Dr. Taylor Nichols and McCauley Sexton

Recovery Reform: Navigating Harm Reduction, Recovery, and Drug Policy

Health EN ↓ 26 episodes

Recovery Reform: Navigating Harm Reduction, Recovery, and Drug Policy is a podcast exploring substance use, harm reduction, and recovery through discussions with people with lived experience, experts in harm reduction, and leaders in drug policy. Hosted by our Executive Director, McCauley Sexton, and our Medical Director, Dr. Taylor Nichols, each episode will provide candid conversations about substance use, the impact of policy and the war on drugs, and work to break the stigma against drugs and the people who use them.

Author

Dr. Taylor Nichols and McCauley Sexton

Category

Health

Latest episode

Nov 6, 2025

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Episodes

Rachel Shuster on Lived Experience, Addictions Nursing, and Changing the Narrative 06.11.2025

Rachel Shuster is a registered nurse and a person in recovery from opioid use disorder. As a high-achieving high schooler and college student, she never imagined that she would fall victim to having a substance use disorder.  Recognizing that secrets die in the light, she is passionate about sharing her story, but is also interested in advocacy, evidence-based practice, harm reduction, and policy...

Kirsten - AKA Sobriety Bestie - on Deconstructing AA 09.10.2025

Kirsten - AKA Sobriety Bestie - last had an alcoholic drink in 2009, then spent over a decade in AA. She left AA in 2020 and began doing the work of unlearning and deconstructing AA dogma, told that she was powerless, "diseased" or forever broken. Now she is dedicated to telling the truth about recovery and about how to rebuild after leaving AA.   She created her YouTube channel and podcast to be...

Mary Beth O'Connor on finding alternative recovery to becoming a Judge 26.08.2025

Mary Beth O'Connor is the author of the book " From Junkie to Judge: One Woman’s Triumph Over Trauma and Addiction ." She began her recovery from methamphetamine use disorder, abuse, trauma, and anxiety in 1994. She never found traditional recovery spaces such as step-based recovery programs helpful to her, and found alternative recovery spaces early on. Six years into her recovery, Mary Beth atte...

Patrick Doyle, LCSW on Family Addiction Coaching and the evolution of SUD treatment 12.08.2025

Join us for a conversation with Patrick Doyle, LCSW on a conversation breaking down his own evolution in SUD treatment and his approach in coaching people who use drugs and their families to help improve their lives and address the problems that can be caused by substance use. As a licensed clinical social worker and Family Addiction Coach, Patrick Doyle has dedicated his life to helping families...

Kratom: Breaking Down The Plant from The Extracts 27.06.2025

Our co-hosts McCauley Sexton and Dr. Taylor Nichols talk about "Kratom" - both the plant and the extracts such as "7-OH" or 7-Hydroxymitragynine - as well as how the active alkaloids function in your body, including binding to opioid receptors, and how to be mindful about understanding and using unregulated substances.

The Continuum of Care in Substance Use Treatment 05.06.2025

Co-hosts McCauley Sexton and Dr. Taylor Nichols break down the "continuum of care" in substance use treatment and discuss their experiences from the patient and provider side of the continuum - from interventions to inpatient hospitalizations, residential treatment to outpatient or clinic based treatment. Please subscribe, leave a rating and review, and tell others about the podcast. We really app...

Dee-Dee Stout on Harm Reduction Therapy 29.05.2025

Harm reduction is more than "needles and Narcan" and Dee-Dee Stout is the perfect person to talk to about the evolution of harm reduction therapy. Through her own training and her experience as a person who used drugs, Dee Dee has been at the forefront of studying and teaching about harm reduction based modalities of treatment. Dee-Dee has a degrees in Psychology, Human Sexuality, and Business Man...

Jordan Scott on Unlearning and Advocacy 25.03.2025

Jordan Scott is a person with lived experience with opioid use disorder and powerful harm reduction advocate and person who continues to uses drugs in her recovery. While initially sought recovery from her opioid use disorder through abstinence based culture, which helped her initially obtain abstinence, she has spent years unpacking and unlearning. She joined McCauley Sexton and Dr. Taylor Nichol...

Stigma in Healthcare and Recovery 04.03.2025

Stigma: a set of negative attitudes, prejudices, or false or unfair beliefs that a society or group of people hold about specific traits or people. The negative attitudes held against people people who use drugs or people with substance use disorders both within healthcare and within recovery spaces cause harm to people who use drugs or are seeking recovery. As a society, we have the power to chan...

Recovery Reform 2024 Year in Review 07.01.2025

McCauley and Dr. Taylor Nichols review their first year of Recovery Reform, what they have learned and unpacked over this past year, and what they are looking for coming up in the next year.   Thank you all for listening or watching, for doing the work of unpacking substance use disorders and recovery, and for being a part of the Recovery Reform community. We truly appreciate all of you.   If you...

Ketamine Treatment and Recovery 12.11.2024

Dr. Taylor Nichols and McCauley Sexton discuss a controversial topic - the use of ketamine in medical treatment including for mental health, such as depression and OCD, and for substance use disorders and recovery, and McCauley discusses his personal experience having received ketamine infusions.

Viewing recovery through a harm reduction lens 01.11.2024

Our co-hosts McCauley Sexton and Taylor Nichols, MD break down the term "recovery" to better understand the meaning of recovery from substance use disorders through a harm reduction framework and how we can reclaim the term recovery from the War on Drugs.

Stanton Peele on addiction, recovery, and breaking the disease model 26.10.2024

Stanton Peele began working on Love and Addiction in 1970, which was then published in 1975. In these fifty years he has predicted a remarkable number of addiction trends. By now it is clear that the way in which Stanton has reframed addiction for the past four decades – sometimes facing extreme opposition – has been prescient. His central thesis has always been that addiction is not a consequence...

Dr. Lance Dodes on understanding substance use and addictive behaviors 13.10.2024

Lance Dodes, MD is a psychiatrist and a Training and Supervising Analyst Emeritus with the Boston Psychoanalytic Society and Institute. He is a retired assistant clinical professor of psychiatry at Harvard Medical School, and prior Director of the substance use treatment unit of Harvard’s McLean Hospital and the Alcoholism Treatment Unit at Massachusetts General Hospital.   He is the author or co-...

Chad Sabora on the state of harm reduction and drug policy 27.09.2024

Chad Sabora is a former lawyer with lived experience of drug use and a long-time grassroots harm reduction advocate turned subject matter expert. Starting his journey under the mentorship of some of the harm reduction movement's founders, Chad helped create underground naloxone distribution networks before it was legally sanctioned across the country. Chad embodied the spirit of one of his role mo...

Sarah Laurel of Savage Sisters Recovery on finding and fighting for Harm Reduction 13.08.2024

Sarah Laurel turned her traumatic experiences from substance use disorder and justice involvement into a powerful movement for harm reduction and the empowerment of people experiencing harms from substance use and homelessness. She co-founded Savage Sisters Recovery initially as a residential treatment facility, and along the way went through her own process of finding harm reduction and unlearnin...

Brandi Mac, NP on her journey beyond the stigma 23.07.2024

Brandi Mac, NP is a person who dropped out of high school and ended up becoming an ICU nurse practitioner. She joins McCauley Sexton and Taylor Nichols, MD on the Recovery Reform podcast to talk about her journey to love, acceptance, and harm reduction as the daughter of someone with substance use disorder and who has documented her daughter's journey through active use, treatment trauma, and into...

Tara Grace on her path to harm reduction and alternative recovery 27.06.2024

Tara Grace (Burn the Stigma Tara) became a harm reductionist out of necessity after seeing how the limitations of a 12 step recovery model was harming her and her community. She is a vocal advocate for harm reduction and recovering out loud, brining her story and harm reduction education to the community.   You can find Tara at @BurnTheStigma across social media.

Kristina Dennis, CAI on Ethical Interventions 13.06.2024

Kristina Dennis is a life coach and relationship expert whose life’s work is to show people how to release events of their past so they can become free of limiting beliefs. Kristina has worked as a coach since 1997 when she realized she had a gift for effectively helping others. As a Certified Addiction Interventionist (CAI), Kristina’s ethical and compassionate approach to individuals with trauma...

Nicholas Crapser, PhD on Peer-Based Support Programs 05.06.2024

Nicholas Crapser PhD, is the current Clinical Director of 4D Recovery in Portland, OR, which is a peer-based support for youth and adolescents seeking addiction recovery. He has a history of lived experience with substance use disorder and justice involvement, and has been a vocal advocate for improved treatment for patients with substance use disorders and re-entry services. He has an excellent T...

Eddie Krumpotich on Harm Reduction and Drug Policy Reform 06.03.2024

Dr. Taylor Nichols and McCauley Sexton interview Eddie Krumpotich, a person with lived experience, former teacher of the year, and an expert in substance use and harm reduction. He has consulted with two of the nations largest harm reduction organizations to help write and advocate for six substance use, harm reduction, and mental health bills in the states of Nebraska, Minnesota, and South Dakota...

Interviewing McCauley Sexton - Part 2 16.02.2024

Our hosts flip roles, and Dr. Taylor Nichols interviews co-host McCauley Sexton about his childhood, his family history of substance use, his lived experience with having a substance use disorder and in residential treatment, and how he feels he has grown and changed his perspective on harm reduction and the need to reform recovery spaces.

Interviewing McCauley Sexton - Part 1 14.02.2024

Our hosts flip roles, and Dr. Taylor Nichols interviews co-host McCauley Sexton about his childhood, his family history of substance use, his lived experience with having a substance use disorder and in residential treatment, and how he feels he has grown and changed his perspective on harm reduction and the need to reform recovery spaces.

Interviewing Dr. Nichols - Part 2 09.02.2024

In the second of two episodes, McCauley Sexton interviews Dr. Taylor Nichols on his path to medicine and how his personal experience with family connections to substance use disorders in combination with his emergency medicine training led him to an improved understanding of harm reduction and eventually to become board-certified in addiction medicine.

Interviewing Dr. Nichols - Part 1 07.02.2024

In the first of two episodes, McCauley Sexton interviews Dr. Taylor Nichols on his path to medicine and how his personal experience with family connections to substance use disorders in combination with his emergency medicine training led him to an improved understanding of harm reduction and eventually to become board-certified in addiction medicine.

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