Dr. Stephen Klein

speaker

550 appearances 1 recordings 1 series first heard Jun 2026 last heard 25 Jun

Dr. Stephen Klein’s voice in public audio — every appearance, attributed to the second.

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Recordings per month over the last 12 months — 1 in all, peaking in Jun 2026 with 1.

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RECOVERable: Mental Health and Addiction Experts Answer Your Questions · Naltrexone, Suboxone, Methadone: How Medications Treat Opioid Addiction · 25 Jun 2026 podcast

Buprenorphine especially has a lot of stigma surrounding it.

Many patients come in saying, I will not be on Suboxone.

It's not in keeping with my value system and it's not in keeping of my understandings of recovery.

And that's where the longer conversations start.

It's almost like someone who has a cancer saying, I don't want chemotherapy.

And this is where that line will always exist, that addiction is a stigmatized disease.

And sometimes our interventions are hindered by that stigma.

I wish I could.

It's a really challenging paradigm that exists for really all medications that are in this kind of gray area of agency and also autonomy.

I think the same conversations happen around the country every day relating to SSRIs.

So people are really reluctant, even though they may be drinking or doing things to treat their depression.

They view SSRIs either by what they've heard or now more likely what they've read to be problematic or they're worried about a side effect.

I think about that being a really important part of my practice, which is not forcing someone to come over to the way that I see the world, but educating and really making part of that motivational interview process to see where patients are.

And I use a lot of analogies.

And really, I think the cancer analogy is an important one.

I actually think if you looked at the number needed to treat for some of the best chemotherapies, they'd be much higher than buprenorphine.

I think it's an ongoing conversation, but it's also one that's shaped by society.

I think one of the biggest helps that we offer patients when they leave treatment is mutual help groups, 12-step recovery.

There's been a lot of back and forth and a lot of tension between those groups accepting the use of buprenorphine especially.

So it happens in phases.

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