Diagnosing Cannabis Use Disorder: Updated

November 14, 2016 by C. Scott McMillin

It certainly makes sense that if you suffer from a major mental illness, you should stay away from pot.

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Three Challenges

September 15, 2016 by C. Scott McMillin

Like a stroke patient who suddenly finds himself needing to relearn basic skills that were once automatic, it may require a level of personal commitment unseen for many years.

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Risky Decision Case Study: Quarterback Derby

March 2, 2015 by C. Scott McMillin

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

July 21, 2014 by C. Scott McMillin

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

May 1, 2014 by C. Scott McMillin

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

March 6, 2014 by C. Scott McMillin

The personal story that recovering folks tell at 12 Step meetings is a reconstruction of episodic memories.

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A Simple Test

November 26, 2013 by C. Scott McMillin

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

June 24, 2013 by C. Scott McMillin

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

June 18, 2013 by C. Scott McMillin

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

February 11, 2013 by C. Scott McMillin

It isn’t that big a challenge; you simply add a basic questionnaire on the subject to your intake paperwork.

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