Dazed and Confused
...the brain that she's relying on in her self-examination is the same brain that she readily acknowledges is heavily under the influence, pretty much all the time.
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Risky Decision Case Study: Quarterback Derby
To a seasoned counselor, there’s another way to view it. For one thing, these aren’t isolated incidents.
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Outpatient Follies
The experience of addicts and alcoholics, particularly at the lower end of the socioeconomic scale, makes it clear that we could use more inpatient resources, not fewer.
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DSM-5 versus DSM-IV
Craving has finally been added to the symptom list. I was never entirely clear on why it wasn’t included in DSM-IV, since there’s an impressive body of research on craving measurement.
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Memory by Function
The personal story that recovering folks tell at 12 Step meetings is a reconstruction of episodic memories.
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A Simple Test
Really resistant clients are already planning to continue using alcohol or drugs throughout treatment, possibly in secret.
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Outpatient vs. Intensive Outpatient
The principle behind most ASAM-based systems is to treat clients at the “least restrictive” level at which they can benefit.
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Family Inventory: Priorities and Values
By the time a client lands in treatment, it may be hard to tell whether their family relationships offer a potential asset or a problem set to address.
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Intervention at the ER, Part 2
It isn’t that big a challenge; you simply add a basic questionnaire on the subject to your intake paperwork.
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Addiction And: ASPD
With a little leverage and some understanding of effective therapeutic technique, you can increase the chances of successful outcomes with these clients.
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Different Levels of Treatment: Who Gets What
For the most part, if you are hoping that insurance, Medicare or Medicaid, or another third-party payor will help with–or pick up entirely–the costs of treatment, you’ll be running into ASAM criteria that control who gets what kind of treatment.
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Complex Trauma: A Practical Approach
We can’t always predict which problem will require attention first — or indeed, when opening a door in therapy will introduce a whole new set of emotional needs and issues.
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Intervention at the ER? Can it Work?
If we could reach them now, the process might well be interrupted. Preventing a host of more serious problems — some of them fatal to other people, or the user himself.
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