Peer support can feel like the missing link in addiction care, not because it replaces medicine, but because it makes recovery feel possible when someone is scared, ashamed, or shutting down. I’m Dr Casey Grover, and I sit down with Mark Ehrenkranz, a certified peer recovery specialist who does bedside work across a thousand-bed hospital, from the ED and ICU to behavioral health. Mark brings decades of recovery experience, plus the clarity that comes from having lived through relapse, depression, and the brutal way substance use disorder can hijack decision-making.
We get practical about what peer recovery specialists actually do: building trust quickly, sharing just enough personal story to invite radical honesty, translating brain science into plain language, and helping patients move from crisis to a realistic next step. We also talk about the real-world barriers, including stigma in medical settings, limited funding for peer teams, and how different states handle certification and reimbursement. If you’ve ever searched for recovery coaching, peer recovery support services, sober support, or how to get help for addiction, this conversation maps the terrain with honesty and hope.
We also go straight at the “one path” problem. AA helps many people, but it can feel dogmatic to others, so we discuss multiple pathways like SMART Recovery, CBT/DBT, secular and Buddhist recovery, online communities, and medication for opioid use disorder support spaces. Mark shares his “Navy SEAL Recovery” approach to nervous system regulation: one-minute diaphragmatic breathing, humming to stimulate the vagus nerve, and small doses of intentional discomfort to build resilience. If you care about compassionate, evidence-informed addiction treatment that respects individual fit, you’ll leave with tools you can use today.
Subscribe, share this with someone who needs it, and leave a review so more people can find the show.
Podden och tillhörande omslagsbild på den här sidan tillhör
Casey Grover, MD, FACEP, FASAM. Innehållet i podden är skapat av Casey Grover, MD, FACEP, FASAM och inte av,
eller tillsammans med, Poddtoppen.