Preface to the Fifth Edition
Acknowledgments
1. First Contact
The Motivational Interview
How to Develop the Therapeutic Alliance
How to Do a Motivational Interview
What to Do If There Are One or More Red Flags
Natural History of Addiction
How to Diagnose an Addiction Problem
2. First Hours of Treatment
Beginning the Therapeutic Alliance
Dealing With Early Denial
Example of an Initial Contact
How to Check for Organic Brain Dysfunction
How to Conduct a Crisis Intervention
American Society of Addiction Medicine Patient Placement Criteria
Diagnostic and Statistical Manual
Diagnosis: Substance Use Disorder
How to Determine the Level of Care Needed
Criteria for Outpatient Treatment (Adults)
Criteria for Inpatient Treatment (Adults)
Criteria for Outpatient Treatment (Adolescents)
Criteria for Inpatient Treatment (Adolescents)
The Client’s Reaction to Intoxication
What to Do With an Intoxicated Client
How Clients React in Detoxification
Example of an AMA Intervention
How to Develop and Use the AMA Team
How to Use the In-House Intervention
How to Respond to Clients Who Leave AMA
3. Biopsychosocial Interview
The Biopsychosocial Interview
How to Conduct the Interview
Disposition and Treatment Plan
A Sample Biopsychosocial Interview
4. Treatment Plan
How to Build a Treatment Plan
How to Develop a Problem List
Examples of Developing Goals
How to Develop Objectives
How to Develop Interventions
How to Evaluate the Effectiveness of Treatment
How to Select Goals, Objectives, and Interventions
How to Write Progress Notes
Formal Treatment Plan Review
Discussion of Continuing Care
5. Individual Treatment
How to Develop a Therapeutic Alliance
Transference and Countertransference
Examples of Empathic Statements
The Importance of Reinforcement
When a Client Breaks a Rule
Why We Concentrate on Behavior Therapy
How Chemically Dependent People Think
Applying Cognitive Therapy
How to Correct Inaccurate Thoughts
How to Develop Healthy Relationships
Building a Relationship With a Higher Power
Developing a Relationship With Self
Building Relationships With Others
How Clients Use Feelings Inappropriately
How Clients Learn Relationship Skills
How to Change Relationships
How to Choose the Therapeutic Modality
6. Group Therapy
Benefits of the Group Process
Preparation for the Group
The Preparation Statement
How to Choose the Order of the Agenda
How to Give Good Feedback
How to Know Which Therapy to Use
Example of the Honesty Group
The Euphoric Recall Group
How to Uncover Euphoric Recall
How to Help the Clients See the Truth
The Relapse Prevention Group
How to Uncover the Triggers
The Inaccurate Thinking Group
The Feelings and Action Group
How to Develop Healthy Relationships
How to Develop a Healthy Relationship With a Higher Power
How to Explore Early Parental Relationships
How to Begin to Heal Early Childhood Pain
Men’s Group/Women’s Group
The Personal Inventory Group
Assertiveness Skills Group
Problem-Solving Skills Group
7. Drugs of Abuse
Central Nervous System Depressants
Central Nervous System Stimulants
The Reinforcing Properties of Drugs
Alcohol-Induced Organic Mental Disorders
Alcohol Amnesic Disorder (Blackout)
Wernicke-Korsakoff Syndrome
Alcohol Withdrawal Seizures
Alcohol Withdrawal Delirium (Delirium Tremens)
Sedatives, Hypnotics, and Anxiolytics
Dissociative Anesthetics (Phencyclidine, Ketamine, Dextromethorphan, and FLAKKA)
8. Recovery Skills
Love, Trust, and Commitment
9. Steps
How to Help Clients Accept a Higher Power
How to Help Clients Embrace Step Three
10. Lectures
Addiction Is Not a Moral Problem
Addiction Is Not Due to a Weak Will
Addiction Has Genetic Components
Addiction Is a Social Problem
Addiction Is a Psychological Problem
Addiction Is a Physiological Problem
How to Begin to Live in the Truth
The Promise of the Disease
A Program of Rigorous Honesty
The Struggle for Independence
The Development of Insecurity
Physical Addiction and Recovery
How Drugs Affect the Cell
How Drugs Affect Behavior
Two Alcoholics Talking to Each Other
All Feelings Are Adaptive
11. Special Problems
The Psychiatric/Psychological Assessment
How to Develop the Treatment Plan
How to Handle a Violent Client
How to Handle an Angry Client
The Importance of Forgiveness
How to Teach the Client to Recognize Anger
How to Keep Your Cool as a Counselor
The Antisocial Personality
How to Treat the Antisocial Personality
How to Deal With a Rule Violation
How to Deal With the Family of an Antisocial Client
Interpersonal Relationships
How to Treat the Borderline Client
Dealing With Transference
The Psychological Component of Anxiety
How to Use Relaxation Techniques
Post-Traumatic Stress Disorder
Hallucinations and Delusions
How to Treat the Psychotic Client
The Family of the Psychotic Client
Acquired Immune Deficiency Syndrome
The Client With Low Intellectual Functioning
How to Treat the Client With Low Intelligence
The Client Who Cannot Read
The Family of the Client With Low Intelligence
The Client With Early Childhood Trauma
How to Deal With Sexual Abuse
Love in the Treatment Center
The Importance of the Unit Rules
How to Deal With Clients in Love
Gambling Relapse Prevention
12. Adolescent Treatment
Interesting Adolescent Facts
The Chemically Dependent Adolescent
The Adolescent Chemical Dependency Counselor
The Primary Elements in Adolescent Treatment
The Parents Support Group
Phases of Adolescent Treatment
13. The Family Program
How to Handle the Early Against Medical Advice Risk
Inability to Know Feelings
Feelings of Worthlessness
Poor Communication Skills
How to Treat Family Members
The Family Program Schedule
How to Work With the Family in Group
14. The Clinical Staff
The Physician/Addictionologist
The Psychologist/Psychiatrist
The Social Worker/Mental Health Counselor
The Chemical Dependency Counselor
The Rehabilitation Technician or Aide
The Recreational Therapist
What to Do When a Client Does Not Like a Counselor
What to Do When a Client Complains About a Rule
15. Discharge and Continuing Care
Outpatient Discharge Criteria
Inpatient Discharge Criteria
How to Develop a Discharge Summary
16. The Good Counselor
Good Counselors Are Caring
Good Counselors Love Their Work
Good Counselors Do Not Become Overly Involved
Good Counselors Do Not Lie
Good Counselors Are Gentle
Good Counselors Like Themselves
Good Counselors Are Supersensitive
Good Counselors Have a Sixth Sense
Good Counselors Do Not Become Overly Emotional
Good Counselors Are Active Listeners
Good Counselors Do Not Talk Too Much
Good Counselors Maintain Boundaries
Good Counselors Are Client Centered
Good Counselors Have Effective Relationship Skills
Good Counselors Have a Sound Code of Ethics
Appendix 1- Cognitive Capacity Screening
Appendix 2- Short Michigan Alcoholism Screening Test
Appendix 3- DSM–5 Psychoactive Substance Use Disorder
Appendix 4- Alcohol Withdrawal Scale
Appendix 5- Narcotic Withdrawal Scale
Appendix 6- Sample Biopsychosocial Interview
Appendix 7- Chemical Use History
Appendix 8- Honesty
Appendix 9- Love, Trust, and Commitment
Appendix 10- Feelings
Appendix 11- Relationship Skills
Appendix 12- Addictive Relationships
Appendix 13- Communication Skills
Appendix 14- Self-Discipline
Appendix 15- Impulse Control
Appendix 16- Relapse Prevention
Appendix 17- Step One
Appendix 18- Step Two
Appendix 19- Step Three
Appendix 20- Step Four
Appendix 21- Step Five
Appendix 22- Adolescent Unit Level System
Appendix 23- Peer Pressure
Appendix 24- The Behavioral Contract
Appendix 25- Family Questionnaire
Appendix 26- Codependency
Appendix 27- Personal Recovery Plan
Appendix 28- Sample Discharge Summary
Appendix 29- Stress Management
Appendix 30- Hamilton Depression Rating Scale
Appendix 31- Biopsychosocial Assessment
Appendix 32- Anger Management
Appendix 33- Narcissism
Appendix 34- Honesty for Gamblers
Appendix 35- Step One for Gamblers
Appendix 36- Step Two for Gamblers
Appendix 37- Step Three for Gamblers
Appendix 38- Step Four for Gamblers
Appendix 39- Step Five for Gamblers
Appendix 40- Relapse Prevention for Gamblers
Appendix 41- Adolescent Unit Point System
Appendix 42- Results From the 2013 National Survey on Drug Use and Health: Summary of National Findings
Appendix 43- Drug Categories for Substances of Abuse
Appendix 44- Adult Inpatient Program Schedule
Appendix 45- Adolescent Inpatient Program Schedule
Appendix 46- Adult Outpatient Program Schedule
Appendix 47- Adolescent Outpatient Program Schedule
Appendix 48- Gambling Inpatient Program Schedule
Appendix 49- Gambling Outpatient Program Schedule
Appendix 50- Day Treatment Program Schedule
Appendix 51- Pressure Relief Group Meeting and Budget Form
Appendix 52- Heroin
Appendix 53- South Oaks Gambling Screen
Appendix 54- Barriers in Thinking
Appendix 55- Psychotherapeutic Medications 2011
Appendix 56- Drug Abuse Screening Test
Appendix 57- Clinical Opiate Withdrawal Scale
Appendix 58- Adult Nurses Intake
Appendix 59- Adolescent Nurses Intake
Appendix 60- National Cancer Institute Guide to Quitting Smoking
Appendix 61- Post-Traumatic Stress Disorder (PTSD) Checklist Civilian Version
Appendix 62- Post-Traumatic Stress Disorder (PTSD) Checklist Military Version
Appendix 63- Alcohol Abstinence Self-Efficacy Scale
Appendix 64- Hamilton Anxiety Rating Scale
Appendix 65- Strengths, Needs, Abilities, and Preferences
Appendix 66- Daily Craving Record
Appendix 67- National Association of Alcohol and Drug Abuse Counselors (NAADAC) Code of Ethics
Appendix 68- Gambling History
Appendix 69- Diagnostic/Integrated Summary
Appendix 70- Mental Health Screening
Appendix 71- Fagerstrom Test for Nicotine Dependence
References
Index
About the Author