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Guiding the counsellor step by step through treatment, the author presents state-of-the-art tools, forms, and tests necessary for client success while meeting the highest standards demanded by accrediting bodies. This Fifth Edition has been updated to include coverage of current topics of concern for counsellors, including discussions on synthetic and designer drugs, new psychotherapeutic medications, new survey data on patterns of use and abuse, and a new section on Recommendations for a Successful First Year in Recovery.
Contents
Preface to the Fifth EditionAcknowledgments1. First ContactTreatment WorksThe Motivational InterviewHow to Develop the Therapeutic AllianceHow to Do a Motivational InterviewWhat to Do If There Are One or More Red FlagsNatural History of AddictionHow to Diagnose an Addiction ProblemHow to InterveneHow to Assess MotivationThe Stages of MotivationMotivating Strategies2. First Hours of TreatmentThe First HoursHow to Greet ClientsExamplesBeginning the Therapeutic AllianceThe Importance of TrustDealing With Early DenialExample of an Initial ContactHow to Check for Organic Brain DysfunctionThe Initial AssessmentReferralHow to Conduct a Crisis InterventionAmerican Society of Addiction Medicine Patient Placement CriteriaDiagnostic and Statistical ManualCriteria for DiagnosisDiagnosis: Substance Use DisorderGambling DisorderHow to Determine the Level of Care NeededCriteria for Outpatient Treatment (Adults)Criteria for Inpatient Treatment (Adults)Criteria for Outpatient Treatment (Adolescents)Criteria for Inpatient Treatment (Adolescents)The Client's Reaction to IntoxicationWhat to Do With an Intoxicated ClientDetoxificationHow Clients React in DetoxificationThe AMA ThreatExample of an AMA InterventionHow to Develop and Use the AMA TeamHow to Use the In-House InterventionHow to Respond to Clients Who Leave AMA3. Biopsychosocial InterviewThe Biopsychosocial InterviewHow to Conduct the InterviewSummary and ImpressionDiagnosisDisposition and Treatment PlanA Sample Biopsychosocial Interview4. Treatment PlanHow to Build a Treatment PlanThe Diagnostic SummaryThe Problem ListHow to Develop a Problem ListGoals and ObjectivesHow to Develop GoalsExamples of Developing GoalsExamples of GoalsHow to Develop ObjectivesExamplesHow to Develop InterventionsExamplesHow to Evaluate the Effectiveness of TreatmentHow to Select Goals, Objectives, and InterventionsExamplesTreatment Plan ReviewDocumentationHow to Write Progress NotesExamplesFormal Treatment Plan ReviewDiscussion of Continuing Care5. Individual TreatmentThe Therapeutic AllianceHow to Develop a Therapeutic AllianceHow to Be ReinforcingHow to Use EmpathyTransference and CountertransferenceExamples of Empathic StatementsHow to Be ConfrontiveBehavior TherapyHow Clients LearnHabitsChanging a HabitWhat Is Reinforcement?What Is Punishment?The Behavior ChainThe Importance of ReinforcementHow to Use PunishmentWhen a Client Breaks a RuleWhy We Concentrate on Behavior TherapyCognitive TherapyHow Chemically Dependent People ThinkDefense MechanismsApplying Cognitive TherapyAutomatic ThoughtsHow to Correct Inaccurate ThoughtsInterpersonal TherapyHow to Develop Healthy RelationshipsBuilding a Relationship With a Higher PowerDeveloping a Relationship With SelfBuilding Relationships With OthersHow Clients Use Feelings InappropriatelyHow Clients Learn Relationship SkillsHow to Change RelationshipsHow to Handle GriefHow to Choose the Therapeutic Modality6. Group TherapyBenefits of the Group ProcessPreparation for the GroupThe Preparation StatementThe Agenda GroupHow to Choose the Order of the AgendaHow to Give Good FeedbackHow to Receive FeedbackHow to Run a GroupHow to Know Which Therapy to UseThe Honesty GroupExample of the Honesty GroupUncovering the LiesHow to End Each GroupThe Euphoric Recall GroupHow to Uncover Euphoric RecallHow to Help the Clients See the TruthThe Reading GroupThe Relapse Prevention GroupThe Trigger GroupHow to Uncover the TriggersThe Drug Refusal SkillsThe Inaccurate Thinking GroupThe Feelings and Action GroupThe Lapse GroupThe Spirituality GroupHow to Develop Healthy RelationshipsHow to Develop a Healthy Relationship With a Higher PowerThe Eleventh Step GroupThe Meditation GroupThe Childhood GroupHow to Explore Early Parental RelationshipsHow to Begin to Heal Early Childhood PainMen's Group/Women's GroupThe Community GroupThe Personal Inventory GroupSkills Training GroupAssertiveness Skills GroupSkillsProblem-Solving Skills GroupSkill Set 1Skill Set 27. Drugs of AbuseDrugs of AbuseCentral Nervous System DepressantsCentral Nervous System StimulantsThe HallucinogensThe Reinforcing Properties of DrugsTolerance and DependenceCross-ToleranceAlcoholAlcohol-Induced Organic Mental DisordersAlcohol IntoxicationAlcohol Amnesic Disorder (Blackout)Wernicke-Korsakoff SyndromeAlcohol WithdrawalAlcohol Withdrawal SeizuresAlcohol Withdrawal Delirium (Delirium Tremens)Sedatives, Hypnotics, and AnxiolyticsOpioidsCocaine and AmphetaminesPhencyclidineDissociative Anesthetics (Phencyclidine, Ketamine, Dextromethorphan, and FLAKKA)HallucinogensThe Psychedelic StateCannabisSynthetic Designer DrugsInhalantsNicotineClub DrugsMDMAGHBKetamineRohypnolPolysubstancesTreatment Outcome8. Recovery SkillsThe Chemical Use HistoryHonestyLove, Trust, and CommitmentFeelingsRelationship SkillsAddictive RelationshipsCommunication SkillsSelf-DisciplineImpulse ControlRelapse PreventionStress Management9. StepsThe CommitteeStep OneStep TwoHow to Help Clients Accept a Higher PowerStep ThreeHow to Help Clients Embrace Step ThreeStep FourStep FiveStep SixStep SevenStep EightStep NineStep TenStep ElevenStep Twelve10. LecturesThe Disease ConceptAddiction Is Not a Moral ProblemAddiction Is Not Due to a Weak WillAddiction Has Genetic ComponentsAddiction Is a Social ProblemAddiction Is a Psychological ProblemAddiction Is a Physiological ProblemThe ObsessionThe ProblemsDefense MechanismsMinimizationRationalizationDenialHow to Begin to Live in the TruthThe Great LieHow the Great Lie WorksWe Never Feel AcceptedThe Promise of the DiseaseTruthA Program of Rigorous HonestyNormal DevelopmentThe Primary CaregiverThe Struggle for IndependenceThe Fear of AbandonmentLearning the RulesThe Development of InsecurityThe Peer GroupAdolescenceAdulthoodPhysical Addiction and RecoveryHow Drugs Affect the CellHow Drugs Affect BehaviorToleranceCross-ToleranceWithdrawalHow We LearnAlcoholics AnonymousA Spiritual AwakeningTwo Alcoholics Talking to Each OtherThe "Big Book"The 12 StepsMeetingsFeelingsAll Feelings Are AdaptiveAssertive Skills11. Special ProblemsThe Psychiatric/Psychological AssessmentHow to Develop the Treatment PlanThe Depressed ClientHow to Assess DepressionHow to Treat DepressionPsychopharmacologyBehavior TherapyCognitive TherapyInterpersonal TherapyGriefSuicideThe Angry ClientHow to Handle a Violent ClientHow to Handle an Angry ClientAssertiveness SkillsThe Importance of ForgivenessHow to Teach the Client to Recognize AngerDisengagementTime-OutHow to Keep Your Cool as a CounselorThe Homicidal ClientThe Duty to WarnPersonalityWhat Is Personality?The Antisocial PersonalityA Disorder of EmpathyHow to Treat the Antisocial PersonalityHow to Deal With a Rule ViolationMoral DevelopmentHow to Deal With the Family of an Antisocial ClientThe Borderline ClientInterpersonal RelationshipsEmotional RegulationHow to Treat the Borderline ClientSetting LimitsDealing With TransferenceStress ToleranceDealing With the FamilyThe Narcissistic ClientThe Anxious ClientHow to Measure AnxietyThe Psychological Component of AnxietyHow to Use Relaxation TechniquesThe Daily LogCognitive TherapyPost-Traumatic Stress DisorderPanic AttacksThe Psychotic ClientHallucinations and DelusionsHow to Treat the Psychotic ClientThe Family of the Psychotic ClientAcquired Immune Deficiency SyndromeThe High-Risk ClientThe Client With Low Intellectual FunctioningHow to Treat the Client With Low IntelligenceThe Client Who Cannot ReadThe Family of the Client With Low IntelligenceThe Elderly ClientThe Client With Early Childhood TraumaHow to Deal With Sexual AbuseCognitive TherapyHow to Learn ForgivenessLove in the Treatment CenterThe Importance of the Unit RulesHow to Deal With Clients in LoveThe Pathological GamblerHonestyGambling Step OneGambling Step TwoGambling Step ThreeGambling Step FourGambling Step FiveGambling Step SixGambling Step SevenGambling Step EightGambling Step NineGambling Step TenGambling Step ElevenGambling Step TwelveGambling Relapse Prevention12. Adolescent TreatmentThe Normal AdolescentPubertyAges 13 to 16Ages 16 to 19Interesting Adolescent FactsThe Chemically Dependent AdolescentThe Adolescent Chemical Dependency CounselorThe Point SystemThe Primary Elements in Adolescent TreatmentThe RulesCommunication SkillsHonestyExerciseFun in SobrietyThe ReinforcersSpiritualityGroup TherapyPeer PressureContinuing EducationContinuing CareThe Parents Support GroupThe Behavioral ContractPhases of Adolescent Treatment13. The Family ProgramThe First Family ContactHow to Handle the Early Against Medical Advice RiskCommon Family ProblemsCodependencyGuiltLoss of ControlShameCaretakingEnablingInability to Know FeelingsInability to Know WantsLack of TrustPeople PleasingFeelings of WorthlessnessDependencyPoor Communication SkillsHow to Treat Family MembersThe Family Program ScheduleHow to Work With the Family in GroupThe Conjoint Session14. The Clinical StaffThe Physician/AddictionologistThe Psychologist/PsychiatristThe Social Worker/Mental Health CounselorThe NurseThe Clinical DirectorThe Clinical SupervisorThe Chemical Dependency CounselorThe Rehabilitation Technician or AideThe Recreational TherapistClinical StaffingHow to Present a ClientTeam BuildingCommitment to CoworkersBoundariesStaff-Client ProblemsWhat to Do When a Client Does Not Like a CounselorWhat to Do When a Client Complains About a RuleThe Work Environment15. Discharge and Continuing CareOutpatient Discharge CriteriaInpatient Discharge CriteriaHow to Develop a Discharge SummaryThe Discharge SummarySaying Good-Bye16. The Good CounselorGood Counselors Are CaringGood Counselors Love Their WorkGood Counselors Do Not Become Overly InvolvedGood Counselors Do Not LieGood Counselors Are GentleGood Counselors Like ThemselvesGood Counselors Are SupersensitiveGood Counselors Have a Sixth SenseGood Counselors Do Not Become Overly EmotionalGood Counselors Are Active ListenersGood Counselors Do Not Talk Too MuchGood Counselors Maintain BoundariesGood Counselors Are Client CenteredGood Counselors Have Effective Relationship SkillsGood Counselors Have a Sound Code of EthicsAppendix 1- Cognitive Capacity ScreeningAppendix 2- Short Michigan Alcoholism Screening TestAppendix 3- DSM-5 Psychoactive Substance Use DisorderAppendix 4- Alcohol Withdrawal ScaleAppendix 5- Narcotic Withdrawal ScaleAppendix 6- Sample Biopsychosocial InterviewAppendix 7- Chemical Use HistoryAppendix 8- HonestyAppendix 9- Love, Trust, and CommitmentAppendix 10- FeelingsAppendix 11- Relationship SkillsAppendix 12- Addictive RelationshipsAppendix 13- Communication SkillsAppendix 14- Self-DisciplineAppendix 15- Impulse ControlAppendix 16- Relapse PreventionAppendix 17- Step OneAppendix 18- Step TwoAppendix 19- Step ThreeAppendix 20- Step FourAppendix 21- Step FiveAppendix 22- Adolescent Unit Level SystemAppendix 23- Peer PressureAppendix 24- The Behavioral ContractAppendix 25- Family QuestionnaireAppendix 26- CodependencyAppendix 27- Personal Recovery PlanAppendix 28- Sample Discharge SummaryAppendix 29- Stress ManagementAppendix 30- Hamilton Depression Rating ScaleAppendix 31- Biopsychosocial AssessmentAppendix 32- Anger ManagementAppendix 33- NarcissismAppendix 34- Honesty for GamblersAppendix 35- Step One for GamblersAppendix 36- Step Two for GamblersAppendix 37- Step Three for GamblersAppendix 38- Step Four for GamblersAppendix 39- Step Five for GamblersAppendix 40- Relapse Prevention for GamblersAppendix 41- Adolescent Unit Point SystemAppendix 42- Results From the 2013 National Survey on Drug Use and Health: Summary of National FindingsAppendix 43- Drug Categories for Substances of AbuseAppendix 44- Adult Inpatient Program ScheduleAppendix 45- Adolescent Inpatient Program ScheduleAppendix 46- Adult Outpatient Program ScheduleAppendix 47- Adolescent Outpatient Program ScheduleAppendix 48- Gambling Inpatient Program ScheduleAppendix 49- Gambling Outpatient Program ScheduleAppendix 50- Day Treatment Program ScheduleAppendix 51- Pressure Relief Group Meeting and Budget FormAppendix 52- HeroinAppendix 53- South Oaks Gambling ScreenAppendix 54- Barriers in ThinkingAppendix 55- Psychotherapeutic Medications 2011Appendix 56- Drug Abuse Screening TestAppendix 57- Clinical Opiate Withdrawal ScaleAppendix 58- Adult Nurses IntakeAppendix 59- Adolescent Nurses IntakeAppendix 60- National Cancer Institute Guide to Quitting SmokingAppendix 61- Post-Traumatic Stress Disorder (PTSD) Checklist Civilian VersionAppendix 62- Post-Traumatic Stress Disorder (PTSD) Checklist Military VersionAppendix 63- Alcohol Abstinence Self-Efficacy ScaleAppendix 64- Hamilton Anxiety Rating ScaleAppendix 65- Strengths, Needs, Abilities, and PreferencesAppendix 66- Daily Craving RecordAppendix 67- National Association of Alcohol and Drug Abuse Counselors (NAADAC) Code of EthicsAppendix 68- Gambling HistoryAppendix 69- Diagnostic/Integrated SummaryAppendix 70- Mental Health ScreeningAppendix 71- Fagerstrom Test for Nicotine DependenceReferencesIndexAbout the Author
