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Chemical Dependency Counseling

  • ID: 4031560
  • Book
  • Region: Global
  • 880 pages
  • SAGE Publications Ltd
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The best-selling Chemical Dependency Counseling: A Practical Guide provides counselors and front-line mental health professionals with the information and skills they need to use evidence-based treatments, including motivational enhancement, cognitive behavioral therapy, skills training, medication, and 12-step facilitation. Guiding the counselor step by step through treatment, author Robert R. Perkinson presents state-of-the-art tools, forms, and tests necessary for client success while meeting the highest standards demanded by accrediting bodies.

The Fifth Edition of this landmark text has been updated to include coverage of current topics of concern for counselors, including full compliance with DSM-5, new coverage of steps 6 – 12 in 12-step facilitation, discussions on synthetic and designer drugs, new psychotherapeutic medications, new survey data on patterns of use and abuse, a list of online recovery support groups for clients, and a new section on Recommendations for a Successful First Year in Recovery.

Please note that due to license restrictions we are unfortunately unable to ship this product to North America, South America or Australia
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Preface to the Fifth Edition


1. First Contact

Treatment Works

The Motivational Interview

How to Develop the Therapeutic Alliance

How to Do a Motivational Interview

What to Do If There Are One or More Red Flags

Natural History of Addiction

How to Diagnose an Addiction Problem

How to Intervene

How to Assess Motivation

The Stages of Motivation

Motivating Strategies

2. First Hours of Treatment

The First Hours

How to Greet Clients


Beginning the Therapeutic Alliance

The Importance of Trust

Dealing With Early Denial

Example of an Initial Contact

How to Check for Organic Brain Dysfunction

The Initial Assessment


How to Conduct a Crisis Intervention

American Society of Addiction Medicine Patient Placement Criteria

Diagnostic and Statistical Manual

Criteria for Diagnosis

Diagnosis: Substance Use Disorder

Gambling Disorder

How to Determine the Level of Care Needed

Criteria for Outpatient Treatment (Adults)

Criteria for Inpatient Treatment (Adults)

Criteria for Outpatient Treatment (Adolescents)

Criteria for Inpatient Treatment (Adolescents)

The Client’s Reaction to Intoxication

What to Do With an Intoxicated Client


How Clients React in Detoxification

The AMA Threat

Example of an AMA Intervention

How to Develop and Use the AMA Team

How to Use the In-House Intervention

How to Respond to Clients Who Leave AMA

3. Biopsychosocial Interview

The Biopsychosocial Interview

How to Conduct the Interview

Summary and Impression


Disposition and Treatment Plan

A Sample Biopsychosocial Interview

4. Treatment Plan

How to Build a Treatment Plan

The Diagnostic Summary

The Problem List

How to Develop a Problem List

Goals and Objectives

How to Develop Goals

Examples of Developing Goals

Examples of Goals

How to Develop Objectives


How to Develop Interventions


How to Evaluate the Effectiveness of Treatment

How to Select Goals, Objectives, and Interventions


Treatment Plan Review


How to Write Progress Notes


Formal Treatment Plan Review

Discussion of Continuing Care

5. Individual Treatment

The Therapeutic Alliance

How to Develop a Therapeutic Alliance

How to Be Reinforcing

How to Use Empathy

Transference and Countertransference

Examples of Empathic Statements

How to Be Confrontive

Behavior Therapy

How Clients Learn


Changing a Habit

What Is Reinforcement?

What Is Punishment?

The Behavior Chain

The Importance of Reinforcement

How to Use Punishment

When a Client Breaks a Rule

Why We Concentrate on Behavior Therapy

Cognitive Therapy

How Chemically Dependent People Think

Defense Mechanisms

Applying Cognitive Therapy

Automatic Thoughts

How to Correct Inaccurate Thoughts

Interpersonal Therapy

How to Develop Healthy Relationships

Building a Relationship With a Higher Power

Developing a Relationship With Self

Building Relationships With Others

How Clients Use Feelings Inappropriately

How Clients Learn Relationship Skills

How to Change Relationships

How to Handle Grief

How to Choose the Therapeutic Modality

6. Group Therapy

Benefits of the Group Process

Preparation for the Group

The Preparation Statement

The Agenda Group

How to Choose the Order of the Agenda

How to Give Good Feedback

How to Receive Feedback

How to Run a Group

How to Know Which Therapy to Use

The Honesty Group

Example of the Honesty Group

Uncovering the Lies

How to End Each Grou
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Robert R. Perkinson - Keystone Treatment Center, Canton, South Dakota

Robert R. Perkinson is the clinical director of Keystone Treatment Center in Canton, South Dakota. He is a licensed psychologist; licensed marriage & family therapist; internationally certified alcohol and drug counselor; and a nationally certified gambling counselor and supervisor. In addition to the best-selling Chemical Dependency Counseling: A Practical Guide, Fifth Edition, Dr. Perkinson is the author of The Alcoholism and Drug Abuse Client Workbook, Third Edition and The Gambling Addiction Client Workbook, Third Edition.

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