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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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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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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