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Treating Alcohol and Drug Problems in Psychotherapy Practice


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Table of Contents

I. Basic Issues and Perspectives1. Introduction2. Nature, Course, and Diagnosis of Substance Use Disorders3. Pharmacology and Overview of Psychoactive Substances4. Ingredients of the Integrated Approach: Doing What Works5. Considerations in Addressing Concurrent Psychiatric and Substance Use Disorders6. The Role of MedicationsII. Clinical Strategies and Techniques7. Assessment8. Individualized Goal Setting and Treatment Planning: Meeting Patients ""Where They Are""9. Taking Action10. Preventing Relapse11. Psychotherapy in Ongoing and Later-Stage Recovery12. Group Therapy13. Facilitating Participation in Self-Help ProgramsAppendices: 1. Self-Administered Patient Questionnaire2. 10 Tips for Cutting Down on Your Drinking 3. Inventory of ""Triggers"" for Alcohol and Drug Use 4. Substance Abuse Websites

About the Author

Arnold M. Washton, PhD, is an addiction psychologist in private practice in New York City (Recovery Options) and Princeton, New Jersey (The Washton Group). A specialist in the treatment of substance use and other behavioral health problems since 1975, Dr. Washton has served on the faculty in Psychiatry at New York University School of Medicine and on the voluntary staff of the University Medical Center at Princeton. He was the founding president of the Division on Addictions of the New York State Psychological Association and has served on advisory boards for the U.S. Food and Drug Administration and special committees of the U.S. Senate, the U.S. House of Representatives, and the American Psychological Association. Dr. Washton's clinical work, teaching activities, and publications have often focused on integrating the principles and practices of client-centered psychotherapy into the treatment of addictions. Joan E. Zweben, PhD, is a clinical psychologist with over 35 years of experience in treating addiction and in training treatment practitioners. These practitioners include peer counselors, social workers, marriage and family counselors, psychologists, criminal justice personnel, nurses, and physicians. She has a broad-based background in treatment of both alcoholism and drug dependence and has experience with both residential and outpatient modalities. She has served on numerous work groups focused on policy issues. Dr. Zweben is the founder and Executive Director of the 14th Street Clinic (1979-2007) and the East Bay Community Recovery Project (1989-present). Through these organizations, she has collaborated with researchers locally and nationally since 1981. She is the author of 4 books and over 55 articles or book chapters and editor of 15 monographs on treating addiction.


"Of particular interest to psychotherapists in private practice, the book describes a variety of evidence-based approaches to working with clients who have addictive behavior problems, including those with concurrent disorders or dual diagnosis. The authors provide a 'how-to' treatment guide that will appeal to a wide range of readers, including psychologists, psychiatrists, social workers, and addiction counselors, as well as students in graduate training courses." - G. Alan Marlatt, Addictive Behaviors Research Center and Department of Psychology, University of Washington, USA "Finally, office-based therapists do not have to avoid or refer clients with substance use disorders and can get the detailed, practical, and science-based information they need to work with them. Washton and Zweben offer a patient-oriented, integrative, sophisticated, and practical approach that can increase the competence and confidence of all therapists, even the most knowledgeable, in managing alcohol and drug problems in their offices... Every mental health practitioner should read this guide and keep it at hand. Your practice and your patients will be better off for it." - Carlo C. DiClemente, Department of Psychology, University of Maryland-Baltimore County, USA "This is the kind of book psychotherapists need... Anchored in the concept of adapting treatment to the client's stage of change, Washton and Zweben's approach to treatment is truly integrative and evidence-based, and incorporates the most effective strategies for intervention." - Jay Lebow, The Family Institute at Northwestern University; past president, APA Division of Family Psychology, USA "Each aspect of treatment is superbly addressed in a pragmatic, accessible, and flexible manner." - Gerard J. Connors, Research Institute on Addictions, University at Buffalo, State University of New York, USA "Washton and Zweben show clinicians how to assess the problem, engage the patient, develop a plan, carry out the treatment, deal with relapse, and more. This book will be enormously valuable for psychologists, social workers, counselors, and anyone else wishing to sharpen their skills in the treatment of the substance-abusing person, from graduate students to experienced clinicians." - Sigurd Ackerman, President and Medical Director, Silver Hill Hospital, USA "This book fills an important gap by showing how the treatment of substance dependence can and should be integrated into the broader practice of psychotherapy. Writing in a clear and engaging style, the authors provide information that psychotherapists need to know about the addictions and how to treat them. They do a terrific job of integrating concepts and techniques of psychotherapy with addictions treatment. This book is a gem that psychotherapists of every orientation will find extremely valuable." - Hal Arkowitz, Department of Psychology, University of Arizona, USA "I highly recommend this book to clinical practitioners and graduate students in the mental health professions. Graduate students will find this book to be quite comprehensive and helpful in understanding how to create a therapeutic environment supportive of client change." - Dennis L. Thombs, Department of Health Education and Behavior, University of Florida, USA

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