"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, PhD, Department of Health Education and Behavior, University of Florida
"This is the kind of book psychotherapists need. Washton and Zweben provide the most important information available about alcohol and drug problems together with state-of-the-art intervention methods. Truly comprehensive, this volume contains detailed sections on a wide range of relevant topics, such as frequently abused drugs, typical comorbid disorders, the utilization of self-help groups, and relapse prevention. 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, PhD, The Family Institute at Northwestern University; past president, APA Division of Family Psychology
"This comprehensive and highly-readable book provides thoughtful and thorough guidance on all aspects of alcohol and drug abuse treatment in an office-based practice. The integrated, multifaceted approach described by these experienced and respected clinicians covers screening, assessment, treatment planning, engagement, treatment, and relapse prevention. Each aspect of treatment is superbly addressed in a pragmatic, accessible, and flexible manner. This book will serve as an invaluable resource for all office-based practitioners, regardless of disciplinary background."--Gerard J. Connors, PhD, Research Institute on Addictions, University at Buffalo, State University of New York
"Despite the prevalence of alcohol and other drug abuse, psychotherapists typically receive inadequate training in treating these problems and are reluctant to take on substance-abusing patients. This practical book promises to change all that. 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, MD, President and Medical Director, Silver Hill Hospital
"I highly recommend this important resource. 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, PhD, Addictive Behaviors Research Center and Department of Psychology, University of Washington
"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. They are first and foremost clinicians, with years of clinical experience with and knowledge of alcohol and drugs and the patients who abuse them. Their guide presents wise advice for managing everything from appointments and billing, to dependence and medications, to patients who relapse and how to incorporate referral to self-help groups. This guide empowers therapists with a wealth of information, advice, understanding, and strategies to help their patients move through the entire process of change to sustained recovery from alcohol and drug problems. It is easy to read and eminently useable. 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, PhD, Department of Psychology, University of Maryland-Baltimore County
"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, PhD, Department of Psychology, University of Arizona
"Practical, clear, inexpensive, and theoretically sound."--Cynthia A. Briggs, PhD, Department of Counselor Education, Winona State University
"This is a very comprehensive book, written in a clear and interesting way. The authors' enthusiasm for their clinical practice and working with substance use disorders is apparent, and even infectious, as they discuss the 'exhilarating experience of participating in the personal transformation' of patients and how the 'use of the therapeutic relationship to help patients acknowledge that a problem exists is an extraordinarily important task'....The content is impressive."--Drug and Alcohol Review
"The book is clearly written and particularly comprehensive for a 'hands on' guide....This book is an excellent and possibly necessary resource for all practitioners, given the prevalence of substance abuse problems in therapy seeking population."--New Jersey Psychologist
"Provides an outstanding review of the most recent innovations in addictions practice....The authors present an excellent concise critique of the addiction field....Above and beyond the substantive content in this work, it is a very thorough, thought-provoking manuscript which is both informative and easy to read. This book provides a rich overview of those issues most germane to private mental health practitioners....Appropriate for all mental health professionals who work in the addictions field. Thus, social workers, psychologists, psychiatrists, rehabilitation counselors, and mental health counselors will find this to be an important and thoughtful contribution to their practice. Graduate students in these professional arenas will benefit immensely from this work. Its readability, fair-mindedness, and its focus on direct practice qualifies it as a must read. Thus, this work is very well suited as a graduate level text book as well. Addiction scholars will also find it to be a useful guide to clinical practice. Many people interested in clinical work with alcoholics and addicts will benefit from making this a centerpiece of their library."--Families in Society
"This text provides a sophisticated snapshot of substance-abuse treatment today, extending the provision of substance-abuse services by private practitioners. The book would be a good choice for training in traditional settings....This book is responsive to research findings and reflective of major changes in this field."--APA PsycCRITIQUES
"[The authors'] comprehensive account has an authority that makes for an easy and satisfying read....Particularly helpful are the sections on assessment, recognition, and management of co-morbidity."--Alcohol and Alcoholism
"This book offers clear and specific practice suggestions for working with individuals with substance use disorders ranging from managing bill collection to tips for managing relapse triggers. It provides a basic foundation for understanding substance use disorders and will help the interested clinician to build skill for working with individuals who have substance use disorders. Although the book is aimed at office-based mental health practitioners, it would be a helpful resource for any mental health or substance use treatment practitioner as well as graduate students. Its emphasis on utilizing an integrated approach to meet individuals where they are is particularly salient for social workers....The authors have done a tremendous job synthesizing practice wisdom and research-based knowledge on working with individuals with substance use disorders into a clear and concise resource that clinicians can use in their day-to-day practice."--Journal of Social Work Practice in the Addictions
Product Description
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 their lives. The authors describe in very pragmatic terms how to use a combination of motivational, cognitive-behavioral, 12-step, and psychodynamic techniques with clients in different stages of change. Techniques are brought to life with numerous case vignettes, and appendices include reproducible client forms and handouts.