In this episode of Doctor Friends, emergency physicians Rosny, Christian, Tomás and Grace are joined by Dr. Taylor Nichols, MD – an addiction medicine specialist. The discussion covers substance use disorders and the concept of harm reduction. Taylor shares insights into the impact of drug use on medical practice, his experiences in emergency medicine and the importance of approaching substance use with empathy and evidence-based practices. The doctors also unpack some of the stigma around harm reduction and propose policy-level solutions like overdose prevention sites and medically-assisted treatment.

This episode was recorded remotely in January 2026. Presented by Rosny, Christian, Tomás, and Grace. Music by Nylonia. Produced by Ilia Rogatchevski.

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Follow Taylor on TikTok @tnicholsmd and make sure to check out his podcast Recovery Reform, which is available on your favourite podcast app and YouTube.

Substance abuse and mental health services administration SAMHSA’s National Helpline is a free, confidential, 24/7, 365-day-a-year treatment referral and information service (in English and Spanish) for individuals and families facing mental and/or substance use disorders.

Safespot Hotline: 1-800-662-HELP (4357)

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