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 & Bacon). The first myth, and possibly the worst, is that there is one and only one effective approach to addiction recovery. If you are seeking treatment and a facility tells you a version of this myth, it would be better to look elsewhere for help. Alcohol treatment research, and addiction treatment research generally, shows there is no single approach that is best for all individuals. Many Paths to Addiction Recovery The first principle of the 12 Guiding Principles adopted by SAMHSA’s Center for Su...

A. Tom Horvath, Ph.D., ABPP I make a number of assumptions when conducting a substance abuse evaluations as part of a litigation process: The individual’s use is usually not less than the individual reports, but it might often be more (or much more). Inaccurate accusations of substance abuse are common because there is usually little negative consequence for inaccurate accusations. The parties to the litigation, and those connected with them, may provide biased and inaccurate information. Therefore outside corroboration of their reports is essential for determining the extent and consequences of substance use. Getting Outside Corroboration: As a practical matter, getting outside corroboration (information from sources not connected with the litigation) is difficult becau...

By: Tom Brown, Ph.D. CRAFT (Community Reinforcement and Family Training) is a non-confrontational approach to getting a loved one to enter addiction treatment. It is an approach designed for the concerned other (spouse, family member, friend), who is seeking assistance in getting their loved one help. CRAFT can also help the person you are concerned about reduce their substance use, even without their direct cooperation. CRAFT is successful in getting people into treatment by a three to one margin over traditional intervention strategies. CRAFT is motivational rather than confrontational. Concerned Significant Others (CSO) learn how to motivate loved ones to change, by rewarding sober activities and discouraging activities that include drugs or alcohol. The motivational approach to ...

Will insurance cover addiction if it's not a disease? Some highly vocal addiction recovery advocacy groups claim that addictions, or at least some addictions, are diseases. These groups argue that insurance coverage for addiction treatment is crucial for recovery, and that insurers will not pay for treatment if addiction is not understood as a disease. Therefore, they say, we need to keep insisting that addiction is a disease, and keep insisting that our insurers cover addiction treatment. Defining Diseases and Conditions However, insurers already pay for many conditions that are not diseases. For instance, broken bones, pregnancies, and the repair of congenital defects are not normally called diseases, but these conditions are covered by most insurance plans. The term that is relev...

Article Updated 4/13/2022 Self-empowering addiction treatment utilizes cognitive-behavioral therapy and teaching mindfulness to help people cope with their cravings, be more aware of their thoughts, and increase self-regulation in alcohol recovery. But just how important is self-regulation in recovery from alcohol use? To better understand it in recovery, it helps to understand it in the context of addiction. Read on to learn more about the relationship between self-regulation and alcohol use. According to Hustad et. al., self-regulation refers to “the effortful ability to plan and achieve adaptive outcomes through goal-directed behavior, often by delaying gratification” (2009). It is important for individuals to develop self-regulation ability in alcohol recovery. Since lower lev...