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Acknowledgments

Preface

Introduction: Understanding addiction
      Addiction
      AOD addictions
      Case study: Multiple risk factors: Terry
      Case study: Minimal risk factors: Fred
      Behavioural addictions
      Case study: Gambling addiction: Lyn           
      Case study: Sex addiction: Grant
      Case study: Internet addiction: Dean
      Case study: Food addiction: Dawn
      Stages of change
      Case study: Stages of change
      Conclusion
      Useful resources

PART 1 CONTENT
Part Introduction

Chapter 1 The therapeutic alliance
      What is meant by ‘therapeutic alliance’?
      Counsellor factors
      Dealing with ruptures
      In summary
      Useful references

Chapter 2  Assessment and follow-up
      Assessment interview
      Raising sensitive topics in the assessment interview
      Screening instruments and questionnaires
      Feedback to clients
      The client’s file
      Follow-up
      Useful resources

Chapter 3  Suicide and self-harm
      Suicide
      Self-harm
      Chronic suicidality
      Case study: Suicidality: Sally
      Useful resources

Chapter 4  Motivational interviewing
      Using motivational interviewing
      Benefits or ‘good things’
      Costs or ‘less good things’
      Highlighting discrepancy
      The decision
      Case study: Motivational interviewing: Joe
      Useful resources

Chapter 5  Case formulation, goal setting, and treatment planning
      Case formulation
      Case study: Case formulation: Sonny           
      Goal setting
      Case study: Goal setting: Sonny       
      Treatment plans
      Case study: Treatment plan: Sonny                          
      Treatment matching
      Case management
      Referral
      Case study: Referral: Tania
      Useful resources

Chapter 6  Harm reduction
      Conceptualising harms
      Information needed by clinicians and clients
      Negotiated safety
      Case study: Negotiated safety: Sarah
      Useful resources

Chapter 7  Relapse prevention and management
      Rationale
      Enhancing commitment
      Coming off autopilot and increasing mindfulness
      Identifying high-risk situations
      Developing coping responses
      Case study: Problem solving: Sam
      Preparation for a lapse
      Relapse management
      Food-related addictions
      Case study: Relapse prevention: Georgie
      Useful references

Chapter 8  Emotion management skills: distress reduction
      Distress reduction skills
      Grounding
      Breathing
      Self-soothing
      Focusing awareness on the surface of the body
      Creating a safe place
      Progressive muscle relaxation
      Case study: Distress reduction: Monique
      Useful resources

Chapter 9  Emotion management skills: general affect regulation
      Understanding emotions
      Identifying and discriminating emotions
      Identifying and countering thoughts
      Increase experiences of positive emotion
      Resist tension-reducing behaviours
      Case study: General affect regulation: Monique
      Useful resources

Chapter 10  Emotion management skills: mindfulness
      Formal mindfulness activities
      Informal mindfulness activities
      Case study: Mindfulness: Monique
      Useful resources

Chapter 11  Developing strengths
      Assumptions of a strengths-based approach
      Strengths-oriented questions
      Practical skill development
      Conclusion
      Useful references

Chapter 12 Cognitive restructuring
      Overview
      Unhelpful thinking styles
      Identifying core beliefs
      Challenging thoughts and beliefs
      Formal and informal cognitive restructuring
      Case study: Cognitive restructuring: Gina
      Useful resources

Chapter 13 Effective communication: assertion and anger management
      Assertion
      Case study: Assertion: Jenny
      Anger management
      Case study 13.1: Anger management: Patrick
      Useful resources                                            

Chapter 14 Basic self-care: nutrition, sleep, and exercise
      Nutrition
      Sleep
      Exercise
      Useful resources

Chapter 15 Grief and loss
      Grief
      Grief counselling
      Useful grief counselling techniques
      Additional considerations
      When a client dies
      Case study: Grief: Grace
      Useful resources

Chapter 16 Working with coerced clients
      Confidentiality
      Conflicts of interest
      Client resistance
      Harm reduction
      Making counselling a positive experience
      Case study: Coerced client: Brent

Chapter 17 Working with young people
      Accommodating adolescent attitudes and behaviours
      Assist with negotiating developmental tasks
      Confidentiality
      Assertive case management
      Flexibility
      Including the family
      Child protection issues
      Clients in exploitative relationships
      Linking clients with mainstream activities
      Case study: Working with young people: Bill
      Useful resources

Chapter 18 Pharmacotherapies for AOD relapse prevention
      Alcohol pharmacotherapies
      Case study: Alcohol pharmacotherapy: Len                         
      Opioid pharmacotherapies
      Case study: Opioid pharmacotherapy 1: Phil
      Case study: Opioid pharmacotherapy 2: Clare
      Benzodiazepines
      Psychostimulants: amphetamines and cocaine
      Cannabis
      Nicotine
      Useful resources

Chapter 19 Clinical supervision
      What is clinical supervision?
      Ingredients of effective supervision
      Multiple points of focus in supervision
      Case study: Supervision: novice: Jane
      Case study: Supervision: apprentice: Kellie
      Case study: Supervision: journeyman: Aaron
      Case study: Supervision: master craftsman: Gerard
      Working with countertransference in supervision
      Group or individual supervision
      Useful resources

PART 2  PROCESS
Part Introduction

Chapter 20 Developmental needs
      Relational templates
      Developmental needs and experiences
      Therapeutic implications
      Conclusion
      Case study: Enmeshment: Annie
      Case study: Neglect, chaos, and sexual abuse: Don
      Useful resources

Chapter 21 Coping with unmet developmental needs
      Blocking unmet needs with internal strategies
      Rising above unmet needs with interpersonal strategies
      Why avoiding unmet needs is doomed to failure
      Therapeutic implications
      Case study: Internal blocking strategies: Simon
      Case study: Interpersonal strategies: moving towards and       moving away: Simon
      Case study: Interpersonal strategies: moving against others:       Haley
      Useful resources

Chapter 22  Transference and countertransference
      Content and process
      Transference
      Countertransference
      Conclusion
      Case study: Transference: Sue
      Case study: Countertransference: the counsellor
      Useful resources

Chapter 23 How to ‘do’ process work
      Process comments
      Moving the focus to the counselling relationship
      Responding to clients’ experience of counsellors
      Responding to client behaviours that cause replays of the past
      How much process work is needed?
      Reluctance to explore the process dimension
      Conclusion
      Case study: Working with process: Belinda
      Case study: Working with process: Renee
      Useful resources

Chapter 24 Client ambivalence about counselling
      Client ambivalence
      Responding to client ambivalence
      Conclusion
      Case study: Working with client ambivalence: Louisa
      Useful resources

Chapter 25 Helping clients to explore themselves
      The problem with inadequate exploration
      The solution
      Avoiding an internal focus
      Conclusion
      Case study: Inadequate self-exploration: Sheila
      Case study: Inadequate self-exploration: Frank
      Useful resources                                

Chapter 26 Identifying core themes
      Repetitive relational patterns
      Problematic beliefs about self and others
      Core emotions
      A note on traumatised clients
      Conclusion
      Case study: Core themes providing structure for counselling:       Kathy
      Case study: Identifying core themes: Sam
      Useful resources

Chapter 27 Termination
      Affirming relatedness and separateness
      Natural endings
      Artificial endings
      As clients face the end of the counselling relationship
      Client decision to end
      Case study: Early termination: David
      Case study: Early termination and recontact: Jake
      Case study: Natural termination: Wendy
      Case study: Natural termination and recontact: Jennifer
      Useful resources

Chapter 28 Integrating process with content

PART 3  CO-OCCURRING MENTAL-HEALTH ISSUES
Part Introduction

Chapter 29 Diagnostic issues, psychological integration, and counselling implications
      Diagnostic issues
      Axis I and Axis II disorders
      Degree of psychological integration
      Case study: Good psychological integration: Belinda
      Case study: Poor psychological integration: Renee
      Very poor personality organisation (psychosis)
      Case stuffy: Very poor psychological integration: Peter
      Medications
      Conclusion
      Useful resources

Chapter 30 Co-occurring post-trauma syndromes and addictions
      Trauma
      Acute Stress Disorder (ASD)
      Post-traumatic Street Disorder (PTSD)
      Complex PTSD
      Complex PTSD and Borderline Personality Disorder (PTSD)
      Shame in relation to trauma
      Immediate crisis response
      Treating co-occurring post-trauma syndromes and addictions
      Working out where to start
      Medication
      Case Study: Complex trauma, alcohol, opioids: Simone
      Useful resources

Chapter 31 Co-occurring panic disorder and addictions
      Panic attacks
      Fight or flight response
      The role of breathing
      Panic disorder
      Why do people develop panic disorder?
      Treating co-occurring panic disorder and addictions
      Medication
      Case study: Panic, agoraphobia, alcohol: Tracey
      Useful resources

Chapter 32 Co-occurring generalised anxiety disorder and addictions
      Generalised anxiety disorder
      Treating co-occurring GAD and addiction issues
      Focus on the therapeutic alliance and process work
      Medication
      Case study: GAD, binge eating: Karen
      Useful resources

Chapter 33 Co-occurring social anxiety disorder and addictions
      SAD/social phobia
      Why do people develop social anxiety disorder?
      Treating co-occurring social anxiety disorder and addictions
      Medication
      Case study: Social phobia, gambling: Malcolm
      Useful resources

Chapter 34 Co-occurring depression and addictions
      Depressive disorders
      Why do people develop depression?
      Treating co-occurring depression and addictions
      Medication
      Case study: Depression, methamphetamine: Ben
      Useful resources

References

Index

 

 

 

 

 
     
 
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