David E. Smith, M.D.

Founder of the Haight Ashbury Free Medical Clinic and national leader in the treatment of substance abuse and dependency.

[David E. Smith, M.D. @dsmithmd]

Multi-tenancy design in data-sharing platforms gives agile information sharing capability to public health systems, independent agencies, and criminal justice system. - Tom Simpatico #drsmith2019

[David E. Smith, M.D. @dsmithmd]

"Treatment should target factors associated with criminal behavior." - Tom Simpatico #drsmith2019

[David E. Smith, M.D. @dsmithmd]

Digital aid to prevent opioid deaths? Wearable oxygen sensor that sends alerts to support system. #OpioidCrisis #drsmith2019

[Larissa J. Maier, PhD @LarissaJMaier]

The DSM-V is agnostic with respect to mechanism and etiology. Understanding the underlying motives for substance use, such as healthy/disrupted attachment from submission to dominance (dopamine) & from aggression to affiliation (serotonin) is key! Jason Schiffman #DrSmith2019

[David E. Smith, M.D. @dsmithmd]

From Kathryn Howe, Cisco, example of digital disruption in health care: sensor sends patient notification of the need for insulin shot; can trigger a dose from the pump if the patient doesn't respond and send data back to the medical team. #drsmith2019

[David E. Smith, M.D. @dsmithmd]

"Live and honor who you truly are in the world." -- Adriana Popescu, PhD #drsmith2019

[David E. Smith, M.D. @dsmithmd]

"All of us have spiritual trauma, because we are not seen as our whole and perfect self." -- @TJWoodwardSF #drsmith2019

[Stanford REACH Lab @StanfordTPT]

Nicotine is a drug that is a stimulant, meaning it raises levels of physical or psychological activity in the body & it is toxic at high doses.
Want to learn more about Nicotine Addiction? Check out our complete Nicotine Addiction 101 Powerpoint below👇🏼:
https://t.co/DBMOx9BSjv

[David E. Smith, M.D. @dsmithmd]

Treatment and mental health providers need a space where they can to work on themselves and commune with colleagues. This work can be energizing rather than depleting. - @TJWoodwardSF #drsmith2019 #ConsciousRecovery

[David E. Smith, M.D. @dsmithmd]

Mental illness and substance use disorder providers are siloed -- and insurance is partially to blame. -- Dr. Jessica Rodriguez, PhD #drsmith2019

[David E. Smith, M.D. @dsmithmd]

Psychotherapy, 12-steps, spiritual practices reform an overactive superego, remove dysfunctional coping mechanisms. Risk of psychedelics is removing the coping mechanisms all at once without replacing them. -- Jason Schiffman, MD #drsmith2019

[David E. Smith, M.D. @dsmithmd]

Jason Schiffman, MD, MA, MBA: Why are humans susceptible for trauma? As result of being social mammals. #drsmith2019

[David E. Smith, M.D. @dsmithmd]

Addictions are a coping mechanism that become their own problem. For "normies," intoxication is euphoric; for people with addiction, intoxication (+ gambling disorders + eating disorders, etc.) is relief from chronic dysphoria. #drsmith2019

[David E. Smith, M.D. @dsmithmd]

MDMA Benefits: PTSD, social anxiety in autistic adults. Psilocybin Benefits: cancer-related anxiety/depression, OCD.

Risks? Hard to frame and identify, let alone measure.
#drsmith2019

[David E. Smith, M.D. @dsmithmd]

Lesson from @WesGeer - A musical hook is a mantra that can rewire your brain. Make it positive. #drsmith2019

[Dominion Diagnostics @domdiag]

Wishing our friends and colleagues out at #drsmith2019 a fantastic day for today's symposium at @UCSF!

[David E. Smith, M.D. @dsmithmd]

Rock to Recovery founder Wesley Geer believes singing, dancing, and playing music can help us recover our souls -- and you don't have to be Jimi Hendrix! #drsmith2019

[David E. Smith, M.D. @dsmithmd]

"Sex, drugs, and rock 'n' roll"? Rock to Recovery is a nonprofit that lets rock musicians in recovery use their gifts to help people heal from addiction, PTSD, and mental illness. https://t.co/aSIKjIkOTu #drsmith2019

[David E. Smith, M.D. @dsmithmd]

Dr. Marsha Rosenbaum: In couples #MDMA sessions, "true confessions" can be a pitfall. @RickDoblin warns, "Don't get married for at least 6 weeks!" #drsmith2019

[David E. Smith, M.D. @dsmithmd]

With psychedelics, all medicines, and even the internet, the question is always, "What's your intention?" #drsmith2019