This is an audio podcast featuring an in-depth conversation between Dr. Mark Gold and Dr. David Smith explores the origins, evolution, and current challenges of addiction medicine in the United States. Dr. Smith, a pioneer in the field, recounts his groundbreaking work starting in 1967 with the founding of the Haight Ashbury Free Clinic during the “Summer of Love” in San Francisco.
He narrates the shift in societal and medical perspectives on addiction—from a criminal issue to a recognized medical specialty—and highlights the clinic’s innovative approach integrating medical, psychiatric, and addiction treatments.
The discussion covers key historical milestones such as federal funding triggered by the Vietnam War, the emergence of methamphetamine and cannabis addiction, the adoption of clinical toxicology and drug testing protocols, and the impact of workplace safety initiatives like the Exxon Valdez case.
Dr. Smith also addresses the complexities of substance use in contemporary society, emphasizing the potency and dangers of modern cannabis, the opioid epidemic, and the evolving role of harm reduction versus recovery-oriented care. The conversation touches on the re-emergence of psychedelic research with cautious optimism, the importance of 12-step programs in recovery, and the challenges addiction medicine faces amid political and social backlash.
The interview closes with a recognition of the continuing need for education, compassion, and scientifically grounded treatment to improve outcomes for individuals and communities struggling with addiction.
About The Gold Standard: Join renowned psychiatrist and addiction expert Dr. Mark S. Gold as he hosts THE GOLD STANDARD, an insightful and dynamic video series featuring in-depth interviews with the world’s leading experts in psychiatry, addiction medicine, and cutting-edge healthcare. In each episode, Dr. Gold taps into the minds of thought leaders, groundbreaking researchers, and clinical pioneers, delving into the most pressing issues facing mental health and addiction treatment today.
Through candid conversations, THE GOLD STANDARD explores the latest advancements in addiction psychiatry, the intersection of mental health and substance use, and the transformative shifts in medical practices. From groundbreaking research to innovative treatments, Dr. Gold and his guests tackle everything from the future of psychopharmacology and psychotherapy to the critical need for holistic approaches in healing.
Whether you’re a healthcare professional, researcher, or someone seeking a deeper understanding of these essential fields, THE GOLD STANDARD provides expert insights that shape the future of medicine and mental health. Don’t miss out on the opportunity to learn from the top minds in the industry and gain a better understanding of how science, compassion, and collaboration are revolutionizing care and treatment.
Get ready to unlock the most important conversations in psychiatry and addiction medicine—only on
THE GOLD STANDARD
THE GOLD STANDARD
