Main description:

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.

New to This Edition
*Chapter on evidence-based principles and interventions.
*Chapter on moderation-focused alcohol treatment.
*Revised throughout with current data, clinical techniques, and examples.
*Reflects over 15 years of important changes in the field--increased demand for integrated treatment, the ongoing opioid crisis, the growth of harm reduction and medication-assisted treatments, and more.

Contents:

I. Basic Issues and Perspectives
1. Why Treat Alcohol and Drug Problems in Psychotherapy Practice?
2. Clinical Course, Definition, and Diagnosis of Substance Use Disorders
3. Pharmacology of Psychoactive Substances
4. Addressing Concurrent Psychiatric and Substance Use Disorders
5. Ingredients of the Integrated Approach: Doing What Works
6. The Place of Evidence-Based Principles and Interventions
7. The Role of Medication
II. Clinical Strategies and Techniques
8. Clinical Assessment
9. Treatment Planning: Meeting Patients Where They Are
10. Abstinence Strategies
11. Maintaining Positive Gains
12. Moderation and Harm Reduction Strategies for Alcohol Problems
13. Psychotherapy in Ongoing and Later Stage Recovery
14. Facilitating Participation in Mutual-Help Programs
Appendix 1: New Patient Questionnaire
Appendix 2: 10 Tips for Cutting Down on Your Drinking
Appendix 3: Inventory of "Triggers" for Alcohol and Drug Use
Appendix 4: Preparing to Go Off Antabuse
References
Index