Iowa Dept. of Corrections training; if you aren’t black..; being present; James Taylor’s song Welcome to the June edition of Tips and Topics. This edition is focused on an important, game-changing time in USA history. In SAVVY, I share an experiment from 1970 that changed the attitudes of 3rd graders. The Iowa Dept. of Corrections had a training that was equally illuminating. It’s worth taking 53 minutes of your time to watch. I also highlight three areas of life that black people experience that I have never thought of; and I bet you haven’t either if you are a white person. In SKILLS, three of my colleagues and friends share their thoughts on what to do and where to start as we rethink race relations; re-imagine policing practices; and search our own attitudes and actions. In SOUL, I share where I am beginning to commit to change.  Also listen to a classic song from the 1949 musical, South Pacific, refreshed and re-recorded by James Taylor. [Admin](https://changecompanies.net/tipsandtopics/author/admin) [Read More](https://changecompanies.net/tipsandtopics/june-2020) ### [May 2020](https://changecompanies.net/tipsandtopics/may-2020) May 24, 2020, 3:15:00 PM # “Quarantine fatigue”; fear and Law of Attraction; use it or lose it. Welcome to the May edition of Tips and Topics. We’re not ready to move on from COVID-19 yet, as much as it would be wonderful to get back to “business as usual”. In SAVVY, the focus is on “quarantine fatigue”. The HIV epidemic has lessons that can help shape where we go with COVID-19. In SKILLS, fear attracts more fear.  Daily stress and worry plagues a majority of Americans (60%). Shifting our focus away from what pulls us down, can help us get through COVID-19.  But don’t forget to wash your hands. In SOUL, the blinds in my lakeview room reminded me to use it or lose it. [Admin](https://changecompanies.net/tipsandtopics/author/admin) [Read More](https://changecompanies.net/tipsandtopics/may-2020) ### [April 2020](https://changecompanies.net/tipsandtopics/april-2020) Apr 22, 2020, 6:02:24 PM # Bill Gates on pandemics; smiles and songs; how I read the news now In SAVVY, Bill Gates’s 8 minutes TED talk could have saved thousands of lives and trillions of dollars if we had listened to him. As we think of opening the USA up again, will we listen now?  In SKILLS, SMILES, SONGS I share some of my favorite coronavirus related humor and music.  In SOUL AND SHARING SOLUTIONS, I pass by news items that leave me angry and less empathetic. Is there anyone out there wanting to come together to find solutions to our shared common challenges? [Admin](https://changecompanies.net/tipsandtopics/author/admin) [Read More](https://changecompanies.net/tipsandtopics/april-2020) ### [March 2020](https://changecompanies.net/tipsandtopics/march-2020) Mar 15, 2020, 5:22:35 PM # March Problem Gambling Awareness Month; Language of Recovery; No need to panic [Admin](https://changecompanies.net/tipsandtopics/author/admin) [Read More](https://changecompanies.net/tipsandtopics/march-2020) ### [February 2020](https://changecompanies.net/tipsandtopics/february-2020) Feb 23, 2020, 9:00:00 AM # Turning frustrations into Systems solutions; 1 year since I lost my wife [Admin](https://changecompanies.net/tipsandtopics/author/admin) [Read More](https://changecompanies.net/tipsandtopics/february-2020) [6](https://changecompanies.net/tipsandtopics/page/6) [7](https://changecompanies.net/tipsandtopics/page/7) [8](https://changecompanies.net/tipsandtopics/page/8) [9](https://changecompanies.net/tipsandtopics/page/9) [10](https://changecompanies.net/tipsandtopics/page/10) Dive into our archive — every article since 2003 is just a search away. [![New call-to-action](https://no-cache.hubspot.com/cta/default/20881724/b29955ce-beea-47f7-a194-5d154abd325f.png)](https://cta-redirect.hubspot.com/cta/redirect/20881724/b29955ce-beea-47f7-a194-5d154abd325f) ##### About Tips and Topics David Mee-Lee, M.D., is a psychiatrist certified by the American Board of Addiction Medicine (ABAM). Based in Woodland, California, he trains and consults internationally. Mee-Lee was editor in chief of the American Society of Addiction Medicine's (ASAM) Criteria for all editions from 1991-2013. Now retired, he was president of DML Training and Consulting and had over 40 years’ experience in person-centered treatment and program development for people with co-occurring mental health and substance use conditions. 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