Counseling Challenge: “Hardcore” Drunk Drivers

December 24, 2012 by C. Scott McMillin

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Repeat DUI/DWI offenders can pose tough challenges for treatment programs and counselors. The needs of the client and the demands of the legal system don’t always work together.

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Will This Client Follow Directions?

June 18, 2012 by C. Scott McMillin

If Bob gets a job, his mom will ask him to move out of the basement, and he’ll have to get a roommate, which he doesn’t want, so better to remain unemployed.

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Using Leverage in Counseling the Court-Referred Client, Part 4

June 4, 2012 by C. Scott McMillin

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It’s not just what you present to your client — it’s how you present it. By following a few simple rules, you get better results. It’s not a perfect system, by any means. But it should improve outcomes.

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Alexithymia: What’s That Feeling?

May 27, 2012 by C. Scott McMillin

It’s as if the addict is so accustomed to just acting on impulse that he/she has lost touch with the source of the impulse — ordinarily a negative emotional state such as anxiety, anger, sadness, etc.

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Using Leverage in Counseling the Court-Referred Client, Part 3

May 20, 2012 by C. Scott McMillin

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Clients will test boundaries just to see what will happen when they do. If you’re prepared for such tests, and can avoid some predictable errors in response, you’ll find that the course of treatment runs smoother.

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Finding Evidence-Based Practices

May 15, 2012 by C. Scott McMillin

Seeking evidence, and applying practices based on evidence to your clinical interventions, can help making decisions that increase the chances of a desired outcome

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Rehab Soundbyte: Cookie Power

May 10, 2012 by Cecile

Call it a bribe, call it an incentive, call it a clever idea… Giving a reluctant client a reason to comply can help treatment along.

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Using Leverage in Counseling the Court-Referred Client, Part 1

April 14, 2012 by C. Scott McMillin

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Understanding how leverage works in the context of addiction treatment can give you the tools to identify your client’s agenda, and help them over the “rough spots” that inevitably occur when you work with offenders.

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Helping Staff Manage Boundaries

April 7, 2012 by C. Scott McMillin

Countertransference issues can be a genuine hazard in our field. If allowed to continue, it can lead to some pretty spectacular incidents.

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My Counselors are Being Manipulated!

March 31, 2012 by C. Scott McMillin

Counselors and therapists are — and I’m generalizing shamelessly here, so forgive me — warm, empathetic, even sympathetic by nature.

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