In this insightful episode of SDHC's Health and Wellbeing podcast, our host Nick is joined by Robert Ralph. Together, they explore the complexities of supporting patients prescribed with dependence-forming medications and the evolving landscape of substance misuse. Robert shares his journey from working with autism-specific services to pioneering a pilot service focused on deprescribing dependence-forming medications. This initiative led to the development of a county-wide service in East Sussex, eventually expanding to West Sussex. He discusses the challenges and rewards of his work, as well as his personal experiences managing a demanding career while raising teenage children. The conversation delves into the shifting patterns of substance misuse, particularly among Generation Z, and the impact of social media and digital lifestyles on their behaviours. Robert highlights the importance of understanding the underlying trauma that often drives substance misuse and the need for resilience-building and coping skills. Robert also addresses common misconceptions about dependence-forming medications, such as opioids and benzodiazepines, and emphasises the importance of informed prescribing practices. He provides valuable insights into managing the risks associated with these medications and the benefits of a holistic approach to patient care. The episode concludes with practical advice for patients concerned about potential dependence on medications, highlighting the role of open communication with healthcare providers, self-research, and the importance of a balanced approach to medication management. You might also find the following resources helpful: Home - Live Well with Pain Pace Yourself: A Game-Changer for Arthritis Management Pain Toolkit - Pain Self Management by Pete Moore