Kratom: A Safe Alternative to Heroin?

Kratom is a tropical tree native to Southeast Asia. It’s becoming increasingly popular in the United States. It’s used for pain relief, mood enhancement, and to manage opioid withdrawal symptoms or reduce/stop opioid use. This post explores the use of kratom as a potential treatment for opioid use disorder.

By Cassie Jewell, LPC, LSATP

Kratom (mitragyna speciosa) is a tropical tree native to Southeast Asia and, like coffee, is part of the Rubiaceae plant family. Ingesting kratom leaves produces a high. Taken in small amounts, kratom leads to stimulant-like effects (i.e. increased energy and focus – stronger than caffeine, less intense than cocaine). When taken in larger doses, the high is similar to that of an opioid (euphoria, drowsiness, “pinned” pupils, dry mouth, sweating, nausea, constipation, etc.) Kratom is unique in that it produces both stimulant and opioid-like effects.

Note: “Opioid” is the term used for any drug that binds to the opioid receptors in the brain. An “opiate,” on the other hand, is a naturally occurring chemical found in the poppy plant, such as morphine or codeine. All opiates are opioids.

In the United States, kratom users cite pain relief as a primary motive for use. Kratom, an opioid agonist, works by binding to opioid receptors in the brain. It can be effective for both acute and chronic pain. Others report using kratom for energy, increased focus, lower levels of anxiety, to reduce/stop the use of opioids, to reduce symptoms of PTSD or depression, and to elevate mood.

Kratom is legal in Virginia; it’s sold at vape or “head” shops as a loose powder or in capsules. (Alternatively, kratom can be purchased online.) Packaging is typically labeled “botanical sample only; not for human consumption.” The extremely bitter powder can be sprinkled over food or brewed into a tea. It’s easily swallowed in capsule form.

What does kratom mean for the opioid epidemic in America? Will kratom one day play a key role in the treatment of opioid use disorders? Or will it fall into the “harm reduction” category? Is it a natural pain medication, a safe alternative to highly addictive opioid pain killers?

Or, will we find that kratom, like heroin, is habit-forming and deadly? Currently, the research is mixed.

An Alternative to Opioid Drugs

The results of a 2019 survey published in Drug and Alcohol Dependence revealed that 90% of respondents found kratom effective for relieving pain, reducing opioid use, and easing withdrawal symptoms.  

In 2011, researchers discovered that kratom alleviated morphine withdrawal symptoms. A more recent study indicated that kratom may reduce morphine use.

Earlier this year, researchers found that kratom use was associated with significant decreases in the occurrence and severity of opioid adverse effects; kratom lessened the discomfort of opioid withdrawal. Multiple studies have substantiated these findings, suggesting that kratom is a useful medication for opioid addiction and withdrawal.

Interestingly, in 2007, it was found that kratom reduced alcohol withdrawal behaviors. More recently, researchers discovered that kratom decreased alcohol use; this suggests that kratom may help those with alcohol use disorders (AUD) in addition to opioid addiction.

Harm-Reduction

Compared to heroin, kratom is less addictive and has milder withdrawal symptoms. Furthermore, the risk of deadly overdose is reduced with kratom use. A 2018 literature review indicated that kratom may have harm-reduction potential for individuals who want to stop using opioids.

Dangerous and Addictive?

According to the CDC, there were 152 kratom-involved deaths between July 2016 and December 2018 (“kratom-involved,” meaning kratom was a factor). In seven of those deaths, kratom was the only substance found in toxicology tests (although it should be noted that the presence of other substances was not fully ruled out). It’s possible to overdose on kratom, and when combined with other drugs or medications, kratom can be fatal.

In rare cases, kratom has been linked to liver toxicity, kidney damage, and seizures. In the case of a 32-year-old woman who was using kratom for opioid withdrawal, kratom was likely the cause of acute lung injury. Kratom use may also cause cardiac or respiratory arrest.

Kratom’s harmful effects are not limited to the body; a 2010 study linked chronic kratom use to alterations in working memory. In 2016, researchers found that kratom use was associated with cognitive impairment. An additional 2016 study supported previous findings that kratom may affect learning. In 2019, researchers found that high doses of kratom were linked to memory deficits. In contrast, a 2018 study indicated that high kratom consumption was not related to long-term cognitive impairment. That same year, researchers found that long-term kratom use did not appear to cause altered brain structures. More research is needed in this area.

Regarding whether or not kratom is addictive, multiple studies have found that regular kratom use leads to dependence, withdrawal symptoms, and cravings. Kratom cessation may also cause psychological withdrawal symptoms, such as anxiety and depression.

Bottom Line

Will kratom step up as the hero of today’s opioid epidemic? Doubtful. And for kratom to be a viable treatment option, more conclusive research is needed. Additionally, researchers must study the safety of long-term kratom use.

While it’s unlikely, kratom use could lead to adverse health effects or cognitive impairment; it could also fatally interact with other substances or medications. Furthermore, long-term use may lead to addiction. In sum, the majority of the literature suggests that kratom is, by no means, safe.

That being said, when compared to shooting heroin, kratom is safe (a safer alternative, at least). And if someone chooses to use kratom to reduce/stop their opioid use, I won’t lecture about the “dangers” of kratom. Until we have more answers, I will hold to the view that kratom is a harm-reduction measure… and it has the potential to save lives.


References

Apryani, E., Hidayat, M. T., Moklas, M. A. A., Fakurazi, S., & Idayu, N. F. (2010). Effects of mitragynine from mitragyna speciosa korth leaves on working memory. Journal of Ethnopharmacology129(3), 357-360.

Burke, D., Shearer, A., & Van Cott, A. (2019). Two cases of provoked seizure associated with kratom ingestion. Neurology, 92(15), 4.5-030.

Coe, M.A., Pillitteri,J.L, Sembower, M.A., Gerlach, K.K., & Henningfield, J.E. (2019). Kratom as a substitute for opioids: Results from an online survey. Drug and Alcohol Dependence, 202, 24-32. ISSN 0376-8716, https://doi.org/10.1016/j.drugalcdep.2019.05.005

Eggleston, W., Stoppacher, R., Suen, K., Marraffa, J. M., & Nelson, L. S. (2019). Kratom use and toxicities in the United States. Pharmacotherapy: The Journal of Human Pharmacology and Drug Therapy.

Gutridge, A.M., Robins, M.T., Cassell, R.J., Uprety, R., Mores, K.L., Ko, M.J., Pasternak, G.W., Majumdar, S., & van Rijn, R.M. (2019), Therapeutic potential of g-protein-biased kratom-derived and synthetic carfentanil-amide opioids for alcohol use disorder. The FASEB Journal, 33:1, 498.3-498.3.

Halpenny, G.M. (2017). Mitragyna speciosa: Balancing potential medical benefits and abuse. ACS Medicinal Chemistry Letters, 8(9), 897-899. DOI: 10.1021/acsmedchemlett.7b00298

Hassan, Z., Muzaimi, M., Navaratnam, V., Yusoff, N.H.M., Suhaimi, F.W., Vadivelu, R., Vicknasingam, B.K., Amato, D., von Hörsten, S., Ismail, N.I.W., Jayabalan, N., Hazim, A.I., Mansor, S.M., & Müller, C.P. (2013). From kratom to mitragynine and its derivatives: Physiological and behavioural effects related to use, abuse, and addiction. Neuroscience & Biobehavioral Reviews, 37:2,138-151, ISSN 0149-7634. https://doi.org/10.1016/j.neubiorev.2012.11.012

Hassan, Z., Suhaimi, F., Dringenberg, H. C., & Muller, C. P. (2016). Impaired water maze learning and hippocampal long-term potentiation after mitragynine (kratom) treatment in rats. Front. Cell. Neurosci. Conference Abstract: 14th Meeting of the Asian-Pacific Society for Neurochemistry. doi: 10.3389/conf. fncel (Vol. 58).

Hassan, Z., Suhaimi, F. W., Ramanathan, S., Ling, K. H., Effendy, M. A., Müller, C. P., & Dringenberg, H. C. (2019). Mitragynine (kratom) impairs spatial learning and hippocampal synaptic transmission in rats. Journal of Psychopharmacology, 0269881119844186.

Hemby, S. E., McIntosh, S., Leon, F., Cutler, S. J., & McCurdy, C. R. (2018). Abuse liability and therapeutic potential of the mitragyna speciosa (kratom) alkaloids mitragynine and 7‐hydroxymitragynine.  Addiction Biologyhttps://doi.org/10.1111/adb.12639

Hughes, R. L. (2019). Fatal combination of mitragynine and quetiapine–a case report with discussion of a potential herb-drug interaction. Forensic Science, Medicine and Pathology15(1), 110-113.

Jaliawala, H. A., Abdo, T., & Carlile, P. V. (2018). Kratom: A potential cause of acute respiratory distress syndrome. DRUG INDUCED LUNG DISEASE: CASE REPORTS, A6604-A6604, American Thoracic Society.

Khor, B.S., Amar Jamil, M.F., Adenan, M.I., & Chong Shu-Chien, A. (2011). Mitragynine attenuates withdrawal syndrome in morphine-withdrawn zebrafish. PLOS ONE 6(12):e28340, https://doi.org/10.1371/journal.pone.0028340

Kumarnsit, E., Keawpradub, N., & Nuankaew, W. (2007). Effect of mitragyna speciosa aqueous extract on ethanol withdrawal symptoms in mice. Fitoterapia, 78:3, 182-185. ISSN 0367-326X, https://doi.org/10.1016/j.fitote.2006.11.012

Meepong, R., & Sooksawate, T. (2019). Mitragynine reduced morphine-induced conditioned place preference and withdrawal in rodents. Thai Journal of Pharmecutical Sciences, 43:1, 21-29.

NIDA. (2019, April 8). Kratom. Retrieved from https://www.drugabuse.gov/publications/drugfacts/kratom on 2019, July 19

Olsen, E.O., O’Donnell, J., Mattson, C.L., Schier, J.G., & Wilson, N. (2019). Notes from the field: Unintentional drug overdose deaths with kratom detected – 27 states. MMWR Morb Mortal Wkl Rep, 68:326-327.

Palasamudram Shekar, S., Rojas, E.E., D’Angelo, C.C., Gillenwater, S.R., & Martinez Galvis, N.P. (2019). Legally lethal kratom: A herbal supplement with overdose potential. Journal of Psychoactive Drugs51(1), 28-30.

Raffa, R.B., Pergolizzi, J.V., Taylor, R., & Ossipov, M.H (2018). Nature’s first “atypical opioids”: Kratom and mitragynines. J Clin Pharm Ther, 43: 437– 441. https://doi.org/10.1111/jcpt.12676

Sakaran, R., Othman, F., Jantan, I., Thent, Z. C., & Das, S. (2014). An insight into the effect of mitragyna speciosa korth extract on various systems of the body. Global J Pharmacol8, 340-346.

Saref, A., Suraya, S., Singh, D., Grundmann, O., Narayanan, S., Swogger, M.T., Prozialeck, W.C., Boyer, E., Chear, N.J.Y., & Balasingam, V. (2019). Self-reported prevalence and severity of opioid and kratom (mitragyna speciosa korth) side effects. Journal of Ethnopharmacology, 238, 111876. ISSN 0378-8741, https://doi.org/10.1016/j.jep.2019.111876

Singh, D., Chye, Y., Suo, C., Yücel, M., Grundmann, O., Ahmad, M. Z., … & Mϋller, C. Brain magnetic resonance imaging of regular kratom (mitragyna speciosa korth) users: A preliminary study.

Singh, D., Müller, C.P., & Vicknasingam, B.K. (2014). Kratom (mitragyna speciosa) dependence, withdrawal symptoms and craving in regular users. Drug and Alcohol Dependence, 139, 132-137. ISSN 0376-8716, https://doi.org/10.1016/j.drugalcdep.2014.03.017

Singh, D., Narayanan, S., Müller, C.P., Swogger, M.T., Rahim, A.A., Abdullah, M.F.I.L.B., & Vicknasingam, B.K. (2018). Severity of kratom (mitragyna speciosa korth) psychological withdrawal symptoms. Journal of Psychoactive Drugs, 50:5, 445-450. DOI: 10.1080/02791072.2018.1511879

Singh, D., Narayanan, S., Müller, C. P., Vicknasingam, B., Yücel, M., Ho, E. T. W., … & Mansor, S. M. (2019). Long-term cognitive effects of kratom (mitragyna speciosa korth) use. Journal of Psychoactive Drugs51(1), 19-27.

Swogger, M.T., & Walsh, Z. (2018). Kratom use and mental health: A systematic review. Drug and Alcohol Dependence, 183, 134-140. ISSN 0376-8716, https://doi.org/10.1016/j.drugalcdep.2017.10.012

Tayabali, K., Bolzon, C., Foster, P., Patel, J., & Kalim, M.O. (2018). Kratom: A dangerous player in the opioid crisis. Journal of Community Hospital Internal Medicine Perspectives, 8:3, 107-110. DOI: 10.1080/20009666.2018.1468693

Veltri, C., & Grundmann, O. (2019). Current perspectives on the impact of kratom use. Substance Abuse and Rehabilitation10, 23–31. doi:10.2147/SAR.S164261

Yusoff, N. H. M., Suhaimi, F. W., Vadivelu, R. K., Hassan, Z., Rümler, A., Rotter, A., Amato, D., Dringenberg, H. C., Mansor, S. M., Navaratnam, V., & Müller, C. P. ( 2016). Abuse potential and adverse cognitive effects of mitragynine (kratom). Addiction Biology21:98– 110. doi: 10.1111/adb.12185

From Survival to Endurance to Fulfillment: How I Found Meaning in Life

“I gave up on having a future. And I was strangely okay with it.”

By Cassie Jewell, LPC, LSATP

Without delving too deep into my past, I will tell you that my late teens and early to mid 20’s were not the best of times. They were dark. Lonely. Depressing. I was living a life of chaos and hopelessness. At one point, I didn’t think I was going to survive; I gave up on having a future. And I was strangely okay with it.

My turning point was a spiritual awakening of sorts. A near-death experience led to a realization that I didn’t want to die; and it was either die or change my life. I picked change.

What helped me to live again (and ultimately find fulfillment)? You might guess family or a relationship or God. But at the time, I wasn’t close with my family, I didn’t have any significant relationships/friendships, and God wasn’t a part of my life. It was the following that helped me become the person I am today:

A Therapist

Having not a single shred of self-esteem, I went to see a counselor. She created a safe space and then uplifted me, making me feel worthwhile. She normalized what I was going through; I felt less alone. She affirmed me for positive choices I made. She initiated the mending of my fragile self. I gradually gained confidence, not only in myself, but in the idea that I could live a better life.

My Dog

She loved me unconditionally… and she depended on me fully. If I died, she would think I purposely left her. I couldn’t bear the idea; I wouldn’t do that to her. She played a huge role in my recovery. I sometimes think she saved me.

My Potential

I’ve always known I have potential. I’m smart and creative. I’m motivated and driven. But that potential died somewhere along the way in young adulthood. In moments of clarity, I mourned my lost potential. I wanted to be better and to do better with my life. I was meant, maybe not for great things, but for better things than living out of my car, broke and friendless. When I decided to live, my potential reawakened; it became a driving force – a bright, glowing beacon that revitalized and inspired me.

“You have to forgive yourself.”

Self-Forgiveness

I couldn’t bear to tell my therapist about some of the things I’d done. I was ashamed; late at night, lying in bed, I would think about past events. I’d feel sick to my stomach – then, an unpleasant head rush heart racing not able to get enough air… (That’s the feeling of shame seeping from your mind into your being.) My therapist didn’t push me to share; instead, she said, “You have to forgive yourself.” It became my mantra, quietly uttered in the dark. I would repeat, “I forgive myself, I forgive myself, I forgive myself…” until I internalized it. (That being said, it didn’t happen overnight… it took weeks, months, years. But all was set in motion with that one simple statement.)

Education

I went back to school and was able to fully immerse myself in my studies. As a naturally curious person, learning is a sort of fuel for me. The more I learn, the thirstier I become. My classes provided me with not only knowledge, but with a spark that generated purpose.

Passion

While in school, I discovered a new passion; I fell in love with research. (#nerd) I thrived in my research/statistics class; my undergraduate study was even published in a national journal. It felt good to be passionate about something again; it stirred up (from the dust) long-forgotten loves, like reading and writing – passions I thought I’d left behind in childhood.

A Meaningful Career

After finishing college and starting graduate school, I became a counselor… and found meaning in helping others. My first job in the field was tough, heart-breaking at times, and deeply fulfilling. It solidified what my education had started to shape – I no longer needed to survive or endure life; I found my purpose for living.

Professional Development for Mental Health Practitioners

20 professional development ideas for counselors, social workers, and other mental health clinicians

By Cassie Jewell, LPC, LSATP

Professional development encompasses all activities that provide or strengthen professional knowledge/skills. Ongoing professional development is a requirement for mental health practitioners in order to maintain competency and for keeping up-to-date on the latest research and evidence-based practices in an ever-changing field.

Listed below are several ideas for counselor professional development.

1 Find a mentor (and meet with them at least once a month).

2 Sign up for relevant e-mail lists. A few I find the most helpful/informative: Brain & Behavior Foundation, National Institute of Mental Health, and SAMHSA.

3 Become a member of a professional organization (i.e. American Counseling Association).

4 Keep up-to-date on the latest research. If you are a member of a professional organization, take advantage of your member benefits; you likely have access to a professional journal. You can also browse sites like ScienceDaily or use an app like Researcher.

5 Facilitate professional trainings or manage a booth at a conference.

6 Read counseling and psychology books (such as On Being a Therapist by Kottler or Mindsight by Siegel).

7 Practice awareness. Know your values, limitations, and personal biases.

8 Become familiar with local resources in your community.

9 Volunteer.

10 Join a professional counseling forum and participate in discussions. The ACA has several. You could also go the reddit route (i.e. r/psychotherapy).

11 Review your professional code of ethics on a regular basis. (Link to the ACA Code.)

12 Attend webinars, trainings, and conferences. Stay informed by subscribing to email lists, participating in professional forums, and searching Eventbrite for local events; search “mental health.” PESI is another source, but the seminars can be costly.

13 Network/consult.

14 Subscribe to psychology magazines like Psychology Today or Psychotherapy Networker.

15 Further your education by taking classes or earning a certificate.

16 Pick a different counseling skill to strengthen each week. (You can even use flashcards to pick a new skill or simply review!)

17 Write an article or book (or book review!)

18 Take free online courses.

19 Listen to podcasts (like Therapy Chat or Counselor Toolbox).

20 Practice self-care on a regular basis to prevent burnout. Why is self-care included in a post on professional development? Because self-care is crucial for counselor wellness; a counselor experiencing burnout puts his/her clients at risk.

Feed Your Mood: The Link between Diet and Mental Health

What foods are associated with increased psychiatric symptoms? What should you eat if you want to boost your mood? Learn what researchers have found when it comes to diet and mental well-being.

By Cassie Jewell, LPC, LSATP

You may have heard of the “food-mood connection.” Research indicates that our food choices greatly impact not only physical health, but mental well-being. Some foods seem to boost mood and reduce psychiatric symptoms while others are linked to depression and anxiety.

Mood Thugs

Sugar negatively impacts mood and slows memory and learning. High-sugar diets are associated with smaller brain volume. Furthermore, sugar will make you less alert and more tired. A recent study found that the idea of a “sugar rush” is myth.

Sugar is not the only villain; fat can be just as harmful. One study found that a high-fat diet may lead to symptoms of depression and anxiety. Furthermore, trans fat may lead to poor memory function.

If you have bipolar disorder, avoid processed meats such as jerky, hot dogs, etc. Researchers found that nitrates in processed meats are associated with mania.

Mood Champions

A diet high in fiber and vegetables (with limited fast food and added sugars) has been linked to improved mood and a reduction in depressive symptoms. Interestingly, women seem to benefit more than men, and the effect is even greater when exercise is added. A vegan or plant-based diet is associated with lower levels of depression, anxiety, and stress.

Fruits and vegetables are good for mood, but raw fruits and veggies are better. A raw diet is associated with higher levels of mental wellbeing and lower levels of psychiatric symptoms. According to a recent study, the top raw food associated with mental wellness are apples, bananas, berries, carrots, citrus fruits, cucumbers,  grapefruit, kiwi, lettuce, and dark, leafy greens.

So how many servings of fruit/veggies should you eat per day for optimal mental health? At least 8, according to one study that found happiness benefits were evident for each portion for up to 8 servings per day.

What nutrients should you include in your diet for improved mental health? Research indicates the following are important for mental wellbeing:  Omega-3 fatty acids (fish, flaxseed, walnuts), phospholipids (egg yolk, soybeans), niacin (liver, avocado, brown rice), folate (legumes, beets, broccoli), vitamin B6 (chickpeas, tuna), and vitamin B12 (sardines, fortified nutritional yeast).

In sum, skip the fast food and soda; head to the salad bar instead to feed your mood and your belly!


References

Bonnie Beezhold, Cynthia Radnitz, Amy Rinne & Julie DiMatteo (2015) Vegans report less stress and anxiety than omnivores, Nutritional Neuroscience, 18:7, 289-296, DOI: 10.1179/1476830514Y.0000000164

Boston University. (2017, April 20). Is soda bad for your brain? (And is diet soda worse?): Both sugary, diet drinks correlated with accelerated brain aging. ScienceDaily. Retrieved from www.sciencedaily.com/releases/2017/04/170420162254.htm

Johns Hopkins Medicine. (2018, July 18). Beef jerky and other processed meats associated with manic episodes. ScienceDaily. Retrieved from www.sciencedaily.com/releases/2018/07/180718082225.htm

Knüppel, A., Shipley, M. J., Llewellyn, C. H., & Brunner, E. J. (2017). Sugar intake from sweet food and beverages, common mental disorder and depression: prospective findings from the Whitehall II study. Scientific reports7(1), 6287. doi:10.1038/s41598-017-05649-7

Lim SY, Kim EJ, Kim A, Lee HJ, Choi HJ, Yang SJ.   Nutritional Factors Affecting Mental Health.   Clin Nutr Res. 2016 Jul;5(3):143-152. https://doi.org/10.7762/cnr.2016.5.3.143

University of California, Los Angeles. (2012, May 15). This is your brain on sugar: Study shows high-fructose diet sabotages learning, memory. ScienceDaily. Retrieved from www.sciencedaily.com/releases/2012/05/120515150938.htm

University of California, San Diego Health Sciences. (2015, June 17). Dietary trans fat linked to worse memory. ScienceDaily. Retrieved from www.sciencedaily.com/releases/2015/06/150617144237.htm

University of Manchester. (2019, February 5). Healthy diet can ease symptoms of depression. ScienceDaily. Retrieved from www.sciencedaily.com/releases/2019/02/190205090511.htm

University of Otago. (2018, April 16). Raw fruit and vegetables provide better mental health outcomes. ScienceDaily. Retrieved from www.sciencedaily.com/releases/2018/04/180416101403.htm

University of Warwick. (2016, July 10). Fruit and veggies give you the feel-good factor. ScienceDaily. Retrieved from www.sciencedaily.com/releases/2016/07/160710094239.htm

University of Warwick. (2019, April 4). No such thing as ‘sugar rush’! Sugar worsens mood rather than improving it. ScienceDaily. Retrieved from www.sciencedaily.com/releases/2019/04/190404104345.htm

Wiley. (2015, October 19). High-fat diet may cause changes in brain that lead to anxiety, depression. ScienceDaily. Retrieved from http://www.sciencedaily.com/releases/2015/10/151019123204.htm

Sites with Helpful Resource Lists

A list with links to other sites’ resource pages

By Cassie Jewell, LPC, LSATP

I have a knack for finding resources. To compile the lists for this blog, I spend countless hours searching the Internet.

My main resource list has grown tremendously since I started blogging. In my quest to compile the most comprehensive resource list ever, I came across a few lists that rival my own.

This post will link you to a variety of resource pages (in case you can’t find what you’re looking for on this site!) If a link isn’t working, try going to the site’s homepage or sitemap to look for the resource section.


Community Resources (ADAA)

From the Anxiety and Depression Association of America

DISCOVER AND RECOVER: Resources for Mental and Overall Wellness

A blog with tons of resources

Expert Resources from JED and Others

Resources for teens and young adults

Find Resources (CADCA)

An extensive searchable resource list from CADCA (for substance use disorder-related resources)

Free Mental Health Resources

A list compiled by blogger Blake Flannery (last updated 2015)

Links (Sidran Institute)

From the Sidran Institute… tons of sites I’d never heard of!

Links to Other Empowering Websites

From the National Empowerment Center

Mental Health and Psychology Resources Online

A list of online resources from PsycCentral

Mental Health Resources for Therapists and Clients

From the blog: Info Counselling – Evidence based therapy techniques. Compiled/last updated 2017.

Mental Health Resources List

A fairly comprehensive list similar to mine. Updated 2018.

Resources

Resources for child sexual abuse

Resources (Veto Violence)

A searchable resource database from Veto Violence (a CDC organization)

Self-Injury and Recovery Research and Resources

Resources for those who self-injure, their loved ones, students, and health professionals

Sites We Like

From S.A.F.E. Alternatives – Resources related to self-harm

Veteran Resources

A resource list from Lifeline for Vets (National Veterans Foundation)

Books and Resources for Therapists

A resource list for therapists and other mental health professionals, including book recommendations and sites that link to (free!) printable worksheets, handouts, and more.

By Cassie Jewell, LPC, LSATP

Updated July 12, 2019

This is a list of books and websites for mental health professionals. Please check back as I update regularly. If you have a suggestion, use the contact form on this site to send me a message.


Armstrong, C. (2015). The Therapeutic “Aha!” Strategies for Getting Your Clients Unstuck.

Belmont, J. (2015). The Therapist’s Ultimate Solution Book.

Finley, J., & Lenz, B. (2014). Addiction Treatment Homework Planner, 5th ed. Provides you with an array of ready-to-use, between-session assignments designed to fit virtually every therapeutic mode.


ACEs Connection

An ACEs community for connecting with others who practice trauma-informed care. You can also access the latest news and research related to ACEs; this site also has a huge resource section with guides, surveys, webinars, and more.

ACT Mindfully

A variety of free worksheets, handouts, book chapters, articles, and more. Acceptance and Commitment Therapy (ACT) is a unique and creative model for both therapy and coaching; a type of cognitive behavioural therapy based on the innovative use of mindfulness and values.

Association for Behavioral and Cognitive Therapies

Info and clinical resources, including archived Webinars and podcasts

CBT for Psychosis & Trauma & Psychosis Handouts

A short list of helpful handouts; this site is also a source for blog posts on psychosis and trauma (by Ron Unger, LCSW)

The Centre for Applied Research in Mental Health and Addiction – Tools and Resources

The Centre for Applied Research in Mental Health and Addiction (CARMHA) is an internationally recognized research centre based at the Faculty of Health Sciences, Simon Fraser University, Vancouver. CARMHA conducts innovative and interdisciplinary scientific research related to mental health and substance use, primarily in the areas of clinical or other intervention practice, health systems and population health and epidemiology. Access free downloadable workbooks for stress in the workplace, depression, coping with chronic pain, and other topics.

Centre for Clinical Interventions

Free downloadable workbooks on anxiety, self-esteem, eating disorders, panic, perfectionism, and more

Evidence-Based Behavioral Practice

Information on evidence-based behavioral practices; includes tools, assessments, videos, and free online training modules

Guided Self-Change

A great resource for SUD assessments, group materials, and handouts

Get Self-Help – Free Resources

This website provides CBT self-help and therapy resources, including a large collection of worksheets and information sheets and self-help mp3s; a useful tools for therapists or individuals seeking to manage a mental health condition.

Kim’s Counseling Corner – Therapy and Self-Help Worksheets

Kim Peterson, LPC-S, specializes in child and teen issues, parenthood, play therapy and relationships. She provides links to online worksheets or PDF versions that she has collected over time as a therapist. Topics include abuse, depression, anxiety, self-harm, and more.

Marriage Intelligence: “Love Tools”

Free downloadable worksheets for surviving infidelity, forgiveness, communication, etc.

Mind Tools

Free management, leadership, and personal effectiveness worksheets and tools. (Join the Mind Tools Club for a fee to access additional tools and online courses.)

National Center for PTSD for Professionals

Free handouts, toolkits, online trainings, and more

Oxford Clinical Psychology: Forms and Worksheets

A vast collection of forms, handouts, and assessments on anxiety, OCD, depression, parenting, substance use, and more

Personality Lab

Articles, assessments, dissertations, etc. on personality intelligence

Positive Psychology Program

This site contains a wealth of free assessments, PDF printables, activities, handouts, worksheets, and more. Search by category or browse blog posts.

PsyberGuide

A nonprofit organization that discovers and reviews mental health apps, which are rated as unacceptable, questionable, or acceptable. You can also search target conditions and treatments. Use this site to make recommendations to your clients.

Psychology Tools

Psychology Tools is a leading online resource for therapists. Download free worksheets, assessments, and guides.

PsychPoint

Articles and worksheets

Self-Care Starter Kit from University at Buffalo School of Social Work

Designed to prevent/treat burnout, this kit includes info on vicarious trauma, assessments, meditations, and helpful links to additional self-care resources

SMI Adviser

Search topics and find resources for SMI. You can also access a variety of free online courses to earn CE credits.

Society for the Advancement of Psychotherapy

Articles, book reviews, and more on relevant topics

Society of Clinical Psychology (Division 12)

A division of the American Psychological Association, this site provides an up-to-date list of evidence-based treatments, and includes links to free assessments, manuals, handouts, etc. for many of the treatments

Therapist Aid

An extensive collection of free evidence-based education and therapy tools. Download customizable worksheets or access articles and treatment guides. An invaluable resource for therapists.

TherapyAdvisor.org

A searchable database of empirically supported treatments for SUD and MH

Ultimate Solution Handouts

Free printable handouts for therapists (from Judith Belmont)

UW Medicine: Harborview Medical Center (Center for Sexual Assault and Traumatic Stress)

Handouts/worksheets for clients on coping with challenging thoughts, anxiety, anger, etc. The site also includes a list of assessments.

12-Step Recovery Groups

An extensive list of support groups for recovery

Compiled by Cassie Jewell, LPC, LSATP

Updated July 12, 2019

There are a variety of 12-step support groups for recovery. 12-step meetings are not facilitated by a therapist; they’re self-run. Support groups are not a substitute for treatment, but can play a crucial role in recovery.

The following list, while not comprehensive, will link you to both well-known and less-familiar 12-step (and similar) organizations and support groups for recovery.

Support Groups for Addiction

Alcoholics Anonymous (AA)

Narcotics Anonymous (NA)

heroin anonymous (HA)

pills anonymous (PA)

Cocaine Anonymous (CA)

Crystal Meth Anonymous (CMA)

Marijuana Anonymous (MA)

Nicotine Anonymous (NicA)

caffeine addicts anonymous (cafaa)

chemically dependent anonymous (CDA)

all addicts anonymous (AAA)

recoveries anonymous (R.a.)

pharmacists recovery network

international doctors in alcoholics anonymous (IDAA)

international lawyers in alcoholics anonymous (ILAA)

association of recovering motorcyclists (A.R.M.)

For Families and Others Affected by Addiction and Mental Illness

Al-Anon/Alateen (For Family and Friends of Alcoholics)

Nar-Anon (For Family and Friends of Addicts)

Adult Children of Alcoholics (ACA)/Dysfunctional Families

Families Anonymous (FA)

parents anonymous

NAMI Family Support Group (For Adults with Loved Ones Who Have Experienced Mental Health Symptoms)

S-Anon/S-Ateen (For Family and Friends of Sexaholics)

codependents of sexual addiction – COSA (for those whose lives have been affected by another’s compulsive sexual behavior)

gam-anon (for families and friends of gamblers)

Secular Alternatives

SMART Recovery (Self-Management and Recovery Training)

Women for Sobriety

Rational recovery

sECULAR aa

Secular Organizations for Sobriety (SOS)

LifeRing Secular Recovery

Religious Alternatives

Celebrate Recovery

Christians in Recovery

Addictions Victorious

alcoholics victorious

Alcoholics for Christ

overcomers in christ

overcomers outreach

the calix society

jewish alcoholics, chemically dependent persons and significant others (jacs)

BUDDHIST RECOVER NETWORK

REFUGE RECOVERY

Additional Support Groups & Organizations

violence anonymous (VA)

Adult Survivors of Child Abuse Anonymous (ASCAA)

Survivors of Incest Anonymous

lds family services

porn addicts anonymous (PAA)

Sex Addicts Anonymous (SAA)

Sexaholics Anonymous

Sex and Love Addicts Anonymous (SLAA)

sexual compulsives anonymous (SCA)

Sexual recovery anonymous (SRA)

Co-dependents Anonymous (CoDa)

Emotions Anonymous

Dual Recovery Anonymous

Depressed Anonymous

social anxiety anonymous (SPA/Socaa)

PTSD Anonymous

Self Mutilators Anonymous

obsessive compulsive anonymous

obsessive skin pickers anonymous (OSPA)

Clutters Anonymous (CLA)

Overeaters Anonymous (OA)

Food Addicts Anonymous (FAA)

Food Addicts in Recovery Anonymous

Recovery from Food Addiction

Eating Disorders Anonymous (EDA)

Debtors Anonymous (DA)

Underearners Anonymous (UA)

spenders anonymous

Workaholics Anonymous

Gamblers Anonymous

internet & tech addicts anonymous (ITAA)

Online Gamers Anonymous (OLGA)

offenders anonymous

reentry anonymous

GROw in america (peer support for mental illness)

hearing voices network

AA Sites for agnostics and atheists: AA Agnostica and AA Beyond Belief


Do you know of a 12-step support group not listed here? Share in a comment!