Addictions Counseling: A Practical and Comprehensive Guide for Counseling People with Addictions

Addictions Counseling: A Practical and Comprehensive Guide for Counseling People with Addictions

Language: English

Pages: 192

ISBN: 0824522621

Format: PDF / Kindle (mobi) / ePub

This wholly revised and updated edition of Addictions Counseling is widely read by professional counselors as well as ministers, teachers, and nurses. Topics include the counselor's role in recovery, treatment approaches, and sample treatment plans.

The Electric Kool-Aid Acid Test














Largely, there is little we can do about the abuse of client by a counselor who has rationalized that abuse and finds it acceptable. I do not believe that education is going to stop such counselors and therapists because they believe they are the exception to the rule. For some reason it is okay for them; somehow they are helping, not hurting, the patient. Although a discussion of issues may not prevent the sexual abuse of a patient, we may become more vigilant toward this behavior in our

do not do for other patients? Do you tell this patient things you do not tell others? Does a particular patient call you often with a crisis situation? Do you wish that this patient would not show up for an appointment? Do what we call “needy” patients always seem to be invading your space, making it more difficult than ever to maintain the proper boundaries and roles? What type of patient pushes your buttons? Do you work better with men than with women? With younger patients than with older

“civilians” (nonaddicts) do not understand “us” and therefore members limit their socialization only to those in A.A. and develop a sense of mistrust for “outsiders.” There is also a tendency for the program to become “my life” rather than “a part of my life.” A.A. becomes a place to hide out from life. Such rigid and self-limiting beliefs make for a very narrow experience of humankind. The usefulness of self-help groups has to do with the qualities of the recovering person. Some “high-bottom

A.A. and cognitive therapy are optimal for different aspects of the self, the real question is how to integrate the two approaches. The recovering person ideally is always working on three aspects of self: cognitive, spiritual, and emotional /relational. The focus shifts from one aspect to another, depending on where the person is in recovery. The client works on challenging an irrational belief system primarily by learning cognitive techniques in counseling, but he also learns to develop

in which there is a likelihood that someone is going to get hurt if our client uses drugs or alcohol on the job? Obviously, if our client is an airline pilot, bus driver, or medical professional, then the risk is greater. We have less leeway in deciding how to handle slips and relapses when we are dealing with clients in high-risk occupations. We need to consider whether the problem is in the treatment plan or in the client’s behavior. Since we are only talking about the first three to six

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