Written specifically for the office-based psychotherapist, this practical guide describes how to detect, assess, diagnose, and treat clients presenting with a range of alcohol and drug problems. Detailed is an integrated, flexible psychotherapeutic approach that emphasizes building a strong therapeutic relationship, engaging clients 'where they are,' and addressing substance use within the larger context of clients' lives. The authors describe in very pragmatic terms how to use a combination of motivational, cognitive-behavioral, 12-step, and psychodynamic techniques with clients at different stages of change. Techniques are brought to life with numerous case vignettes, and appendices include reproducible client forms and handouts.
Part I: Basic Issues and Perspectives. Introduction. Nature, Course, and Diagnosis of Substance Use Disorders. Pharmacology and Overview of Psychoactive Substances. Ingredients of the Integrated Approach: Doing What Works. Considerations in Addressing Concurrent Psychiatric and Substance Use Disorders. The Role of Medications. Part II: Clinical Strategies and Techniques. Assessment. Individualized Goal Setting and Treatment Planning: Meeting Patients "Where They Are." Taking Action. Preventing Relapse. Psychotherapy in Ongoing and Later-stage Recovery. Group Therapy. Facilitating Participation in Self-Help Programs. Appendix 1: Self-administered Patient Questionnaire. Appendix 2: 10 Tips for Cutting Down on Your Drinking. Appendix 3: Inventory of "Triggers" for Alcohol and Drug Use. Appendix 4: Substance Abuse Websites.