HTT-ClinHelpful discussions for treatment clinicians & recovery pros

Useful stories and common sense answers to your questions about challenging cases and clinical issues from Scott McMillin, co-author of “Don’t Help: A Positive Guide to Working With the Alcoholic,” “The Healing Bond: Treating Addictions in Groups,” and five other popular addiction books.

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Drug Testing

October 27, 2016 by C. Scott McMillin

If you’re not careful, the whole thing turns into an endless game of cat-and-mouse, that leads nowhere.

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In the News: Adderall Angst

October 17, 2016 by C. Scott McMillin

“I probably would have taken them anyway. I was really hoping for a chemical fix.”

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Twenty-Eight Days

October 10, 2016 by C. Scott McMillin

As any case manager knows, making a referral can be a challenge, since many fall by the wayside during transition to another provider, different therapist, etc.

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Treatment Plan Redux

September 12, 2016 by C. Scott McMillin

Addiction programs, conversely, targeted elimination or at least substantial reduction in substance use– a narrower goal that permitted greater focus in treatment.

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Cross-Addiction

July 18, 2016 by C. Scott McMillin

Newcomers had a tendency to focus their attention on the drug that brought them to treatment, ignoring others they happened to have been using.

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“Uninformed” versus “Misinformed”

January 14, 2016 by C. Scott McMillin

It’s often true that the folks who are technically most misinformed on an issue have the greatest degree of confidence in the rightness of their beliefs.

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Changing the Tipping Point

November 23, 2015 by C. Scott McMillin

Try thinking of recovery as a learning process based in experience rather than the acquisition of information.

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Practice versus Knowledge

August 31, 2015 by C. Scott McMillin

Most people in stable recovery got there the hard way, through major alterations in the way they live.

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Counseling Clients With Complex Disorders

February 2, 2015 by C. Scott McMillin

…progress is the measuring stick. You want your patient to know the joy of a structured, purposeful life.

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Understanding Objections to 12 Step Groups

December 18, 2014 by C. Scott McMillin

This is also an opportunity to work on an all-important issue in early recovery: personal boundaries.

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