The American Opioid Epidemic: From Patient Care to Public Health provides practicing psychiatrists, trainees, and other mental health professionals with the latest information on opioid addiction, including misuse of heroin and other illicit opioids, the role of prescription analgesic opioids, and recent overdose trends. Although highly effective in relieving acute pain, opioids can cause untold damage to people's lives, health, and social structures. Recognizing the efficacy of these drugs when prescribed appropriately, the editors call not for eliminating access or for incarcerating those who are addicted, but for changing the patterns of prescribing and use. The crisis is analyzed by expert contributors from a wide variety of perspectives; they address issues of epidemiology and toxicology, prevention and harm reduction, and common comorbidities. Stressing that prevention and treatment do work, expert contributors provide down-to-earth, public-health-focused strategies that clinicians and public health workers alike will find indispensable. Moreover, the use of clinical vignettes and key chapter points help ground the reader and highlight the most important concepts.The book is comprehensive in its exploration of all facets of the crisis: * A thorough overview of prescription opioids is presented, including descriptions of the agents and their physiological effects, details on the origins of the opioid prescription use and misuse epidemic, current national trends in the nonmedical use of these prescription medications, and the consequences of long-term use of prescription opioids, such as the risk of initiating use of heroin and other illegal opioids.* Screening, assessment, and treatment planning for opioid use disorder is explored in detail, as is the pathophysiology, clinical signs, and management of opioid withdrawal.* The epidemiology, pathophysiology, and toxicology of opioid-related overdose are covered, guiding clinicians in key principles of overdose management-from evaluation to treatment to prevention. Readers will learn about the pharmacology and clinical use of the main opioid overdose reversal agent, naloxone, as well as the toxic profiles of the most common opioids implicated in overdose deaths.* The social determinants of the opioid epidemic are addressed from historical, demographic, and socioeconomic perspectives, as well as the pharmaceutical marketing-related, regulatory, and governmental policy-oriented factors that shape health disparities around opioid addiction and its consequences.* Harm reduction programs, including syringe access programs, overdose prevention education (including naloxone training and dispensing), education for safe injection practices, and facilitating access to opioid agonist treatment, are thoroughly explored. Harm reduction strategies that clinicians can use with individual patients are also discussed. The American Opioid Epidemic: From Patient Care to Public Health provides an in-depth look at clinical and public health approaches to this epidemic from both psychiatric and medical perspectives and gives mental health professionals the big picture necessary to understand the epidemic, as well as the clinical detail required to help patients avoid or overcome opioid addition.

The hundreds of people living in the flood channels of Las Vegas have provided one of the more fascinating and enduring international stories of the past decade. This underground community has received plenty of news coverage and dramatic portrayals by CSI, Criminal Minds, and the Jason Bourne franchise. But the fact that dozens of tunnel dwellers have clawed their way out of the drains and turned their lives around has received far less attention. Dark Days, Bright Nights is the follow-up to the bestselling Beneath the Neon and shares the harrowing stories of Sin City's most marginalized people, from bottoming out in homelessness to mending relationships with family and adjusting to jobs, housing, and sobriety. These redemption stories cast light on a rarely seen side of Las Vegas and offer a portrait of homelessness and recovery in America. They are the happy, though not Hollywood, endings to the infamous tunnel tale, documented through stark photographs and unflinchingly honest personal accounts.

Don't Count Me Out chronicles the life of Bruce White from the beginning of his drug use in elementary school through criminal acts fueled by his need for drugs, to his miraculous recovery three decades later and involvement in the treatment of addicts, where he is now a leader in the rehabilitation field. Rafael Alvarez's recounting of White's journey should inspire those dealing with the fallout of addiction. Alvarez, a journalist and screenwriter, allows the reader to get inside the head of an addict who was stealing alcohol from his parents at the age of nine, selling drugs and tripping on LSD and PCP by the time he hit seventh grade, and hooked on morphine before he turned fifteen. "Bruce White? I thought he was dead?" is a response encountered in many of the interviews Alvarez conducted. Don't Count Me Out shines a spotlight on an improbable and stunning miracle. Though this is just one person's story, the contributing factors of early sexual assault, the role of permissive preoccupied parents, and the need for peer approval, among others, will resonate with many as the opioid crisis continues to haunt us.

Substance abuse treatment in the U.S. is not a smooth continuum of services available to all those who seek them. This speaks to the importance of this comprehensive guide, which evaluates and summarizes all available substance abuse treatment settings and approaches, including in-patient, outpatient, 12-step programs, and more. It looks at the simplest of treatments (brief interventions) to the most intensive and expensive types of inpatient treatment programs. This text provides a clear and succinct review of different types of treatment, addresses controversies over "best practices," and examines their effectiveness with a variety of populations. It also closely examines research findings and their applicability for improving substance abuse treatment in the future.

Key Features: A comprehensive and practical guide to the field of substance abuse treatment Offers an overview of national, state, and local prevention efforts Includes chapters on substance abuse treatment with special populations including children/adolescents, women, the elderly, and criminal offenders Translates complex research findings into an easily understandable format

Integrating client stories, research and evidence-based strategies, this Workbook offers educational information, clinical tools and coping techniques to assist addiction patients on the journey toward recovery. Chapters include psycho-educational information on the science behind addiction and examine how patients engaging in resilience behaviors can alter brain functions. A set of three appendices then evaluates what "works" for the treatment of individuals with addictive disorders including ways to engage patients in the treatment process and ways to assess residential treatment programs. Lastly, a glossary of the "language of recovery" terms provides patients and their family members with the guidelines to monitor treatment gains, support their journey of recovery and bolster their resilience. Healthcare providers and those suffering from addictive disorders alike will benefit from the approachable discussion of the science and history behind addiction, the personal case-studies and the patient-friendly set of coping toolbox-activities designed to develop lasting behavioral changes.

A blend of theory and counseling techniques, this comprehensive text provides readers with an overview of several major counseling theories and their application to substance use disorders and addiction counseling, along with related techniques and interventions. Chapters incorporate cutting edge evidenced-based research on neuroscience, psychological and sociocultural theories explaining the biopsychosocial influences of substance use disorders, and examine how substance use disorder risk factors can be utilized when assessing someone who may have a substance use disorder. The text additionally helps apply theory to practice, offering intervention techniques and using accessible case studies. Throughout the text, highlighted learning opportunities and key terms further help students to practice and apply the theories, interventions and techniques that the book discusses. Mental health professionals, undergraduate and graduate students alike will benefit from this deft mix of prominent theory, innovative research and accessible case studies.

Don't Forget Me is a survival manual and a lifeline for those whose lives have been touched by substance use and addiction. With the pervasiveness of drugs today and death by overdose as the leading cause of death for people under 50 in the US, almost everyone has been directly or indirectly affected by this drug epidemic. Loving someone with substance abuse can be terrifying. Steve Grant shares what he learned during his own difficult journey to encourage and guide other parents who are living with children who are struggling with substance abuse. Don't Forget Me tells the story of Steve's two sons, Chris and Kelly, who took distinctly different paths to the same outcome: death by overdose. Steve reveals not only a highlight reel of the things he got right but takes an honest look at the mistakes he made along the way to help other parents avoid those same mistakes. Don't Forget Me offers time-tested, practical suggestions to assure family members of those struggling with substance abuse they have not lost their mind and encourages them to find hope-even on the darkest days.

In this age of increasing headlines about drug addiction and prescription drug abuse, this book is a timely revelation of how the nursing profession is also impacted by substance abuse. It allows nurses, who are the most trusted profession in society, who have been hidden within their profession and living with substance use disorders, to openly voice their personal experiences with addiction. Seven nurses detail their journey through family dynamics, early use as nursing students and later career nurses as they traveled deeper and deeper into their addiction. They discuss their shame, humiliation and dejection under the throes of the compelling forces of drugs and alcohol. They also describe how their family, other nurses, the healthcare system, and society assisted them in perpetuating their deception and denial about their disease. They explain how they lied, stole and cheated those around them to maintain their addiction. Each explains in detail the confrontations and the "jolt" and "wake up call" it took for them to awaken, become sober and truly enter recovery. They are all candid and forthright in order to help others that are impacted by this horrific and complex disease. They each share how recovery is possible when appropriate attitudes and tools are put in place to support nurses suffering from the devastation of addiction. Their stories bring attention to the importance of intervention, treatment, and recovery communities within the nursing profession. Recovery is emphasized as a "gift" by each of these nurses. The nurses and the researcher provide suggestions and recommendations to assist the healthcare community in addressing addiction in nursing. This book reveals how recovery for nurses is a major public health benefit.

Integrated Treatment for Co-Occurring Disorders addresses a complex client population, which presents service providers with significant professional challenges. Underlying personality disorders compromise treatment effectiveness for medical, other psychiatric, or trauma services, as well as the ability these individuals have in adhering to probation, parole, or court-ordered treatment requirements. A co-occuring substance use disorder amplifies the difficulties experienced by personality-disordered individuals, exacerbates the precarious nature of their relationships, and raises the skill level needed by service providers attempting to help them. There can be significant professional satisfaction in working effectively with the interplay of addiction and disorders of personality. The book brings focus to the specifics of assessment and treatment for this type of co-occurring disorder and suggests that greater adaptability, fewer self-sabotaging behaviors, and an abstinent lifestyle are all possible. Recovery from both disorders is the journey these individuals take toward greater maturation, reliable impulse control, and coping skills that are not dependent upon the evasion of the demands of living or use of substances to manage stress or uncomfortable affect. Recovery is possible, and service providers can assist these clients on their path to wellness.

New York Times Bestseller

"New, scientifically-based approaches that recognize the biological basis of addiction have brought major advances in the treatment of addiction. Dr. Urschel is at the forefront of this treatment paradigm."
Dr. Larry Hanselka, Psychologist

The Proven Scientific Approach to Conquering Addiction and Defeating the Disease

Healing the Addicted Brain is a breakthrough work that focuses on treating drug and alcohol addiction as a biological disease--based on the Recovery Science program that has helped thousands of patients defeat their addictions over the past 10 years. It combines the best behavioral addiction treatments with the latest scientific research into brain functions, providing tools and strategies designed to overcome the biological factors that cause addictive behavior along with proven treatments and medications.

Using this scientific approach, you will learn to conquer the physical factors that keep people tied to drug and alcohol addiction. The proven fact is addiction is not a moral failing or an issue of not having enough willpower. It is a disease of the brain that can and must be treated like other chronic medical illnesses --such as diabetes, hypertension, or asthma--in order to defeat the disease.

This revolutionary program can triple the success rate of patients, from 20-30% to 90%

There Is Hope. By understanding addiction and using 21st-century breakthroughs, for the first time drug and alcohol addiction can be, and will be, defeated.

Integrated Treatment for Co-Occurring Disorders addresses a complex client population, which presents service providers with significant professional challenges. Underlying personality disorders compromise treatment effectiveness for medical, other psychiatric, or trauma services, as well as the ability these individuals have in adhering to probation, parole, or court-ordered treatment requirements. A co-occuring substance use disorder amplifies the difficulties experienced by personality-disordered individuals, exacerbates the precarious nature of their relationships, and raises the skill level needed by service providers attempting to help them. There can be significant professional satisfaction in working effectively with the interplay of addiction and disorders of personality. The book brings focus to the specifics of assessment and treatment for this type of co-occurring disorder and suggests that greater adaptability, fewer self-sabotaging behaviors, and an abstinent lifestyle are all possible. Recovery from both disorders is the journey these individuals take toward greater maturation, reliable impulse control, and coping skills that are not dependent upon the evasion of the demands of living or use of substances to manage stress or uncomfortable affect. Recovery is possible, and service providers can assist these clients on their path to wellness.

Celebrity culture surrounds us. We are inundated with information about actors and actresses, athletes, musicians, and others who have become famous or infamous. Although we never will likely meet or get to know them, our interest in them seems boundless. We are literally obsessed with being entertained as well as with the people who entertain us. Who our celebrities are has also shifted; in the past, celebrity status was bestowed on men and women of great accomplishment, those who had given the world something to be proud of and to celebrate. Conversely, today's celebrities are generally people involved in entertainment-from TV newscasters to people who appear on reality television programs, as well as some who are simply famous for being famous. What remains an enigma is why we, as a society, are so infatuated with being entertained, as well as with those who entertain us and appear in the media. This book makes sense of this spectacle by explaining the reasons for this obsession from a psychological, social, and historical perspective. It suggests that we have become addicted in much the same way that a person becomes addicted to drugs or alcohol. Finally, the author offers his observations on how to free our minds from this captivation. Anyone interested in understanding more about our need to live vicariously through the rich and famous will find answers in this book.

A revised and expanded edition of the recovery classic by Patrick Carnes, Ph.D., a leading expert on addictive behaviours. "The Twelve Steps tap into the essential human process of change and will be regarded as one of the intellectual and spiritual landmarks in human history. "--Patrick Carnes It was out of his reverence and respect for the wisdom and therapeutic value of the Twelve Steps that Carnes wrote A Gentle Path through the 12 Steps , now a recovery classic and self-help staple for anyone looking for guidance for life's hardest challenges. Hundreds of thousands of people have found in this book a personal portal to the wisdom of the Twelve Steps. With updated and expanded concepts and a focus on the spiritual principles that lead to lifelong growth and fulfilment, Carnes' new edition invites a fresh generation of readers to the healing and rewarding experience of Twelve Step recovery.

Addiction to drugs and alcohol is an increasing problem that all clinicians have to deal with. This "Cochrane Handbook of Alcohol and Drug Misuse" serves as a concise guide to the evidence base for relevant interventions, highlighting the key points of Cochrane reviews for the busy practitioner. It covers a wide range of pharmacological and psychosocial treatments for opioid, alcohol, cocaine and other stimulant and drug misuse, offering comprehensive coverage of interventions for drug and alcohol addiction.

Addiction: Psychology and Treatment brings together leading psychologists to provide a comprehensive overview of the psychology of addictions and their treatment across specialities and types of services. * Emphasises the use of several approaches including CBT, psychodynamic and systemic and family treatments, and consideration of the wider picture of addictions * As well as the theories, gives a clear overview of the application of these models * Reflects the very latest developments in the role played by psychological perspectives and interventions in the recovery agenda for problem drug and alcohol users

Vamik D. Volkan recounts the story of Judy, a woman attempting to solve her early life deprivations through non-chemical addiction. He provides an understanding of the psychology behind such an addiction and also illustrates pertinent therapeutic concepts and issues which arose in Judy's case. These include built-in transference, twinning, interpretation, dreams, hoarding, acting out, and therapeutic play. By paying attention to such things, it is possible to gain a greater understanding of the internal worlds of patients with preoedipal deprivations, conflicts, and fixations. For this case, Dr Volkan undertook the role of supervisor to an analyst in training. The topics of the psychoanalytic supervisor-supervisee relationship and the supervisor's emotional reactions toward the patient, whom the supervisor never meets, are rather ignored in the psychoanalytic literature. This book gives an open and frank overview of the relationship, reporting not only what was said but also what lay behind the words. Written in Dr Volkan's characteristically accessible style, this book will be enjoyed equally by those under supervision as those providing it, and provides an excellent overview of work with addiction.

This book completes a series of clinical and experimental observations on dreams about drugs of drug-addicted patients, providing a systematic and comprehensive discussion on drug dreams that involves various fields of study and, ideally, to suggest future clinical and research applications.

*Practical and contemporary work on the evidence-based Community Reinforcement and Family Training (CRAFT) model for addictions. *Loved ones can have an outsized impact on a person's decision to get treatment; CRAFT shows therapists how to work effectively with family and friends. *User-friendly features include checklists, boxes, downloadable forms, and illustrative clinical dialogues. *An ideal graduate text or clinical reference for therapists and counselors, regardless of expertise in addictions.

In this updated edition of Substance Abuse and the Family, Michael D. Reiter examines addiction through a family systems lens which considers a range of interconnected contexts, such as biology and genetics, family relationships, and larger systems. Chapters are organized around two sections: Assessment and Treatment. Examining how the family system organizes around substance use and abuse, the first section includes contributions on the neurobiology and genetics of addiction, as well as chapters on family diversity, issues in substance-using families, and working in a culturally sensitive way. The second half of the book explores various treatment options for individuals and families presenting with substance abuse issues, providing an overview of the major family therapy theories, and chapters on self-help groups and the process of family recovery. The second edition has many useful additions including a revision of the family diversity chapter to consider sexual and gender minorities, brand new chapters on behavioral addictions such as sex and gambling, and a chapter on ethical implications in substance abuse work with families. Additional sections include information on Multisystemic Therapy, Behavioral Couples Therapy, Motivational Interviewing, and Twelve-Step Facilitation. Each chapter now contains a case application to help demonstrate treatment strategies in practice. Intended for undergraduate and graduate students, as well as beginning practitioners, Substance Abuse and the Family, 2nd Ed. remains one of the most penetrating and in-depth examinations on the topic available.

Writing for both EMDR therapists and substance abuse counsellors, Laurel Parnell provides user-friendly tools to help support clients in recovery with EMDR-based techniques that can be easily integrated into all levels of addiction treatment. Emphasising the practical clinical application of principles and techniques helpful for addictions and addictive disorders, this book interweaves case material throughout the text, with some chapters presenting in-depth cases to illustrate the techniques. Topics include treating trauma and supporting resilience, tools for affect regulation, and rewiring the motivation-reward circuits.

Managing Negative Emotions Without Drinking is the ideal companion to Emotion Regulation Treatment of Alcohol Use Disorders. Each of the 12 individual weekly treatment sessions presents scientifically tested strategies for managing emotions without alcohol, including mindfulness practices, direct experiencing of emotion, and cognitive and behavioral skills to manage high-risk drinking situations and prevent relapse to alcohol use. The step-by-step exercises, user-friendly worksheets, and in-session and between-session skill practice help clients gain a basic understanding of the role that emotions play in harmful alcohol use and assist them in developing the skills needed to manage these emotions and cravings without alcohol.

Treating patients with eating disorders (ED) is a notoriously challenging undertaking. Patients tend to be medically compromised and have a deep ambivalence towards their symptoms, and treatment dropout and relapse rates are high. Further complicating matters, a sizable number of patients present with additional characteristics that set them apart from the patients for whom empirically supported treatments were developed. Up to 50% of current ED diagnoses are classified as atypical and do not fit into existing diagnostic categories, and many more present with complex comorbidities. Clinical Handbook of Complex and Atypical Eating Disorders brings together into one comprehensive resource what is known about an array of complicating factors for patients with ED, serving as an accessible introduction to each of the comorbidities and symptom presentations highlighted in the volume. The first section of the book focuses on the treatment of ED in the presence of various comorbidities, and the second section explores the treatment of ED with atypical symptom presentations. The third section focuses on how to adapt ED treatments for diverse populations typically neglected in controlled treatment trials: LGBT, pediatric, male, ethnically diverse, and older adult populations. Each chapter includes a review of clinical presentation, prevalence, treatment approaches, resources, conclusions, and future directions. Cutting edge and practical, Clinical Handbook of Complex and Atypical Eating Disorders will appeal to researchers and health professionals involved in treating ED.

Integrating client stories, research and evidence-based strategies, this Workbook offers educational information, clinical tools and coping techniques to assist addiction patients on the journey toward recovery. Chapters include psycho-educational information on the science behind addiction and examine how patients engaging in resilience behaviors can alter brain functions. A set of three appendices then evaluates what "works" for the treatment of individuals with addictive disorders including ways to engage patients in the treatment process and ways to assess residential treatment programs. Lastly, a glossary of the "language of recovery" terms provides patients and their family members with the guidelines to monitor treatment gains, support their journey of recovery and bolster their resilience. Healthcare providers and those suffering from addictive disorders alike will benefit from the approachable discussion of the science and history behind addiction, the personal case-studies and the patient-friendly set of coping toolbox-activities designed to develop lasting behavioral changes.

Much is made of spirituality these days-in recovery and in the culture at large-but what, exactly, does spirituality mean? Is it something different to different people? How is it discovered, nurtured, expressed? And, perhaps most important, why does it matter? To the thicket of questions surrounding the subject, this book brings a clear vision and a thoughtful approach that will help us find our way to the very heart of spirituality. Writing simply and directly, Abraham Twerski shows how spirituality-independent of religion-is central to emotional and mental health, and is a key to being truly and profoundly human. Founder and medical director of the Gateway Rehabilitation Center in Pittsburgh, Pennsylvania, Abraham J. Twerski is a rabbi, psychiatrist, chemical dependency counselor, and the author of many books, including Addictive Thinking: Understanding Self-Deception.