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Addictions Counseling Today
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Addictions Counseling Today
Substances and Addictive Behaviors

First Edition


April 2020 | 720 pages | SAGE Publications, Inc

Winner of the 2020 Canadian Counselling and Psychotherapy Association (CCPA) Counselling Book Award


Enlightening and practical, Addictions Counseling Today invites students into the heart of addictive thinking, offering first-person accounts of what it is like to experience different addictions. The text covers the range of addictions from alcohol, drug abuse, and nicotine to various process addictions, including sex, internet, gaming, social media, and gambling. Also included are the various theories and models of addiction, with a unique chapter on the neuroscience of addiction. Focusing on the new DSM-V classifications for addiction with an emphasis on CACREP and treatment, this provocative, contemporary text is an essential reference for both students and practitioners wanting to gain a deeper understanding of those with addiction.

Learn why teaching addictions is changing and how to adapt your course by watching Kevin G. Alderson's Ph.D. webinar entitled The Pandemic Addiction Volcano here.

Online Resources

Free PowerPoint® slides with video for instructors are available with this text. Test bank questions will be available in August 2020. Contact the author to learn more.
 
Preface
 
Acknowledgments
 
For Instructors
 
About the Author
 
Chapter 1. Introduction
Introduction

 
Definitions

 
History of Drugs, Addictions, and Addiction Counseling

 
Labeling Theory

 
Repeating Harmful Addictive Behaviors

 
Treatment and “Maturing Out”

 
Becoming a Certified Addiction Counselor

 
Roles and Settings of Addiction Counselors

 
Videos

 
Individual Exercises

 
Classroom Exercises

 
Chapter Summary

 
References

 
 
Chapter 2. Ethical, Legal, and Professional Issues in Addiction Counseling
General Discussion of Ethics (ACA’s 2014 Code of Ethics)

 
Six Ethical Principles

 
Ethical Standards

 
Specific Discussion of Ethical, Legal, and Professional Issues

 
Cottone and Tarvydas’s (2016) Discussion of Ethics in Addiction Counseling

 
Working With the Legal System and Court-Referred Clients

 
Special Considerations in Offering Couples, Marriage, and Family Counseling

 
Resolving Ethical Issues

 
Record-Keeping Standards

 
Third-Party and Private Practice Reimbursement

 
Counselor Recovery Status

 
Resources and Videos

 
Journals and Conferences

 
Individual Exercises

 
Classroom Exercises

 
Chapter Summary

 
References

 
Appendix 2A. Confidentiality Agreement With Minors (“Assent”)

 
Appendix 2B. Initial Clinical Record

 
Appendix 2C. Subsequent Clinical Records

 
 
Chapter 3. Theories of Addiction
Moral or “Choice” Model

 
Biological and “Disease” Theories

 
Psychological Theories

 
Family or “Systems Theory” Models

 
Sociocultural Theories

 
Postmodern Theories

 
Biopsychosocial Model

 
Resources and Videos

 
Journals and Conferences

 
Individual Exercises

 
Classroom Exercises

 
Chapter Summary

 
References

 
Appendix 3A. Answers to Can You Guess Which Theory(ies) Explains the Counselor’s Behavior?

 
Appendix 3B. Public Attitudes About Addiction Survey

 
 
Chapter 4. The Neuroscience of Addictions
Neurogenetic and Genetic Studies

 
Basics of Neuroscience

 
The Body’s Nervous System, Neurons, and Glial Cells

 
Divisions and Structures of the Brain

 
Neuroscience of Addictions

 
Neurobiological Theories of Drug Dependence

 
Developmental Concerns During Adolescence

 
Behavioral Addictions

 
Treatment Implications Emanating from Neuroscience

 
Resources and Videos

 
Journals and Conferences

 
Individual Exercises

 
Classroom Exercises

 
Chapter Summary

 
References

 
 
PART I: GENERAL TREATMENT CONSIDERATIONS
 
Chapter 5. DSM-5, Polyaddictions, and Comorbidity
DSM-5

 
Polyaddictions

 
Comorbidity

 
Resources and Videos

 
Journals and Conferences

 
Individual Exercises

 
Classroom Exercises

 
Chapter Summary

 
References

 
 
Chapter 6. Individual Counseling and Relapse Prevention
Evidence-Based Individual Counseling for Addictions

 
Beginning Counseling Work With Clients

 
How Effective Are Psychosocial Approaches in Addiction Treatment?

 
What Is Evidence-Based Counseling?

 
Cognitive-Behavioral Therapy and Behavior Therapy

 
Motivational Interviewing and Motivational Enhancement Therapy

 
Transtheoretical Model of Change

 
Mindfulness Treatments

 
Brief Interventions

 
Integrative Therapy

 
Solution-Focused Therapy

 
Conducting a Mental Status Examination and Collecting Clients’ Histories

 
Assessment and Intervention Strategies for Suicide Risk and Prevention

 
Assessment Strategies for Homicide Risk

 
Impermanently Ending Our Counseling Relationship With Clients

 
Relapse Prevention

 
Common Counseling Mistakes

 
Generic Addiction Apps

 
Resources

 
Individual Exercises

 
Classroom Exercises

 
Chapter Summary

 
References

 
 
Chapter 7. Couples, Family, Group, and Mutual Support Groups
Couples Counseling

 
Family Counseling

 
Group Counseling

 
Mutual Support Groups

 
Resources and Videos

 
Journals and Conferences

 
Individual Exercises

 
Classroom Exercises

 
Chapter Summary

 
References

 
Appendix 7A. Conflict Resolution

 
Appendix 7B. Changes Needed and Wanted in This Relationship

 
Appendix 7C. Common Mistakes Made by Couples and Family Counselors

 
Appendix 7D. Group Facilitation Roleplays

 
 
Chapter 8. Prevention, Evaluation, and Assessment
Prevention

 
Universal Prevention

 
Selective Prevention

 
Indicated Prevention

 
Mass Media Campaigns

 
Behavioral Addiction

 
Parental Strategies for Preventing Addiction

 
Individual Strategies for Preventing Addiction

 
Evaluation

 
Program Evaluation

 
Prevention Evaluation

 
Treatment Evaluation

 
Assessment

 
Resources and Videos

 
Journals and Conferences

 
Individual Exercises

 
Classroom Exercises

 
Chapter Summary

 
References

 
 
PART II: SUBSTANCE ADDICTIONS
 
Chapter 9. Alcohol Addiction
Background Information

 
Working With Diverse Populations

 
Medications and Other Relevant Physical Interventions

 
Specific Counseling Considerations

 
Relevant Mutual Support Groups, Websites, and Videos

 
Relevant Phone Apps

 
Journals and Conferences

 
Individual Exercises

 
Classroom Exercises

 
Chapter Summary

 
References

 
 
Chapter 10. Cannabis Addiction
Background Information

 
Working With Diverse Populations

 
Medications and Other Relevant Physical Interventions

 
Specific Counseling Considerations

 
Relevant Mutual Support Groups, Websites, and Videos

 
Relevant Phone Apps

 
Journals and Conferences

 
Individual Exercises

 
Classroom Exercises

 
Chapter Summary

 
References

 
 
Chapter 11. Opioid Addiction
Background Information

 
Working With Diverse Populations

 
Medications and Other Relevant Physical Interventions

 
Specific Counseling Considerations

 
Relevant Mutual Support Groups, Websites, and Videos

 
Relevant Phone Apps

 
Journals and Conferences

 
Individual Exercises

 
Classroom Exercises

 
Chapter Summary

 
References

 
 
Chapter 12. Nicotine Addiction
Background Information

 
Working With Diverse Populations

 
Medications and Other Relevant Physical Interventions

 
Specific Counseling Considerations

 
Relevant Mutual Support Groups, Websites, and Videos

 
Relevant Phone Apps

 
Journals and Conferences

 
Individual Exercises

 
Classroom Exercises

 
Chapter Summary

 
References

 
 
Chapter 13. Other Drug Addictions
Background Information

 
Working With Diverse Populations

 
Medications and Other Relevant Physical Interventions

 
Specific Counseling Considerations

 
Relevant Mutual Support Groups, Websites, and Videos

 
Relevant Phone Apps

 
Journals and Conferences

 
Individual Exercises

 
Classroom Exercises

 
Chapter Summary

 
References

 
 
PART III: RECOGNIZED BEHAVIORAL ADDICTIONS
 
Chapter 14. Gambling Addiction
Background Information

 
Working With Diverse Populations

 
Medications and Other Relevant Physical Interventions

 
Specific Counseling Considerations

 
Relevant Mutual Support Groups, Websites, and Videos

 
Relevant Phone Apps

 
Journals and Conferences

 
Individual Exercises

 
Classroom Exercises

 
Chapter Summary

 
References

 
 
Chapter 15. Internet-Related Addictions: Internet Addiction, Internet Gaming Disorder, and Social Media Addiction
Background Information

 
Working With Diverse Populations

 
Medications and Other Relevant Physical Interventions

 
Specific Counseling Considerations

 
Relevant Mutual Support Groups, Websites, and Videos

 
Relevant Phone Apps

 
Journals and Conferences

 
Individual Exercises

 
Classroom Exercises

 
Chapter Summary

 
References

 
 
PART IV: CONTROVERSIAL BEHAVIORAL ADDICTIONS
 
Chapter 16. Sex Addiction
Background Information

 
Working With Diverse Populations

 
Medications and Other Relevant Physical Interventions

 
Specific Counseling Considerations

 
Relevant Mutual Support Groups, Websites, and Videos

 
Relevant Phone Apps

 
Journals and Conferences

 
Individual Exercises

 
Classroom Exercises

 
Chapter Summary

 
References

 
 
Chapter 17. Romantic Relationship Addiction
Background Information

 
Working With Diverse Populations

 
Medications and Other Relevant Physical Interventions

 
Specific Counseling Considerations

 
Relevant Mutual Support Groups, Websites, and Videos

 
Relevant Phone Apps

 
Journals and Conferences

 
Individual Exercises

 
Classroom Exercises

 
Chapter Summary

 
References

 
 
Chapter 18. Food Addiction
Background Information

 
Working With Diverse Populations

 
Medications and Other Relevant Physical Interventions

 
Specific Counseling Considerations

 
Relevant Mutual Support Groups, Websites, and Videos

 
Relevant Phone Apps

 
Journals and Conferences

 
Individual Exercises

 
Classroom Exercises

 
Chapter Summary

 
References

 
 
Chapter 19. Exercise Addiction
Background Information

 
Working With Diverse Populations

 
Medications and Other Relevant Physical Interventions

 
Specific Counseling Considerations

 
Relevant Mutual Support Groups, Websites, and Videos

 
Relevant Phone Apps

 
Journals and Conferences

 
Individual Exercises

 
Classroom Exercises

 
Chapter Summary

 
References

 
 
Chapter 20. Shopping Addiction
Background Information

 
Working With Diverse Populations

 
Medications and Other Relevant Physical Interventions

 
Specific Counseling Considerations

 
Relevant Mutual Support Groups, Websites, and Videos

 
Relevant Phone Apps

 
Journals and Conferences

 
Individual Exercises

 
Classroom Exercises

 
Chapter Summary

 
References

 
 
Chapter 21. Work Addiction
Background Information

 
Working With Diverse Populations

 
Medications and Other Relevant Physical Interventions

 
Specific Counseling Considerations

 
Relevant Mutual Support Groups, Websites, and Videos

 
Relevant Phone Apps

 
Journals and Conferences

 
Individual Exercises

 
Classroom Exercises

 
Chapter Summary

 
References

 
 
PART V: SUMMARY AND CONCLUSIONS
 
Chapter 22. Summary and Conclusions
A Metaphor for Addictions

 
Risk Factors

 
Protective Factors

 
Counseling Considerations

 
What Counselors Bring to the Table

 
References

 
 
Epilogue
 
Appendix A. CACREP Addiction Counseling Standards
 
Appendix B. Generic Preparation and Action Strategies
 
Appendix C. Relapse Prevention Handouts for Clients
 
Appendix D. Mental Status Examination
 
Index

Addictions Counseling Today is not only current and based on a thorough literature review, but inclusive and impressive in its ability to capture the perceptions of both the counselor and the addict. Hearing the thoughts of an active user was both powerful and impactful. The application of the stages of change model to goal-setting is invaluable to students who are learning the first steps of treatment planning and relapse prevention.”

Genevieve Weber
Hofstra University

Addictions Counseling Today is a comprehensive book that provides a thorough overview to addictions and covers a variety of chemical and process addictions clients may present with in counseling. The book is designed to be used as an introductory text that begin building a foundational knowledge base that students can further develop as they continue training as mental health and/or addictions professionals.”

Joshua C. Watson
Texas A&M University-Corpus Christi

Addictions Counseling Today gives a thorough research-based approach to addiction, including useful skills and resources for counselors in the clinical setting.”

Betsy St. Pierre
Nicholls State University

An upper level addictions counseling text or a wonderful addictions resource book for clinicians.”

Laurie Walker
Yavapai College

Addictions Counseling Today is refreshing and up-to-date.”

Brenda Edwards
Mercer University/Penfield College

“A great over-all textbook that students can read with ease.”

Scott Tracy
Kutztown University

Excellent text. Well written and easy to understand. Used to an Independent Study and the student reported enjoying the work we did from the textbook. Will use again.

Professor Darrell L McSwain
Psychology Dept, American International College
August 12, 2021

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