Intended for healthcare professionals

Rapid response to:


Addiction psychiatry could be wiped out in a decade without urgent government funding, college warns

BMJ 2020; 368 doi: (Published 18 February 2020) Cite this as: BMJ 2020;368:m635

Rapid Response:

Unnecessary medicalization of addiction therapy

Dear Editor,
A systematic review and meta-analysis of randomized controlled trials (RCTs) of dialectical behaviour therapy (DBT) or 12-step programmes for substance use disorders concluded that both interventions were effective.
No administration of pharmaceuticals is necessary to implement effectively these therapeutic approaches on patients with various addictions.
All steps involve spiritual awareness, religion, or positive social interventions.

Competing interests: No competing interests

18 February 2020
Stavros Saripanidis
Consultant in Obstetrics and Gynaecology
Thessaloniki, Greece