This book has been replaced by Treating Alcohol and Drug Problems in Psychotherapy Practice, Second Edition, ISBN 978-1-4625-5086-9.

"Providing a framework for treating substance use disorders (SUDs) in office-based psychotherapy, the second edition of this trusted work has been updated throughout and features two entirely new chapters. The authors show how clinicians from any background can leverage the therapeutic skills they already have to address clients' alcohol and drug problems competently and effectively. Vivid case examples demonstrate ways to engage clients at different stages of change; set collaborative treatment goals; address SUDs concurrently with other psychological problems; and interweave motivational, cognitive-behavioral, and other interventions, tailored to each individual's needs. Reproducible forms and handouts can be downloaded and printed in a convenient 8 1/2" x 11" size. Subject areas/key words: substance use disorders, SUDs, psychotherapists, counselors, counseling clients with, patients, addictions, addictive behavior, abuse, harm reduction, nonspecialists, treatments, practical guide, alcoholism, in recovery, drinking, and opioids. Clinical audience: clinical psychologists, psychiatrists, clinical social workers, mental health counselors, and psychiatric nurses"--

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 informative video shows how a therapist works in treatment partnership with a patient, family, and friends to surmount major obstacles to recovery. The video portrays reenacted therapy sessions using transcripts from actual sessions with a patient -- showing how the real process of recovery can begin and be sustained. Each session with the patient, his family, and friends (all portrayed by actors) is followed by a discussion of salient points with Dr. Galanter. Seasoned with practical advice from Dr. Galanter's years of experience in the field, the companion booklet provides a concise, indispensable guide to this therapy model. Network therapy is a multimodal approach to rehabilitation in which specific family members and friends are enlisted to provide ongoing support and promote attitude change. Three critical tasks propel the therapy and are illustrated on the video: maintaining abstinence (the prompt achievement of abstinence with relapse prevention), caring for the network (network members are part of the therapist's team and not subjects of treatment themselves), and securing future behavior (development of a drug-free adaptation). The network complements individual or group therapy and Alcoholics Anonymous. For easy reference, this helpful example of network therapy is accompanied by a table of contents with concepts listed by location on the video. Replete with practical insights and methods, this valuable video and companion booklet will benefit mental health care professionals, addiction specialists, and trainees alike.

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

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.

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.

Highly Commended in the Psychiatry category at the 2010 BMA Medical Books Awards! This book serves as a manual for clinicians working with people with alcohol problems. The manual is based on previous research in addiction treatment, including family and social network interventions, as well the authors' own work developing and evaluating Social Behaviour and Network Therapy (SBNT) for example in the United Kingdom Alcohol Treatment Trial (UKATT). Containing a range of ideas the book is guided by a key principle: the development of social support for a positive change in drinking behaviour. Divided into three sections topics include: an introduction to the evidence base underpinning SBNT core components of the treatment common questions asked about the intervention. Featuring a series of practical handouts, this book will be essential reading for clinicians, counsellors, nurses, psychologists and all those involved in the treatment of alcohol misuse and dependence.

Every day, huge numbers of people use drugs or alcohol for recreation, medication, celebration, stress management, social lubrication, or escape. The abuse of psychoactive chemicals touches individual lives in countless ways, and clients frequently hint in therapy sessions at problems related to substance misuse. But historically, substance abuse treatment has been regarded as a separate specialty, for which students and trainees often prepare along tracks different from those leading to licensing or certification as psychotherapists. Few non-specialists feel completely competent and willing to grapple closely with the issues these clients present, in spite of the fact that such problems are quite frequent among client populations. In this book, Cynthia Glidden-Tracey lays out an integrated, holistic, and effective approach to clients' inevitably intertwined problems, which encourages all practitioners to develop skills for detecting, assessing, and addressing substance use whenever concerns about it emerge in the course of therapy. She describes the frequent co-occurrence of substance misuse and other mental health problems, reviews therapy models and current professional questions, and empowers practitioners with the latest scientific knowledge about the causes and effective treatment of addictions. Throughout, her points are grounded in rich clinical examples.