by Tom Horvath, PhD, ABPP Why individual sessions in addiction treatment are important One of the most frequent complaints I hear from clients who have attended other treatment facilities is “I almost never had an individual session.” Why are frequent individual sessions unusual in US addiction treatment, and why are they important? Groups led by drug and alcohol counselors save money A business reason to provide treatment primarily in groups is to lower costs. All businesses want to save on labor costs. In many cases groups are oriented around a well-established curriculum, designed to help clients “get the program.” Getting the program typically involves accepting the perspective that “I have a disease, I need to go to meetings for the rest of my life, I can never drink again, my ...

by Thaddeus Camlin, Psy.D. This week’s topic is the third installment in a series exploring lies that have permeated the recovery culture.  The first article challenged the lie that perfect abstinence is the only way to succeed in recovery.  Last week’s article challenged the lie that most people in recovery fail.  This week’s article challenges the lie that all addicts are the same, which is often perpetuated by the phrase ‘terminal uniqueness.' Universal statements about any group of humans other than those who struggle with substance use are generally quickly dismissed.  Consider the absurdity of statements like, all mothers are the same, all children are the same, all men are the same, all politicians are the same, all criminals are the same, etc.  To dehumanize is to divest o...

by Thaddeus Camlin, Psy.D. The Biggest Lies in Recovery, pt. II - Recovery Failure This week’s topic is the second installment in a series exploring lies that have permeated the recovery culture.  Last week’s article challenged the lie that success in recovery is perfect abstinence.  This week’s article challenges the closely related lie of recovery failure, or that most people in recovery fail. I often hear people toss around arbitrary and unfounded statistics in recovery like, “only 10% of people succeed,” and that deviations from perfect abstinence inevitably lead to “jails, institutions, and death.”  The bad news is that “professionals” sometimes contribute to the spread of these unhelpful lies.  The good news is that the lie that most people in recovery fail is unequivocally f...

by Tom Horvath, Ph.D., ABPP Practical Recovery’s IIOP The Individualized Intensive Outpatient Program To be clear: An Individualized Intensive Outpatient Program (IIOP) is not an Intensive Outpatient Program (IOP). An IOP is a group that typically meets three hours per day, three days per week. In addition, there may be one individual session per week. The IOP is the backbone of many outpatient addiction treatment approaches, and indeed, Practical Recovery offers one (which includes one individual session per week). One of the advantages of an IOP is that insurance companies are familiar with it, and tend to reimburse this service at a reasonable level. Nearly 20 years ago Practical Recovery introduced the concept of the Individualized Intensive Outpatient Program. This year we ar...

Does the recovery community inadvertently contribute to the stigma of addiction? by Tom Horvath, Ph.D., ABPP Although the recovery community opposes stigmatizing individuals with addiction, the widespread use of the labels “addict” and “alcoholic,” and the view that addiction is a disease, actually contribute to the stigma of addiction. Alternative language, suggested here, could work against stigma rather than contribute to it. What is stigma? The Oxford English Dictionary defines stigma as 1) “a mark made upon the skin by burning with a hot iron (rarely, by cutting or pricking) as a token of infamy or subjection,” 2) “a mark of disgrace or infamy; a sign of severe censure or condemnation, regarded as impressed on a person or thing; a ‘brand,’” (this meaning is introduced as...

Does acupuncture help in the treatment of addiction? Chinese medicine, such as acupuncture, has long been used to treat an array of illness. More recently, Eastern methods have become increasingly popular within many addiction treatment approaches, as a supplement to other therapies.  Acupuncture is said to help alleviate withdrawal symptoms and physical pain, cure insomnia, and even help soothe emotional problems. So what is acupuncture? Basically stated, it is Chinese therapy involving pricking the skin with small/thin needles. It is used to treat a variety of physical symptoms, improve mental health, balance emotional conditions and alleviate pain. Acupuncture is based on a theory of energy. As the theory goes, “chi,” also known as energy, flows through our body along pathways...

Practical Recovery presents: CRAFT training led by Dr. Bob Meyers! 2/29/16-3/2/16 in San Diego. Click here to register! CRAFT (Community Reinforcement and Family Training) provides an evidence-based approach to helping families support loved ones who need additional assistance to overcome problematic addictive behavior. CRAFT provides an alternative approach to the 12-step based Al-Anon, and to “intervention,” often a surprise family meeting with the identified patient (IP). This surprise meeting is intended to motivate the IP to enter treatment. The goals for CRAFT are to improve the lives of Concerned Significant Others (CSOs), reduce the problematic addictive behavior of the Identified Patient (IP), and increase the IP’s motivation to enter treatment. Treatment initiation typ...

By Devon Berkheiser, Psy.D. (originally posted March 2015) Discover how you can quit drinking (and using)... for good. Do you want to know how to quit drinking for good? While this can be a challenging task, it is definitely possible to quit an addictive substance and establish a happy, meaningful life in recovery. There is no one way to quit drinking; different paths work for different people. It may take some trial and error to find the recovery tools that work best for you. However, there are some general guidelines that you may want to consider when attempting to quit drinking. Read on for some helpful tips. 1. Make a commitment to change your drinking habits First and foremost, you need to make a commitment to change. Ask yourself why you want to quit drinking. Perhaps ...

by Tom Horvath, Ph.D., ABPP When I began specializing in addiction treatment in 1985 I affiliated with the New Horizons outpatient network of providers. To my knowledge none of the original providers (nearly two dozen at one point) are still in practice. However, one newer practitioner works in Hawaii. Mark Turansky became involved some years after I left (to focus on the development of Practical Recovery). Mark and I met in 2014. I still appreciate many aspects of the New Horizons approach. In this article I focus on that approach and Mark’s activities. To place any recovery approach in context, nothing works for everyone, and almost any approach will work for someone. The challenge to providers is matching services, approaches and options with individuals who might benefit from ...

Addiction Treatment: Understanding and Integrating Motivational Enhancement Therapy Guest Post by Jonathan Liss, Ph.D. Of course you have heard about Motivational Interviewing, and maybe Motivational Enhancement Therapy. However, if you are not involved with MI or MET regularly, the following summary would be good way to refresh your memory, and provide a springboard for including MI more regularly in your work. Thanks Dr. Liss for this article! Motivational Enhancement Therapy (MET) is a brief therapy, derived from Motivational Interviewing, designed to produce rapid, internally driven change for individuals in early stages of contemplation about the role of substance use in their life. Though non-directive, this brief (approximately four sessions) therapy aims to harness an ind...