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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Helping Memory-Impaired Clients

March 8, 2012 by C. Scott McMillin

Rapid severe weight loss combined with heavy drinking is a formula for lasting difficulties.

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Lessons Learned?

February 23, 2012 by C. Scott McMillin

We want to make sure the alcoholic person learns the right lesson from experience.

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Challenge: Motivating a Group of Court-Referred Clients

January 19, 2012 by C. Scott McMillin

Some members are talkative enough, but others participate minimally and a couple are openly hostile and challenging.

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Can I Keep My Patients From Giving Up?

December 3, 2011 by C. Scott McMillin

My outpatients get discouraged very easily. They may actually be doing pretty well for somebody new to recovery, but they don’t seem to realize it.

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Can We Make Patient Education Work?

November 12, 2011 by C. Scott McMillin

Use examples. It’s hard for someone with alcoholism to grasp the idea that he or she can’t go back to drinking at some future point – after a year of abstinence, for instance. But the old saw that a pickle can’t go back to being a cucumber – that people seem to understand.

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Why Didn’t Our Intervention Work?

October 21, 2011 by C. Scott McMillin

The family had good representation from important people in the alcoholic’s life, and there was professional help, but that’s not leverage.

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Are Recovering Counselors Better?

October 10, 2011 by C. Scott McMillin

I recall one professor airily informing his class that recovering counselors had an ‘agenda’.

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Will Spirituality Work for This Counselor?

September 23, 2011 by C. Scott McMillin

I wasn’t trained in how to incorporate material about faith and God into counseling. Most of my graduate school education was on traditional social work practice.

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Is Treatment “Successful”?

September 14, 2011 by C. Scott McMillin

The goal of treatment is to maximize chances for a successful outcome. But ultimately, to drink or not to drink remains the alcoholic’s choice.

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