Introducing collaborative addiction treatment to the client

Practical Recovery aims to offer ideal addiction treatment for any substance or activity addiction. We describe our approach as “collaborative addiction care.” Because each client is unique, and we are fully collaborative, no two treatment plans are alike. Hence we

Is collaborative addiction care effective?

Unfortunately, Practical Recovery does not yet have any long-term follow-up data on our clients. The task of designing the data collection is daunting. No two clients do the same treatment! However, we are in the process of designing a basic

Introduction to Collaborative Addiction Treatment

Why consider a collaborative addiction treatment relationship with someone who, by definition, is making very bad decisions?  Addicts and alcoholics keep using and drinking and are often irresponsible in other ways.  How could they meaningfully contribute to treatment decisions?  Don’t

Leading Edge Psychotherapy: The psychotherapy team

A psychotherapy team involves multiple therapists who meet successively with the same client for individual therapy. Therapy teams have begun to emerge, in varying degrees, in a few state-of-the-art addiction treatment facilities. Their emergence may have occurred somewhat serendipitously but

Treating psychiatric and addiction comorbidity with a cognitive-behavioral (non-12-step) approach

As more addiction treatment programs treat comorbidity it seems likely that client confusion about treatment approach will increase.  Comorbidity is here defined as having both a mental health disorder (such anxiety or depression) as well as an addictive disorder.  Client

Coping with craving

If you have had strong cravings, you may not need a description of one!  Like hunger (which is what we call craving for food), craving is a complete (cognitive, emotional, and physical) experience.  Your mind is distracted.  You feel tense

What Is the Best Alcohol Treatment?

There are three myths about alcohol treatment, according to some of the foremost researchers in the area, led by psychologist William R. Miller (Handbook of Alcoholism Treatment Approaches: Effective Alternatives, 3rd edition, edited by Hester & Miller, published in 2003 by Allyn

Addiction and Youth

Addiction, Recovery and Society How society should view addiction Ending recoveryism Let’s stop insisting addiction is a disease Will insurance cover addiction treatment if addiction is not a disease? AA’s dominance in the US is harmful Court-ordered 12-step attendance is

Substance Abuse Evaluations in Child Custody Cases

A. Tom Horvath, Ph.D., ABPP I make a number of assumptions when conducting a substance use evaluation as part of a litigation process: The individual’s use is usually not less than the individual reports, but it might often be more

CRAFT: An alternative to addiction “intervention”

Tom Brown, Ph.D. CRAFT (Community Reinforcement and Family Training) is a non-confrontational approach to getting a loved one to enteraddiction treatment. It is an approach designed for the concerned other (spouse, family member, friend), who is seeking assistance in getting