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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Alternatives

October 6, 2014 by C. Scott McMillin

I’m told that less than half of contemporary medical practice is actually rooted in evidence.

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Confirmation Bias and Counseling

September 29, 2014 by C. Scott McMillin

Project Match has long been held up as demonstrating the efficacy of three very different approaches.

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Cross Addiction: Is it a Myth?

September 25, 2014 by C. Scott McMillin

There are many concepts in clinical psychology that are not science-based, but are nonetheless still of use in therapy.

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Prognosis

September 4, 2014 by C. Scott McMillin

Patients are often afraid to ask, but when they do, they seem to want the truth.

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Root Cause

July 3, 2014 by C. Scott McMillin

Complex behaviors often require complex explanations.

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Addiction Counseling Ingredients

April 28, 2014 by C. Scott McMillin

Stats are something we impose on them when there’s already another client waiting in the corridor and the charting still isn’t done.

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Counseling Effectiveness: Allegiance and Alliance

April 24, 2014 by C. Scott McMillin

The challenge is to develop that relationship quickly enough to engage the client and create an environment that promotes success.

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Professional Versus Not

April 17, 2014 by C. Scott McMillin

From the beginning, it was designed to be a program for living… a grass-roots approach based not on scientific research or professional practice but on the direct experience of recovering persons.

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Engaging Engagement

July 29, 2013 by C. Scott McMillin

Woman standing, talking to seated women grouped in a circle, gesturing emotionally

Sending somebody to meetings without some prep work is like making a referral for therapy without bothering to find a therapist.

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What KIND of Disease is Addiction?

February 27, 2013 by C. Scott McMillin

Most communities provide both options for opioid patients, and lacking a methadone for alcohol or cocaine, use a more traditional abstinence-based approach for those addictions.

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