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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The Motivated Reasoning Paradox

November 15, 2018 by C. Scott McMillin

A better approach is to seek out the motivation behind the belief.

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Addicted to Pot

October 22, 2018 by C. Scott McMillin

Here’s something else familiar: That preoccupation with obtaining and protecting the supply.

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Statute of Limitations

May 31, 2018 by C. Scott McMillin

It’s sometimes said that the justified ones are by far the most dangerous. They’re the most difficult to let go of, and the most likely to develop into an obsession.

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Tapering off Anti-Depressants

May 14, 2018 by C. Scott McMillin

In the absence of complaints, the prescriber can be tempted to assume things are going well, when in fact they aren’t.

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Addictive Delusions

December 21, 2017 by C. Scott McMillin

A reasonably good rule of thumb for differentiating results of substance addiction from other illnesses: When the substance use stops for an extended period, the symptoms improve dramatically or go away entirely.

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Depression Update

December 7, 2017 by C. Scott McMillin

Patients with severe substance disorders may experience depression as a result of the cumulative effects of their substance use.

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Getting Drugs From Docs Part Three: Prevention

September 7, 2017 by C. Scott McMillin

Try thinking of the interaction between drug seeker and practitioner as type of negotiation where the  two parties have very different goals.

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Getting Drugs From Docs Part Two: The Targets

August 31, 2017 by C. Scott McMillin

There are just too many different forms of manipulation for any of us to be uniformly good at identifying them on the fly.

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Getting Drugs From Docs Part One: The Manipulators

August 24, 2017 by C. Scott McMillin

One sign of vulnerability: the place tended to be too busy or too slow.

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The Inoculation Effect

June 1, 2017 by C. Scott McMillin

Our goal is to reframe the discussion in a way that supports rather than undermines change.

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