Treating Alcohol And Drug Problems In Psychotherapy Practice

This book has been replaced by Treating Alcohol and Drug Problems in Psychotherapy Practice, Second Edition, ISBN 978-1-4625-5086-9.

This ground-breaking volume provides readers with both an overview of harm reduction therapy and a series of ten case studies, treated by different therapists, that vividly illustrate this treatment approach with a wide variety of clients. Harm reduction is a framework for helping drug and alcohol users who cannot or will not stop completely—the majority of users—reduce the harmful consequences of use. Harm reduction accepts that abstinence may be the best outcome for many but relaxes the emphasis on abstinence as the only acceptable goal and criterion of success. Instead, smaller incremental changes in the direction of reduced harmfulness of drug use are accepted. This book will show how these simple changes in emphasis and expectation have dramatic implications for improving the effectiveness of psychotherapy in many ways. From the Foreword by Alan Marlatt, Ph.D.: “This ground-breaking volume provides readers with both an overview of harm reduction therapy and a series of ten case studies, treated by different therapists, that vividly illustrate this treatment approach with a wide variety of clients. In his introduction, Andrew Tatarsky describes harm reduction as a new paradigm for treating drug and alcohol problems. Some would say that harm reduction embraces a paradigm shift in addiction treatment, as it has moved the field beyond the traditional abstinence-only focus typically associated with the disease model and the ideology of the twelve-step approach. Others may conclude that the move toward harm reduction represents an integration of what Dr. Tatarsky describes as the “basic principles of good clinical practice” into the treatment of addictive behaviors. “Changing addiction behavior is often a complex and complicated process for both client and therapist. What seems to work best is the development of a strong therapeutic alliance, the right fit between the client and treatment provider. The role of the harm reduction therapist is closer to that of a guide, someone who can provide support an

This second edition includes new material on individual psychotherapy and family therapy for clients with alcohol and other drug (AOD) problems.

Twelve-step programs that insist on abstinence are beneficial to many--but what about the millions of Americans who try to quit and fail, just want to cut down, or wish to work toward sobriety gradually? This groundbreaking book presents the Harm Reduction approach, a powerful alternative to traditional treatment that helps users set and meet their own goals for gaining control over drinking and drugs. The expert, empathic authors guide readers to figure out which aspects of their own habits may be harmful, what they would like to change, and how to put their intentions into action while also dealing with problems that stand in the way, such as depression, stress, and relationship conflicts. Based on solid science and 40+ years of combined clinical experience, the book is packed with self-discovery tools, fact sheets, and personal accounts. It puts the reader in the driver's seat with a new and empowering roadmap for change. Winner--American Journal of Nursing Book of the Year Award

Section 1: Overview of Substance Use Problems and Self-Assessment Chapter 1: Introduction and Plan for Workbook Chapter 2: Recognizing Your Substance Use Problem Chapter 3: Recognizing Consequences of Your Substance Use Section 2: Change Issues and Strategies Chapter 4: Treatment Settings for Substance Use Problems Chapter 5: Stages of Change Ch 6: How to Use Therapy or Counseling Ch 7: Overview of Goal Planning Ch 8: Managing Cravings and Urges to Use Substances Ch 9: Managing Thoughts of Using Substances Ch 9: Dealing With Upsetting Emotions Ch 11: Refusing Offers to Use Substances Ch 12: Dealing With Family and Interpersonal Problems Ch 13: Building a Recovery Support System Ch 14: Self-Help Programs and Recovery Clubs Ch 15: Medications for Substance Use Problems Section 3: Relapse Prevention and Progress Measurement Ch 16: Relapse Prevention: Reducing the Risk of Relapse Ch 17: Relapse Management Ch 18 Strategies for Balanced Living Ch 19: Measuring Your Progress.

"Most mental health professionals are ill prepared to help the alcoholic or drug abuser to recover, even though addicted people and their families regularly turn to them for help. For many such patients, years of therapy have meant that they have achieved "insight," but their drinking has continued." "How can we engage and treat these troubled people more effectively? In this book, Marc Galanter outlines an innovative approach to office-based addiction treatment in which the therapist assembles a support network of family members and friends to meet with the patient and therapist at regular intervals. The bonds of social cohesion in the network aid the patient in overcoming denial, achieving abstinence, and avoiding relapse. The network approach thereby provides a remarkably effective vehicle for bringing substance abusers into treatment and helping them achieve recovery." "This is also the first approach to the treatment of substance abuse that integrates individual psychotherapy with support from family and friends. It employs contemporary approaches like relapse prevention, and helps introduce patients to Alcoholics Anonymous. Dr. Galanter defines how treatment is implemented and then illustrates his technique with many case studies. He provides a full explanation of what addiction is, from both a psychological and a pharmacological perspective. The book demonstrates that addicted people can be treated effectively with this combination of individual therapy, self-help, and peer support."--BOOK JACKET.Title Summary field provided by Blackwell North America, Inc. All Rights Reserved

This eminently practical guide presents an empirically supported approach for treating people with substance abuse problems and their spouses or domestic partners. Behavioral couples therapy (BCT) explicitly focuses on both substance use and relationship issues, and is readily compatible with 12-step approaches. In a convenient large-size format, the book provides all the materials needed to introduce BCT; implement a recovery contract to support abstinence; work with clients to increase positive activities, improve communication, and reduce relapse risks; and deal with special treatment challenges. Appendices include a session-by-session treatment manual and 70 reproducible checklists, forms, and client education posters.

Because substance abuse is common among persons seeking mental health services, it is important for mental health professionals who don't specialize in substance abuse to be able to ascertain the possible involvement of alcohol or drug abuse when assessing a client. This practical new volume provides all the information general psychotherapists and mental health clinicians need to properly identify, assess, treat, and/or refer a client who is using psychoactive substances. Unlike other resources on the treatment of substance abuse, this volume is accessibly written for nonspecialists working in mental health facilities, hospitals, private practice, or other clinical settings, though specialists, too, will find many chapters of practical utility.

Alcohol abuse and alcohol dependence are widespread, and the individual and societal problems associated with these disorders have made the study and treatment of alcohol use disorders a clinical research priority. Research over the past several decades has led to the development of excellent empirically supported treatment methods. This book aims to increase clinicians' access to empirically supported interventions for alcohol use disorders, with the hope that these methods will become the standard in clinical practice.