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Decisions, decisions: Discharging someone for drinking or drug use

I was following an Internet discussion about discharging someone from a sober home for drinking or drug use. Predictably, there was a wide range of opinion on how many ‘lapses’ could be tolerated, what...

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Will This Client Follow Directions?

Is there any practical way to improve client compliance in treatment? We use the SOCRATES but that’s more a measure of progress through stages of change.” Compliance is a big problem not just in...

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Using Leverage in Counseling the Court-Referred Client, Part 6

Coping With Relapse There’s no single ‘right’ way to intervene with a client who’s had a slip. But in almost every such situation, leverage can be a valuable tool in restoring compliance. That is, if...

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Counseling Challenge: “Hardcore” Drunk Drivers

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.  One important key to...

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Hidden Agendas

Motivation vs. Unmotivation, Part Six It’s not uncommon for someone to arrive in treatment with an agenda that’s quite different from the one he professes– something he’s attempting to hide from view....

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Going to Pot

Some not-at-all startling info: Marijuana use among US adults doubled between 2002 and 2012– to 9.5%, or 23-24 million people. I wouldn’t be surprised if it doubled again in the coming decade, given...

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Clik here to view.

Decisions, decisions: Discharging someone for drinking or drug use

I was following an Internet discussion about discharging someone from a sober home for drinking or drug use. Predictably, there was a wide range of opinion on how many ‘lapses’ could be tolerated, what...

View Article

Image may be NSFW.
Clik here to view.

Will This Client Follow Directions?

Is there any practical way to improve client compliance in treatment? We use the SOCRATES but that’s more a measure of progress through stages of change.” Compliance is a big problem not just in...

View Article


Image may be NSFW.
Clik here to view.

Using Leverage in Counseling the Court-Referred Client, Part 6

Coping With Relapse There’s no single ‘right’ way to intervene with a client who’s had a slip. But in almost every such situation, leverage can be a valuable tool in restoring compliance. That is, if...

View Article


Image may be NSFW.
Clik here to view.

Counseling Challenge: “Hardcore” Drunk Drivers

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.  One important key to...

View Article

Image may be NSFW.
Clik here to view.

Hidden Agendas

Motivation vs. Unmotivation, Part Six It’s not uncommon for someone to arrive in treatment with an agenda that’s quite different from the one he professes– something he’s attempting to hide from view....

View Article

Image may be NSFW.
Clik here to view.

Going to Pot

Some not-at-all startling info: Marijuana use among US adults doubled between 2002 and 2012– to 9.5%, or 23-24 million people. I wouldn’t be surprised if it doubled again in the coming decade, given...

View Article

Image may be NSFW.
Clik here to view.

Pot in Rehab

I’ve been curious to see how inpatient rehabs will respond to people who arrive in treatment expecting to continue smoking pot. So far, the examples I’ve seen have involved patients using medical...

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