Dual Diagnosis: Counseling the Mentally Ill Substance AbuserUpdated for today's health care climate, the revised and expanded seco nd edition of this popular volume offers a thorough introduction to cl inical work with this difficult-to-treat population. Providing a uniqu e synthesis of chemical dependency and mental health models, the book articulates a framework for assessment and treatment and describes a r ange of effective counseling and motivational strategies for adolescen ts and adults. Updated to DSM-IV, the second edition includes discussi ons of the latest developments in treatment, sample treatment plans, i ncreased coverage of ways to incorporate 12-step concepts into mental health interventions, and a new section on trauma-based disorders in a ddicted female adolescents. As in the first edition, the practical uti lity of the volume is enhanced by numerous clinical vignettes and clea rly presented tables to aid in assessment. Appendices feature helpful reproducible handouts and forms. |
Contents
The Nature of the Problem | 1 |
Models of Treatment | 10 |
An Integrated Model of Dual Recovery | 27 |
Assessing Chemical Dependency in the Dually Diagnosed Client | 46 |
Assessing the Psychiatric Disorder and Planning the Appropriate Level of Care | 66 |
The Psychotic and Cognitive Disorders | 81 |
The Affective and Anxiety Disorders | 99 |
Antisocial and Borderline Personality Disorders | 122 |
Working with Families | 175 |
Enhancing the Motivation of Clients and Counselors Too | 193 |
Modified Stepwork | 209 |
A School Behavior Checklist | 247 |
A Checklist for Parents | 249 |
A Typical Home Behavior Contract | 250 |
References | 255 |
281 | |
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Common terms and phrases
abstinence activities ADHD adolescents adults Al-Anon alcoholic or addict Alcoholics Anonymous antisocial personality antisocial personality disorder anxiety disorder assessment associated behavior bipolar disorder borderline personality disorder Chapter chemical dependency chronic clients with dual clinical clinicians codependent coexisting cognitive comorbid contract counseling counselor denial develop difficulties discuss disease drinking drug and alcohol dual diagnosis dual diagnosis treatment dual disorders dual recovery dually diagnosed clients ents evaluation experience family members feel focus functioning Give two examples goal groups he/she Higher Power his/her impairment increased individuals inpatient interventions involvement issues Jane levels major depression medication meetings ment mental health mental illness motivation outpatient panic disorder parents present problems psychiatric disorder psychotic recovery model relapse prevention risk schizophrenia sessions situation skills sobriety social stepwork strategies substance abuse substance use disorders survivors symptoms therapist therapy things thinking errors tion trauma treat treatment plan