Jonathan Avery
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Articles by Jonathan Avery
Pains Hill Chapel in Oxted closes after 200 years of witness
In 2025, the sad decision was taken to close the work at Pains Hill Chapel in Oxted, Surrey. The last service was held in December last year. The Lord had maintained a witness here for over 200 years, but the fellowship became too few in number for the work to remain viable. We can ponder why the church came to an end. I have thought about it a lot. Someone helpfully observed that a church closing does not necessarily imply judgment.
Thriving with Addiction: A New Roadmap for Lasting Recovery and Health
. Nov. 2026. 264p. ISBN 9781493096756. pbk. $21.95. SELF-HELP COPY ISBN Avery is an addiction psychiatrist who has spent his professional career understanding and treating addiction. He points out that addiction can be substance-based (e.g., alcohol addiction) or behavioral (e.g., gambling), and that is is present in all countries and cultures. He proposes a framework to help patients design a high-quality life that may involve addiction but is not rooted in addiction.
Wearable Kirigami-Apertured Capacitive Sensors for Continuous Cardiac Volumetric Monitoring
1 Introduction Continuous cardiac volumetric monitoring is valuable across acute and ambulatory cardiac care, yet remains a significant challenge [1]. Key parameters, including stroke volume (SV), cardiac output (CO), and ejection fraction (EF), provide critical insight into cardiac function. Cardiac catheterization enables the hemodynamic measurement but is invasive and limited to single-time-point monitoring.
What addiction medicine can teach us about depending on AI
2 days ago This as-told-to essay is based on a conversation with Matt Sanner, 54, a data manager for a bank in Tampa. Sanner vibe coded an app called ScamSkeptic for his aging family, who had fallen victim to scams. Business Insider also spoke with Sanner's parents, Sue, 79, and Bob, 83, about how they've used …
Jonathan Avery: What people dealing with addiction need
When my wife and I lost our infant son to congenital heart disease, we were surrounded by compassion. Friends, colleagues, even acquaintances reached out with tenderness. Our grief, while devastating, did not have to be borne alone. That compassion deepened when notable figures like former NFL tight end Greg Olsen and late night host Jimmy Kimmel spoke publicly about their children’s congenital heart disease.
Clinical Factors Associated With Catheter‐Related VTE in Patients Undergoing Hematopoietic Cell Transplantation: A Multi‐Center Study
Venous thromboembolism (VTE) is a clinically significant complication that occurs in patients undergoing allogeneic hematopoietic cell transplantation (HCT). Due to the prolonged need for indwelling central venous catheters (CVCs), the incidence of catheter-related deep venous thrombosis (CR-DVT) appears higher at 3%–4% than that of pulmonary embolism (PE) or lower extremity deep vein thrombosis (LE-DVT) at 1%–4% in the first year post-transplant [1-3].
The Relational Experience of Fear of Cancer Recurrence in Family Caregivers: A Reflexive Thematic Analysis Study
All articles published by MDPI are made immediately available worldwide under an open access license. No special permission is required to reuse all or part of the article published by MDPI, including figures and tables. For articles published under an open access Creative Common CC BY license, any part of the article may be reused without permission provided that the original article is clearly cited. For more information, please refer to https://www.mdpi.com/openaccess.
Risks Factors and Outcomes for Isolated Catheter-Related Deep Venous Thrombosis in Patients Undergoing Allogeneic Hematopoietic Stem Cell Transplantation
INTRODUCTION: Patients undergoing allogenic hematopoietic stem cell transplantation (allo-HSCT) require indwelling central venous catheters. The comparative incidence, risk, and outcome of isolated catheter-related deep venous thrombosis (CR-DVT) versus pulmonary embolism/lower-extremity DVT (PE/LE-DVT) remains unclear. MATERIALS AND METHODS: We conducted a retrospective cohort study for patients undergoing allo-HSCT from 2006 to 2019.
Early Warning Signs of Alcohol Use Disorder
The earlier you seek intervention for alcohol use disorder (AUD), the easier it will be to change behavior patterns and find different ways to cope in life. By the time AUD has set in, it may be impairing your life in tragic ways that are hard to "undo," such as a divorce or the loss of a job. What can make AUD challenging to recognize early on is that alcohol use, and even heavy alcohol use, is common and socially acceptable in many cultures.
Understanding Addiction: What Is Opioid Use Disorder?
In 2020, an estimated 2.7 million people in the United States suffered from opioid use disorder, according to the National Institute on Drug Abuse (NIDA). While this is a smaller number than for other substance use disorders - 28.9 million U.S. adults above age 12 live with alcohol use disorder according to the 2023 National Survey on Drug Use and Health (NSDUH) - the opioid crisis is one of the primary concerns among medical professionals and public health experts.
Bridging the Gap Between Mental and Physical Health
Today, we welcome John M. Samuels, MPH, and Lipi Roy, M.D., MPH, FASAM, to discuss the importance of addressing mental health and physical health. Taylor Swift, Prince Harry, Ryan Reynolds, Selena Gomez, Michael Phelps. What do these high-profile figures have in common? They have all been open about their mental health issues.
Risks factors and outcomes for isolated catheter-related deep venous thrombosis in patients undergoing allogeneic hematopoietic stem cell transplantation. - Physician's Weekly
Patients undergoing allogenic hematopoietic stem cell transplantation (allo-HSCT) require indwelling central venous catheters. The comparative incidence, risk, and outcome of isolated catheter-related deep venous thrombosis (CR-DVT) versus pulmonary embolism/lower-extremity DVT (PE/LE-DVT) remains unclear. We conducted a retrospective cohort study for patients undergoing allo-HSCT from 2006 to 2019.
An Approach to Address the Need for Adolescent Opioid Stabilization and Treatment
Prim Care Companion CNS Disord 2023;25(2):22br03441 To cite: Mahlstedt JH, Avery JD, Mroczkowski MM. An approach to address the need for adolescent opioid stabilization and treatment. Prim Care Companion CNS Disord. 2023;25(2):22br03441. To share: https://doi.org/10.4088/PCC.22br03441 © 2023 Physicians Postgraduate Press, Inc.
Curbing Physician Stigma Toward Adolescents With Nicotine and Opiate Use
Prim Care Companion CNS Disord 2023;25(2):22br03358 To cite: Appel G, Shin B, Shah A, et al. Curbing physician stigma toward adolescents with nicotine and opiate use. Prim Care Companion CNS Disord. 2023;25(2):22br03358. To share: https://doi.org/10.4088/PCC.22br03358 © 2023 Physicians Postgraduate Press, Inc.
Fentanyl Test Strips Empower People And Save Lives—So Why Aren’t They More Widespread? | Health Affairs Forefront
Fentanyl test strips (FTS) are a simple, inexpensive, and evidence-based method of averting drug overdose. FTS are small strips of paper that can detect the presence of fentanyl in any drug batch—pills, powder, or injectables.
Heeding the Distress Signals in Modern Addiction
Source: Courtesy Alex Olshonsky The author of this post is Alex Olshonsky. He is a writer, executive coach, and founder of Deep Fix, a community dedicated to mental health. He is deeply interested in metaphysical questions and our shared humanity. For nearly a decade, I lived two lives. In the one visible to the outside world, I helped pioneer some of Silicon Valley’s leading tech companies.
Alcohol Consumption Among Women Is on the Rise
The guest author of this post is Elora Basu, a fourth-year medical student at Weill Cornell Medicine. Alcohol consumption among women has dramatically increased in the past decade. Historically, men have had heavier drinking patterns and therefore more medical consequences of unhealthy alcohol use compared to women. However, this gender gap is decreasing due to changes in socio-cultural environments that impact drinking patterns and normalize female drinking.
Fentanyl Test Strips Empower People And Save Lives—So Why Aren’t They More Widespread? | Health Affairs Blog
Fentanyl test strips (FTS) are a simple, inexpensive, and evidence-based method of averting drug overdose. FTS are small strips of paper that can detect the presence of fentanyl in any drug batch—pills, powder, or injectables.
Commitment Yields Success in 12-Step Programs
The guest author of this post is Robert Kanter, an international recovery advocate addressing the opioid epidemic by promoting the Portugal Model of harm reduction, driving bipartisan legislation to fund treatment, and destigmatizing substance use disorder worldwide.
Addressing Substance Use in the Workplace
The CEO of a large New York company recently met with us to discuss a business problem: his burned out employees were engaging in heavy substance use. He was worried about the health of his employees, and he was worried that it was hurting the company’s bottom line. Source: Alex Green from Pexels Substance use is ubiquitous and has a direct or indirect impact on almost everyone in the U.S. This has been made worse during COVID-19.
Forever Love of Zoe
Robin Kellner and her husband John Sicher live in New York City. Since the death of Zoe Kellner, they have worked with and supported Dr. Jonathan Avery of Weill Cornell Medicine on a number of initiatives including Narcan distribution and fighting the stigma related to substance misuse. Robin wrote the following to mark the 14th year since the loss of Zoe: 14 years ago on April 9th, 2007, Zoe, our daughter, only 22 years old, lost her life to an accidental drug overdose.
What One Pediatric Pulmonologist Thinks About Teenage Vaping
Elizabeth Fiorino MD Source: Used with permission. Dr. Elizabeth Fiorino, an Assistant Professor of Clinical Pediatrics at Weill Cornell Medicine and Assistant Pediatrician at New York-Presbyterian Hospital, recently sat down to discuss teen vaping. Dr. Fiorino, who specializes in pediatric pulmonology, discussed the use, short- and long-term consequences of vaping and smoking traditional cigarettes, and vaping and COVID-19.
Asking the Expert: Dr. Elizabeth Fiorino
Elizabeth Fiorino MD Source: Used with permission. Dr. Elizabeth Fiorino, an Assistant Professor of Clinical Pediatrics at Weill Cornell Medicine and Assistant Pediatrician at New York-Presbyterian Hospital, recently sat down to discuss teen vaping. Dr. Fiorino, who specializes in pediatric pulmonology, discussed the use, short- and long-term consequences of vaping and smoking traditional cigarettes, and vaping and COVID-19.
A Global Effort to Eradicate the Opioid Crisis
Our guest columnist is Giselle Appel, a researcher in addiction psychiatry with an interest in psychodynamic theory and community intervention. She currently works in the Department of Psychiatry at Weill Cornell Medicine. On November 6th, 2020, an international online webinar on opioid use disorder was held by the San Patrignano Community (Italy) in collaboration with Weill Cornell Medical College.
Role-Playing Video Gaming for Clinical Addiction Training
Giselle Appel Source: Used with permission of author Our columnist this week is Giselle Appel, a researcher in addiction psychiatry who explores the application of psychoanalytic theory and community interventions. She currently works in the Department of Psychiatry at Weill Cornell Medicine. Substance use disorders are some of the most highly stigmatized medical conditions, both inside and outside the field of psychiatry.
Impact of Medical Assistance in Dying on palliative care: A qualitative study
1. Bill, C . 14. An act to amend the criminal code and to make related amendments to other acts, (medical assistance in dying). In: 1st session, 32nd Parliament, Ontario, 2016, https://lop.parl.ca/staticfiles/PublicWebsite/Home/ResearchPublications/LegislativeSummaries/PDF/42-1/c14-e.pdf (2016, accessed 21 October 2020). Google Scholar 2. Li, M, Watt, S, Escaf, M, et al. Medical assistance in dying—implementing a hospital-based program in Canada. N Engl J Med 2017; 376: 2082–2088.
There should be naloxone in every first-aid kit in America to prevent opioid deaths. Original
Medical Examiner The drug that reverses opioid overdoses is safe and easy to use. By Lala Tanmoy Das, Giselle Appel, and Jonathan Avery Nov 17, 20203:12 PM Photo illustration by Slate. Photo by Andrew Burton/Getty Images. In every first-aid kit in America, next to the gauze, Band-Aids, and ibuprofen, there should be naloxone. Sold either as a nasal spray or as an easy injectable similar to an EpiPen, naloxone can rapidly reverse an opioid overdose.
Lost Amidst the Opioid Epidemic, Benzos Pose a Stealthy Risk
Our guest columnist this week is Giselle Appel, a researcher in addiction psychiatry who explores the application of psychoanalytic theory and community interventions. She currently works in the Department of Psychiatry at Weill Cornell Medicine.
Young Adult Experience in an Outpatient Interdisciplinary Palliative Care Cancer Clinic
Jonathan Avery, PhD1,2; Pamela J. Mosher, MD, MDiv1,3; Alisha Kassam, MD, MPH4,6; Amirrtha Srikanthan, MD, MHSc7; Norma D’Agostino, PhD1; Camilla Zimmermann, MD, PhD1,8; Yan Castaldo, BA2; Rachel Aubrey, BSc2; Caroline M.
Treating the Impaired Physician or: How Doc Got Sober
Our guest columnist this week is Dr. Linville M. Meadows. Dr. Meadows is an Honors graduate of the UNC School of Medicine and studied at Duke University. He later held faculty positions at both institutions. He was recognized internationally for his work in cancer research, receiving both grants and awards. He authored numerous scientific articles. His recovery from addiction to drugs and alcohol began May 7, 1997.
How Recovery High Schools are Helping Young People with SUDs
This guest post is by Alyssa Shah, a junior at The Dalton School and the founder of the DrugSense Initiative, an online digital academy that educates teens about the dangers of vaping and substance abuse. DrugSense Initiative is used by several pediatricians in their practices. This past year, its online curriculum was used in three middle schools in Westchester, New York, reaching over 500 children.
Vaping and COVID-19
Our guest columnist is Alyssa Shah, who has created the DrugSense Initiative, an online digital academy that educates teens about the dangers of vaping and substance abuse. Alyssa serves on the New York City HRA Youth Leadership Council. The novel coronavirus SARS-CoV-2, also known as COVID-19, presents with a number of symptoms, including cough, fever, myalgia, and gastrointestinal symptoms.
COVID-19 and the “Other” Public Health Crisis in NYC
Source: Edward Jenner/Pexels With more than 20 million Americans over the age of 18 having been diagnosed with a substance use disorder (SUD) and millions more experiencing at-risk use, there is an ever-present medical concern for individuals misusing substances.
Understanding the Brain Disease Model of Addiction
Is addiction a disease? From a medical perspective, are Substance Use Disorders (SUDs) on par with, say, heart disease—if not, how do they differ? Source: Jesse Orrico/Unsplash These questions are hotly debated within medicine and healthcare and also in the wider public sphere.
Treating Substance Use Disorders in the Era of COVID-19
Our guest columnist is Dr. Lipi Roy, MD, MPH,a physician and former Chief of Addiction Medicine at Rikers Island. Dr. Roy is a recognized expert on a number to health topics, including addiction medicine, mindfulness, and stress reduction. She has been featured in The New York Times, The Wall Street Journal, CNN, MSNBC, and many other outlets. Source: Lipi Roy, MD, MPH The novel coronavirus, COVID-19, has been wreaking havoc on a global scale.
Current Oncology | Free Full-Text | “What We Want Is More Access…”: Experiences of Supportive Cancer Care and Strategies for Advancement in a Canadian Provincial Cancer Care Organization
All articles published by MDPI are made immediately available worldwide under an open access license. No special permission is required to reuse all or part of the article published by MDPI, including figures and tables. For articles published under an open access Creative Common CC BY license, any part of the article may be reused without permission provided that the original article is clearly cited.
The DrugSense Initiative Pushes Back Against Youth Vaping
Source: Psk Slayer/Unsplash The youth vaping epidemic has received headlines over the last year for the record numbers of adolescents vaping nicotine. The consequences of this use, including lung injury and addiction, have been discussed by both the science community and the lay media. Less attention has been paid to the success stories. A number of individuals have quit using, and they are ready to share their stories.
Addiction and the ER: How Peer Specialists can Help
Guest Author: Rachel Knight Adapted from the soon to be published book, Peer Support in Medicine, by Springer Publishing. Peer specialists represent an important advance in substance use disorder (SUD) treatment. These individuals, who are often well-trained, bring their own lived experiences of recovery to the task of assisting others in recovery initiation and maintenance. Consider an individual who is in an emergency room after being revived from an opioid overdose.
Beyond Crime and Punishment: Addiction Stigma in the Law
In the U.S. legal community, there is extensive formal treatment of issues relating to substance use. After all, substance use is often illegal or regulated, and there is prominent case law touching on various matters regarding addiction, including the medical model of addiction.
Co-Occurring Mental Illness and Opioid Use: One Family's Story
Substance use seldom occurs in isolation. It typically is accompanied by other mental health conditions. This is problematic, given that individuals with co-occurring mental illness and substance use tend to receive incomplete treatment—and incomplete treatment leads to poor outcomes (Avery & Barnhill, 2017). There are many reasons why clinicians fail to properly treat individuals with co-occurring mental illness and substance use.
Co-Occurring Mental Illness & Opioid Use: One Family's Story
Substance use seldom occurs in isolation. It typically is accompanied by other mental health conditions. This is problematic, given that individuals with co-occurring mental illness and substance use tend to receive incomplete treatment—and incomplete treatment leads to poor outcomes (Avery & Barnhill, 2017). There are many reasons why clinicians fail to properly treat individuals with co-occurring mental illness and substance use.
“It’s More Difficult…”: Clinicians’ Experience Providing Palliative Care to Adolescents and Young Adults Diagnosed With Advanced Cancer
Article Tools Original Contributions CARE DELIVERY Jonathan Avery, PhD1; Arielle Geist1,2; Norma Mammone D’Agostino, PhD1; Sarah K. Kawaguchi, MD3; Ramona Mahtani, MD3; Paolo Mazzotta, MD, MSc3,4; Pamela J.
“It’s More Difficult…”: Clinicians’ Experience Providing Palliative Care to Adolescents and Young Adults Diagnosed With Advanced Cancer
PURPOSE:Adolescents and young adults (AYAs; age 15-39 years) with advanced cancer are a population in whom quality of life is uniquely affected because of their stage of life. However, training foc...
The Opioid Epidemic and White Collar America
The opioid epidemic is largely associated with blue-collar, middle America. One might think of laid-off coal miners, still suffering from years of hard labor, who became unwittingly addicted through the overprescribing of opioids by physicians.
Addiction & Recovery, Marriage & Divorce: One Family's Story
In their new book, Our Happy Divorce: How Ending Our Marriage Brought Us Closer Together, Benjamin Heldfond and Nikki DeBartolo detail their path from marriage to divorce and back to genuine closeness. Their story is a dramatic one, showing that even when a marriage does not work, the relationships inherent to it—between husband and wife, between parents and children—can remain meaningful, close, and important. Ben and Nikki’s story is inspiring: it points the way towards a happy divorce.
Medical Stigma and Patients With Substance Abuse Disorders
We provide 5 reasons they don't and what can be done about it. Posted Sep 06, 2019 It is tempting to think that people in the medical community, and especially physicians, are immune from bias and stigma. They are highly educated and well trained, and we might suspect that they treat all of their patients fairly and equally—after all, they are interested in disease and in treating disease, and that is where their attention is focused.
Why Doctors Dislike Working With Substance Abusers
We provide 5 reasons they don't--and we explain what can be done about it. Posted Sep 06, 2019 It is tempting to think that people in the medical community, and especially physicians, are immune from bias and stigma. They are highly educated and well trained, and we might suspect that they treat all of their patients fairly and equally—after all, they are interested in disease and in treating disease, and that is where their attention is focused.
Addressing Substance Use in the Workplace
The CEO of a large New York company recently met with us to discuss a business problem: a culture of heavy substance use. He was worried about the health of his employees, and he was worried that it was hurting the company’s bottom line. He explained, “They're drinking and partying too much. By themselves, with our clients, and at our company events. It’s impacting their physical wellbeing and our productivity and reputation.
Understanding and Addressing Substance Use in the Workplace
A CEO of a large company in New York recently met with us to discuss a problem in his business. There was a culture of heavy substance use. He was worried about the health of his employees, and he was worried that it was hurting the company’s bottom-line. He said, “They are drinking and partying too much. By themselves, with our clients, and at our company events. It’s impacting their physical wellbeing and our productivity and reputation.
An Old Model of Substance Use Rehab Might Just Be the Cure
Inpatient substance use rehabilitation in the United States has unclear efficacy and is often avoided for a number of reasons. First, it’s too expensive for most patients. Second, the high expense has created unintended consequences, including precipitating bizarre and desperate behaviors to receive needed insurance coverage.
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