Note continued: 12. Adolescent Treatment -- The Normal Adolescent -- Puberty -- Ages 12 to 16 -- Ages 16 to 19 -- Interesting Adolescent Facts -- The Chemically Dependent Adolescent -- The Adolescent Chemical Dependency Counselor -- The Point System -- The Primary Elements in Adolescent Treatment -- The Rules -- Communication Skills -- Honesty -- Exercise -- Fun in Sobriety -- The Reinforcers -- Spirituality -- Group Therapy -- Peer Pressure -- Continuing Education -- Continuing Care -- The Parents Support Group -- The Behavioral Contract -- Phases of Adolescent Treatment -- 13. The Family Program -- The First Family Contact -- How to Handle the Early Against Medical Advice Risk -- Common Family Problems -- Codependency -- Guilt -- Loss of Control -- Shame -- Caretaking -- Enabling -- Inability to Know Feelings -- Inability to Know Wants -- Lack of Trust -- People Pleasing -- Feelings of Worthlessness -- Dependency -- Poor Communication Skills -- How to Treat Family Members -- The Family Program Schedule -- How to Work With the Family in Group -- The Conjoint Session -- 14. The Clinical Staff -- The Physician/Addictionologist -- The Psychologist/Psychiatrist -- The Social Worker/Mental Health Counselor -- The Nurse -- The Clinical Director -- The Clinical Supervisor -- The Chemical Dependency Counselor -- The Rehabilitation Technician or Aide -- The Recreational Therapist -- Clinical Staffing -- How to Present a Client -- Team Building -- Commitment to Coworkers -- Boundaries -- Staff-Client Problems -- What to Do When a Client Does Not Like a Counselor -- What to Do When a Client Complains About a Rule -- The Work Environment -- 15. Discharge and Continuing Care -- Outpatient Discharge Criteria -- Inpatient Discharge Criteria -- How to Develop a Discharge Summary -- The Discharge Summary -- Saying Good-Bye -- 16. The Good Counselor -- Good Counselors Are Caring -- Good Counselors Love Their Work -- Good Counselors Do Not Become Overly Involved -- Good Counselors Do Not Lie -- Good Counselors Are Gentle -- Good Counselors Like Themselves -- Good Counselors Are Supersensitive -- Good Counselors Have a Sixth Sense -- Good Counselors Do Not Become Overly Emotional -- Good Counselors Are Active Listeners -- Good Counselors Do Not Talk Too Much -- Good Counselors Maintain Boundaries -- Good Counselors Are Client Centered -- Good Counselors Have Effective Relationship Skills -- Good Counselors Have a Sound Code of Ethics -- Step One -- Powerlessness -- Unmanageability -- Step Two -- A Power Greater Than Ourselves -- Step Three -- The Moral Law -- The Key to Step Three -- How to Turn It Over -- How to Pray -- How to Meditate -- Step Four -- Personality Defects -- Physical Liabilities -- Time-Out -- The Way to Recovery -- We Stay on Track Through Action -- Physical Assets -- Mental Assets -- The Autobiography -- Step Five -- Step Six -- Step Seven -- Step Eight -- Step Nine -- Step Ten -- Step Eleven -- Step Twelve -- Stress Management -- Relaxation -- Day 1 -- Day 2 -- Day 3 -- Day 4 -- Day 5 -- Day 6 -- Day 7 -- Exercise -- Exercise Program -- Changing Your Lifestyle -- Problem Solving Skills -- Developing Pleasurable Activities -- Social Skills -- Relapse Prevention -- Relapse Is a Process -- The Relapse Warning Signs -- Interpersonal Factors -- When You Experience a Warning Sign -- Positive Outcome Expectations -- Motivation -- Negative Emotions -- A Plan to Deal With Negative Emotions -- Social Pressure -- High-Risk Friends -- High-Risk Social Situations -- Interpersonal Conflict -- Positive Feelings -- Plans to Cope With Positive Feelings -- Test Control -- How to See Through the First Use -- Lapse and Relapse -- The Behavior Chain -- How to Cope With Triggers -- How to Cope With Craving -- A Daily Relapse Prevention Plan -- Social Support System -- People Who Can Help You in Recovery -- Personal Recovery Plan -- Statement of Commitment -- Recommendations for a Successful First Year in Recovery -- First Day -- First Week -- First Month -- First 3 Months -- First 6 Months -- By the First Year -- Instructions for Logging Into Online Recovery Support -- AAonline.net -- NAonline.net -- InTheRooms.com -- OneHealth.com.

Skills -- The Importance of Forgiveness -- How to Teach the Client to Recognize Anger -- Disengagement -- Time-Out -- How to Keep Your Cool as a Counselor -- The Homicidal Client -- The Duty to Warn -- Personality -- What Is Personality? -- The Antisocial Personality -- A Disorder of Empathy -- How to Treat the Antisocial Personality -- How to Deal With a Rule Violation -- Moral Development -- How to Deal With the Family of an Antisocial Client -- The Borderline Client -- Interpersonal Relationships -- Emotional Regulation -- How to Treat the Borderline Client -- Setting Limits -- Dealing With Transference -- Stress Tolerance -- Dealing With the Family -- The Narcissistic Client -- The Anxious Client -- How to Measure Anxiety -- The Psychological Component of Anxiety -- How to Use Relaxation Techniques -- The Daily Log -- Cognitive Therapy -- Post-Traumatic Stress Disorder -- Panic Attacks -- The Psychotic Client -- Hallucinations and Delusions -- How to Treat the Psychotic Client -- The Family of the Psychotic Client -- Acquired Immune Deficiency Syndrome -- The High-Risk Client -- The Client With Low Intellectual Functioning -- How to Treat the Client With Low Intelligence -- The Client Who Cannot Read -- The Family of the Client With Low Intelligence -- The Elderly Client -- The Client With Early Childhood Trauma -- How to Deal With Sexual Abuse -- Cognitive Therapy -- How to Learn Forgiveness -- Love in the Treatment Center -- The Importance of the Unit Rules -- How to Deal With Clients in Love -- The Pathological Gambler -- Honesty -- Gambling Step One -- Gambling Step Two -- Gambling Step Three -- Gambling Step Four -- Gambling Step Five -- Gambling Step Six -- Gambling Step Seven -- Gambling Step Eight -- Gambling Step Nine -- Gambling Step Ten -- Gambling Step Eleven -- Gambling Step Twelve -- Gambling Relapse Prevention

Machine generated contents note: 1. First Contact -- Treatment Works -- The Motivational Interview -- How to Develop the Therapeutic Alliance -- How to Do a Motivational Interview -- What to Do If There Are One or More Red Flags -- Natural History of Addiction -- How to Diagnose an Addiction Problem -- How to Intervene -- How to Assess Motivation -- The Stages of Motivation -- Motivating Strategies -- 2. First Hours of Treatment -- The First Hours -- How to Greet Clients -- Examples -- Beginning the Therapeutic Alliance -- The Importance of Trust -- Dealing With Early Denial -- Example of an Initial Contact -- How to Check for Organic Brain Dysfunction -- The Initial Assessment -- Referral -- How to Conduct a Crisis Intervention -- American Society of Addiction Medicine Patient Placement Criteria -- Diagnostic and Statistical Manual -- Criteria for Diagnosis -- Diagnosis: Substance Use Disorder -- Gambling Disorder -- How to Determine the Level of Care Needed -- Criteria for Outpatient Treatment (Adults) -- Criteria for Inpatient Treatment (Adults) -- Criteria for Outpatient Treatment (Adolescents) -- Criteria for Inpatient Treatment (Adolescents) -- The Client's Reaction to Intoxication -- What to Do With an Intoxicated Client -- Detoxification -- How Clients React in Detoxification -- The AMA Threat -- Example of an AMA Intervention -- How to Develop and Use the AMA Team -- How to Use the In-House Intervention -- How to Respond to Clients Who Leave AMA -- 3. Biopsychosocial Interview -- The Biopsychosocial Interview -- How to Conduct the Interview -- Summary and Impression -- Diagnosis -- Disposition and Treatment Plan -- A Sample Biopsychosocial Interview -- 4. Treatment Plan -- How to Build a Treatment Plan -- The Diagnostic Summary -- The Problem List -- How to Develop a Problem List -- Goals and Objectives -- How to Develop Goals -- Examples of Developing Goals -- Examples of Goals -- How to Develop Objectives -- Examples -- How to Develop Interventions -- Examples -- How to Evaluate the Effectiveness of Treatment -- How to Select Goals, Objectives, and Interventions -- Examples -- Treatment Plan Review -- Documentation -- How to Write Progress Notes -- Examples -- Formal Treatment Plan Review -- Discussion of Continuing Care -- 5. Individual Treatment -- The Therapeutic Alliance -- How to Develop a Therapeutic Alliance -- How to Be Reinforcing -- How to Use Empathy -- Transference and Countertransference -- Examples of Empathic Statements -- How to Be Confrontive -- Behavior Therapy -- How Clients Learn -- Habits -- Changing a Habit -- What Is Reinforcement? -- What Is Punishment? -- The Behavior Chain -- The Importance of Reinforcement -- How to Use Punishment -- When a Client Breaks a Rule -- Why We Concentrate on Behavior Therapy -- Cognitive Therapy -- How Chemically Dependent People Think -- Defense Mechanisms -- Applying Cognitive Therapy -- Automatic Thoughts -- How to Correct Inaccurate Thoughts -- Interpersonal Therapy -- How to Develop Healthy Relationships -- Building a Relationship With a Higher Power -- Developing a Relationship With Self -- Building Relationships With Others -- How Clients Use Feelings Inappropriately -- How Clients Learn Relationship Skills -- How to Change Relationships -- How to Handle Grief -- How to Choose the Therapeutic Modality -- 6. Group Therapy -- Benefits of the Group Process -- Preparation for the Group -- The Preparation Statement -- The Agenda Group -- How to Choose the Order of the Agenda -- How to Give Good Feedback -- How to Receive Feedback -- How to Run a Group -- How to Know Which Therapy to Use -- The Honesty Group -- Example of the Honesty Group -- Uncovering the Lies -- How to End Each Group -- The Euphoric Recall Group -- How to Uncover Euphoric Recall -- How to Help the Clients See the Truth -- The Reading Group -- The Relapse Prevention Group -- The Trigger Group -- How to Uncover the Triggers -- The Drug Refusal Skills -- The Inaccurate Thinking Group -- The Feelings and Action Group -- The Lapse Group -- The Spirituality Group -- How to Develop Healthy Relationships -- How to Develop a Healthy Relationship With a Higher Power -- The Eleventh Step Group -- The Meditation Group -- The Childhood Group -- How to Explore Early Parental Relationships -- How to Begin to Heal Early Childhood Pain -- Men's Group/Women's Group -- The Community Group -- The Personal Inventory Group -- Skills Training Group -- Assertiveness Skills Group -- Skills -- Problem-Solving Skills Group -- Skill Set 1 -- Skill Set 2 -- 7. Drugs of Abuse -- Drugs of Abuse -- Central Nervous System Depressants -- Central Nervous System Stimulants -- The Hallucinogens -- The Reinforcing Properties of Drugs -- Tolerance and Dependence -- Cross-Tolerance -- Alcohol -- Alcohol-Induced Organic Mental Disorders -- Alcohol Intoxication -- Alcohol Amnesic Disorder (Blackout) -- Wernicke-Korsakoff Syndrome -- Alcohol Withdrawal -- Alcohol Withdrawal Seizures -- Alcohol Withdrawal Delirium (Delirium Tremens) -- Sedatives, Hypnotics, and Anxiolytics -- Opioids -- Cocaine and Amphetamines -- Phencyclidine -- Dissociative Anesthetics (Phencyclidine, Ketamine, Dextromethorphan, and FLAKKA) -- Hallucinogens -- The Psychedelic State -- Cannabis -- Synthetic Designer Drugs -- Inhalants -- Nicotine -- Club Drugs -- MDMA -- GHB -- Ketamine -- Rohypnol -- Polysubstances -- Treatment Outcome -- 8. Recovery Skills -- The Chemical Use History -- Honesty -- Love, Trust, and Commitment -- Feelings -- Relationship Skills -- Addictive Relationships -- Communication Skills -- Self-Discipline -- Impulse Control -- Relapse Prevention -- Stress Management -- 9. Steps -- The Committee -- Step One -- Step Two -- How to Help Clients Accept a Higher Power -- Step Three -- How to Help Clients Embrace Step Three -- Step Four -- Step Five -- Step Six -- Step Seven -- Step Eight -- Step Nine -- Step Ten -- Step Eleven -- Step Twelve -- 10. Lectures -- The Disease Concept -- Addiction Is Not a Moral Problem -- Addiction Is Not Due to a Weak Will -- Addiction Has Genetic Components -- Addiction Is a Social Problem -- Addiction Is a Psychological Problem -- Addiction Is a Physiological Problem -- The Obsession -- The Problems -- Defense Mechanisms -- Minimization -- Rationalization -- Denial -- How to Begin to Live in the Truth -- The Great Lie -- How the Great Lie Works -- We Never Feel Accepted -- The Promise of the Disease -- Truth -- A Program of Rigorous Honesty -- Normal Development -- The Primary Caregiver -- The Struggle for Independence -- The Fear of Abandonment -- Learning the Rules -- The Development of Insecurity -- The Peer Group -- Adolescence -- Adulthood -- Physical Addiction and Recovery -- How Drugs Affect the Cell -- How Drugs Affect Behavior -- Tolerance -- Cross-Tolerance -- Withdrawal -- How We Learn -- Alcoholics Anonymous -- A Spiritual Awakening -- Two Alcoholics Talking to Each Other -- The "Big Book" -- The 12 Steps -- Meetings -- Feelings -- All Feelings Are Adaptive -- Assertive Skills -- 11. Special Problems -- The Psychiatric/Psychological Assessment -- How to Develop the Treatment Plan -- The Depressed Client -- How to Assess Depression -- How to Treat Depression -- Psychopharmacology -- Behavior Therapy -- Cognitive Therapy -- Interpersonal Therapy -- Grief -- Suicide -- The Angry Client -- How to Handle a Violent Client -- How to Handle an Angry Client -- Assertiveness