Treating Alcohol and Drug Problems in Psychotherapy Practice Doing What Works

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.
 

Arnold M. Washton, PhD, is a psychologist in private practice in New York and New Jersey, specializing in the treatment of substance use and other behavioral health problems since 1975. Dr. Washton has served as Clinical Professor of Psychiatry at New York University School of Medicine, as director of several nationally recognized addiction treatment and research programs, and as consultant to professional sports teams, government agencies, media organizations, and major corporations. He has served on the Substance Abuse Advisory Committee of the U.S. Food and Drug Administration and has given expert testimony before special committees of the U.S. Senate and House of Representatives on drug abuse trends in the United States. The author of several books and numerous journal articles on addiction and its treatment, Dr. Washton has devoted most of his career to developing individualized approaches to treating addiction that incorporate the principles and practice of client-centered psychotherapy. His website is www.thewashtongroup.com.
 
Joan E. Zweben, PhD, is an addiction psychologist who began treating co-occurring psychiatric and addictive disorders, and training treatment practitioners, in the 1970s. She has a broad-based background in mental health, alcoholism, and drug dependence, and has experience with both residential and outpatient modalities. Dr. Zweben has a long-standing commitment to building treatment resources through networking activities, and to addressing stigma in its many forms. She is the founder and retired Executive Director of two treatment programs providing integrated services for people with co-occurring disorders: The 14th Street Clinic (opioid treatment) and East Bay Community Recovery Project (now part of Lifelong Medical Care), both in Oakland, California. Active as a teacher and consultant, Dr. Zweben is Clinical Professor of Psychiatry at the University of California, San Francisco, based at the San Francisco VA Medical Center. Her publications include four books, over 90 articles or book chapters, and 15 monographs on treating addiction.
 

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