Counseling and Therapy With Clients Who Abuse Alcohol or Other Drugs


Book Description

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.




Behavioral Couples Therapy for Alcoholism and Drug Abuse


Book Description

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.




Brief Strategic Family Therapy


Book Description

This book describes Brief Strategic Family Therapy, a strengths-based model for diagnosing and correcting interaction patterns that are linked to troublesome symptoms in children ages 6 to 18.







The Treatment of Shame and Guilt in Alcoholism Counseling


Book Description

This insightful new book sheds light directly on shame and guilt--interactive aspects of the human condition that are deeply involved in the development and treatment of alcoholism and chemical dependency. Contributors to this valuable book discuss the process of healing internalized shame within the chemically dependent client and among the family members. They explore creative techniqes that foster understanding and coping strategies--videotaping and storytelling with clay and stuffed animals. Professionals who are experienced in treating chemically dependent clients and their families explore shame and the healing of shame, while examining the culture within which both occur. A major focus is the destructiveness of shame and guilt--shame keeps the family from seeking help, erodes self-worth, and produces destructive secrets that cannot heal, and guilt may circulate freely between alcoholic and family members, so that everyone begins to feel responsible for the pain of others.




Counseling Alcoholic Clients


Book Description







TIP 35: Enhancing Motivation for Change in Substance Use Disorder Treatment (Updated 2019)


Book Description

Motivation is key to substance use behavior change. Counselors can support clients' movement toward positive changes in their substance use by identifying and enhancing motivation that already exists. Motivational approaches are based on the principles of person-centered counseling. Counselors' use of empathy, not authority and power, is key to enhancing clients' motivation to change. Clients are experts in their own recovery from SUDs. Counselors should engage them in collaborative partnerships. Ambivalence about change is normal. Resistance to change is an expression of ambivalence about change, not a client trait or characteristic. Confrontational approaches increase client resistance and discord in the counseling relationship. Motivational approaches explore ambivalence in a nonjudgmental and compassionate way.







Harmful interactions


Book Description