Sexual obsessions are a common symptom of OCD, but addressing them in treatment is uniquely challenging due to feelings of shame, prior misdiagnosis, and the covert nature of ritualizing behaviors. These complicating factors make it difficult for clients to disclose their symptoms and for clinicians to know how to approach treatment. Sexual Obsessions in Obsessive-Compulsive Disorder provides clinicians with the information and guidance needed to help clients experiencing unwanted and intrusive thoughts of a sexual nature. Opening with background information on sexual obsessions and OCD, including assessment and differential diagnosis, Williams and Wetterneck then offer a complete, step-by-step manual describing treatment using a combination of empirically-supported CBT strategies, such as exposure and response prevention, cognitive therapy, and acceptance and commitment therapy, as well as useful mindfulness techniques. Accompanying these practical, step-by-step instructions are educational handouts and diagrams for clients designed to promote learning. The book concludes with a discussion of relationship issues that commonly result from sexually-themed OCD, and how therapists can tackle these problems. Sexual Obsessions in Obsessive-Compulsive Disorder is an essential resource for clinicians who treat OCD, as well as students and trainees from across the mental health professions.

This is the first book to explain the many synergies between solution focused brief therapy (SFBT) and harm reduction (HR). Sean Foy discusses how these two approaches are complementary and when used in conjunction, create a novel way of approaching addiction work. The book covers several detailed case studies examining how the concepts and theories of both approaches are intertwined to enhance and deepen the work undertaken with people who misuse and abuse substances. It will be of great interest to scholars of psychotherapy, social work, social care, addiction, nursing and health care, as well as to practitioners seeking a clearer understanding of solution focused brief therapy and harm reduction and how to apply these to case work with problematic drinkers and drug users.

Through more than 20 years of recovery from addiction, noted yoga teacher Tommy Rosen learned a lot about what works and what doesn't work in recovery. From his explorations on the yoga mat and in 12-Step rooms, he found a path to sustainable recovery that includes mind-body practices, a profound look at diet, and a more holistic and inclusive perspective on the 12 Steps. This led him to realize that recovery happens in stages, and that by utilizing the best practices of the 12 Steps in combination with yoga and meditation, he could achieve lasting freedom from addition. In Recovery 2.0, Tommy shares his own past struggles with addiction and the powerful insights that helped him to identify and break free from the obstacles that stand in the way of recovery. Building off the key tenets of the 12-Step program, he lays out an innovative approach where deeper levels of detoxification and transformation allow you to uproot addiction and thrive. In these pages, you'll find: * A new way of looking at addiction as a vibratory frequency that has roots in family history and one's 'Addiction Story,' which helps to destigmatize addiction and remove associated guilt and shame. * Fresh perspectives on how to get the most out of the 12-Step teachings and community, while avoiding pitfalls. * Daily practices in breathing, meditation, and yoga that will give you access to the extraordinary power within you. * A pathway to a newer, healthier relationship with food designed to boost immunity, increase vitality, support recovery, and prevent relapse. * Inspiration to help you discover your personal mission and be of service to others. The point is not to survive addiction. The point is to thrive in recovery and live a life second to none. 'Tommy Rosen has given us what I unreservedly regard as the best book I have ever read on the subject of recovery from addiction.' Gabor Mate, M.D., author of In the Realm of Hungry Ghosts: Close Encounters with Addiction 'Recovery 2.0 offers transformational guidance for anyone ready and willing to release the chains of addiction. This book is a true service to the world.' Gabrielle Bernstein, New York Times best-selling author of Miracles Now 'Tommy Rosen has written something extraordinary that is going to change the way people look at addiction and how to approach recovery from it.' Christopher Kennedy Lawford, New York Times best-selling author of Symptoms of Withdrawal, activist, and actor

What is the connection between autism and addiction? Why are individuals with autism more likely to develop a substance use disorder than the general population? Until recently, substance use disorder (SUD) was considered rare among those with autism spectrum disorder (ASD). This book brings together current research and personal accounts from individuals with autism and their supports. It explores why addiction is more common among individuals with ASD and investigates how addiction and autism affect one another. The authors also provide strategies for supporting people with both ASD and SUD.

Art therapy is an effective treatment for individuals with addictions. Working with this unique and often difficult clinical population, however, requires special therapist awareness and knowledge. This handbook provides an in-depth foundation of knowledge for art therapists working with clients with addictions. Drawing on many years' experience working with this population, Libby Schmanke provides valuable insight into this client group and explains how to ensure therapeutic interventions remain personalized and effective, while also meeting program needs. With case vignettes throughout, the book covers everything from common treatment models and how art therapy can be incorporated within them, to the bio-psycho-social aspects of addiction and how to handle a lack of cooperation or resistance to therapy.

Most people who die by suicide see a clinician prior to taking their lives. Therefore, one of the most difficult determinations clinicians must be able to make is whether any given patient is at risk for suicide in the immediate future. The Suicidal Crisis, Clinical Guide to the Assessment of Imminent Suicide Risk, is the first book written specifically to help clinicians evaluate the risk of such imminent suicidal behavior. The Suicidal Crisis is an essential work for every mental health professional and for anyone who would like to have a framework for understanding suicide. Written by master clinician Dr. Igor Galynker, the book presents methods for a systematic and comprehensive assessment of short-term suicide risk and for conducting risk assessment interviews in different settings. Dr. Galynker describes suicide as an attempt of a vulnerable individual to escape an unbearable life situation, which is perceived as both intolerable and inescapable. What sets the Suicidal Crisis apart from the other books of its kind is its sharp focus on those at the highest risk. It presents a wealth of clinical material within the easy-to-understand and intuitive framework of the Narrative-Crisis model of suicidal behavior. The book contains sixty individual case studies of actual suicidal individuals and their interviews, detailed instructions on how to conduct such interviews, and risk assessment test cases with answer keys. A unique feature of the book, not found in any other book on suicide, is a discussion of how clinicians' emotional responses to acutely suicidal individuals may help identify those at highest risk. In this timely, thorough, and well-written monograph, Dr. Galynker provides a method for understanding the suicidal process and of identifying those at the highest risk for taking their lives. Any clinician who works with suicidal individuals-and anybody who knows someone who has considered suicide-will find the book an essential and illuminating read.

As a clinician or researcher in the field of mental health or addictions, this book will offer you powerful insight into how acceptance and mindfulness-based interventions are being successfully used to treat a variety of addictive behaviors, ranging from substance abuse to gambling addiction.

Edited by Steven C. Hayes, a founder of acceptance and commitment therapy (ACT) and a world renowned authority on mindfulness-based therapy, "Mindfulness and Acceptance for Addictive Behaviors "features chapters by leading substance abuse and addiction researchers. Each article illuminates the mindfulness and acceptance-based treatments that work best for particular addictive behaviors, reviews empirical data, and discusses future directions for research and treatment applications. An essential resource for mental health and addictions professionals, researchers, and students interested in the most effective treatments for addiction, this book will dramatically impact the way addictions of all kinds are viewed and addressed in therapy.

In this book, you will learn to apply mindfulness and acceptance to help patients with: Alcoholism Substance abuse Smoking cessation Gambling addiction Pornography addiction Binge eating Detoxification Self-stigma and shameThe Mindfulness and Acceptance Practica Series
As mindfulness and acceptance-based therapies gain momentum in the field of mental health, it is increasingly important for professionals to understand the full range of their applications. To keep up with the growing demand for authoritative resources on these treatments, "The Mindfulness and Acceptance Practica Series" was created. These edited books cover a range of evidence-based treatments, such as acceptance and commitment therapy (ACT), cognitive behavioral therapy (CBT), compassion-focused therapy (CFT), dialectical behavioral therapy (DBT), and mindfulness-based stress reduction (MBSR) therapy. Incorporating new research in the field of psychology, these books are powerful tools for mental health clinicians, researchers, advanced students, and anyone interested in the growth of mindfulness and acceptance strategies.

The problem of addiction is one of the major challenges and controversies confronting medicine and society. It also poses important and complex philosophical and scientific problems. What is addiction? Why does it occur? And how should we respond to it, as individuals and as a society? The Routledge Handbook of Philosophy and Science of Addiction is an outstanding reference source to the key topics, problems and debates in this exciting subject. It spans several disciplines and is the first collection of its kind. Organised into three clear parts, forty-five chapters by a team of international contributors examine key areas, including: the meaning of addiction to individuals conceptions of addiction varieties and taxonomies of addiction methods and models of addiction evolution and addiction history, sociology and anthropology population distribution and epidemiology developmental processes vulnerabilities and resilience psychological and neural mechanisms prevention, treatment and spontaneous recovery public health and the ethics of care social justice, law and policy. Essential reading for students and researchers in addiction research and in philosophy, particularly philosophy of mind and psychology and ethics, The Routledge Handbook of Philosophy and Science of Addiction will also be of great interest to those in related fields, such as medicine, mental health, social work, and social policy.

Living mindfully, people in recovery can learn skills that allow them to be the people they want to be. Instead of being prisoners of harmful habits, they can consciously create healthy behaviour in support of their recovery and live their lives free from active addiction. Former Buddhist monk, John Bruna, outlines the seven skills of living mindfully in recovery - values, attention, wisdom, equanimity, compassion, loving-kindness and action - utilising lessons, meditations, reflections and other daily practices.

Female problem gambling is a seriously underexplored area. This is the first book to bring together international experts on the subject.

The guided sobriety journal inspired by the Sunday Times bestseller Ever sworn off alcohol for a month and found yourself drinking by the 7th? Think there's 'no point' in just one drink? Welcome! Quitting drinking, whether for a month or for life, is enormously satisfying, but also fiendishly difficult. -There's the getting started ('But I have that party next week!') -There's the feeling clenched and socially anxious. -Throw in a sizeable amount of social pressure and suspicious questions ('So, do you have a drinking problem?' -Finally, chuck in the hundreds of pro-drinking messages we see every day; films where a round of shots always comes with a whoop; fridge magnets that say 'I don't trust people who don't drink'; pub clapboards announcing 'Strong people need strong drinks'; and memes declaring 'Beer: it's a holiday in a glass.' Whew. It's no wonder we find it tricky to stay teetotal. But don't worry. We're going to tackle all of the above. I'm going to give you tools that enable you to clear all of these stumbling blocks with the grace of a gazelle. So, let's get started, shall we? PRAISE FOR CATHERINE GRAY'S WRITING: "An icon of the Quit Lit movement." - Conde Nast Traveller "Fascinating." - Bryony Gordon. "Not remotely preachy." - The Times "Jaunty, shrewd and convincing." - The Telegraph "Admirably honest, light, bubbly and remarkably rarely annoying." - The Guardian "Truthful, modern and real." - Stylist "Brave, witty and brilliantly written." - Marie Claire "Haunting, admirable and enlightening." - The Pool 'No other author writes about sober living with as much warmth or emotional range as Catherine Gray. Her deep insight into the subtle psychologies of drinking, and of life, means that everything she writes is both utterly relatable and stretches our minds. Hers is a rare wisdom.' - Dr Richard Piper, CEO, Alcohol Change UK

Substance and Behavioral Addictions: Concepts, Causes, and Cures presents the concepts, etiology, assessment, prevention, and cessation of substance (tobacco, alcohol, other drugs, and food) and behavioral (gambling, Internet, shopping, love, sex, exercise, and work) addictions. The text provides a novel and integrative appetitive motivation framework of addiction, while acknowledging and referencing multi-level influences on addiction, such as neurobiological, cognitive, and micro-social and macro-social/physical environmental. The book discusses concurrent and substitute addiction, and offers prevention and treatment solutions, which are presented from a more integrative perspective than traditional presentations. This is an ideal text for upper-level undergraduates and graduate students, practitioners, and researchers.

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.

This brief provides an overview of the emerging field of Electronic Therapy, E-Therapy, with a specific focus on alcohol and substance abuse. Understanding barriers that prevent individuals from seeking necessary mental health treatment is at the center of the development and analysis of practice models of care. Geographic location, transportation, language barriers and other situations contribute to difficulties in obtaining adequate treatment for mental illness. E-Therapy eliminates these barriers by administering counseling and mental health services through audio or audiovisual means. This brief examines E-Therapy best practices as they apply to alcohol and substance abuse intervention and prevention.

Partners experience dire consequences as a result of being in a relationship with someone suffering from any of the many manifestations of addiction and especially compulsive sexual behaviour. They are at risk of personal harm, being affected not only by the emotional, financial and relational consequences of addiction, but, also, and especially in the case of compulsive sexual behaviour, by deep, personal betrayal and potential exposure to dangerous sexually transmitted diseases. Partners must be armed with information and tools for self-care and self-protection as they navigate through the difficult and painful process of discovery, disclosure and beyond. In other words, they need boundaries. This is the first book specifically for partners affected by addictive behaviour that addresses, in detail, how to identify, create and maintain boundaries as a vital component of self-care and an indispensable tool for healing and growth. The 5-Step Boundary Solution guides partners to: define the current problem(s); identify the needs that aren't being met; locate their power; take action where they have the power to effect change and evaluate the results to determine if their goal has been accomplished or further boundary work is needed. All aspects of effective boundary work are addressed, including, and especially, what to do when boundaries are violated. Through working the 5-Step Boundary Solution partners will * reduce the chaos inherent in relationships affected by sex addiction * feel more empowered and in control of their lives * discover whether or not their relationship with the addict is salvageable.

With an estimated 20 million people addicted to drugs or alcohol, America is in the grip of an unrivaled epidemic. Overcoming Addition reveals how seemingly contradictory treatment theories must come together to understand and end dangerous substance abuse. Addiction treatment has become a billion-dollar industry based on innumerable clinical and psychological perspectives. Zealous clinicians and researchers have gathered around the theories, proclaiming each as the sole truth and excluding alternate views. In this book, leading bioethicist Gregory Pence demystifies seven foundational theories of addiction and addiction treatment. From Alcoholics and Narcotics Anonymous to methadone clinics and brain chemistry studies, each method holds foundation beliefs about human nature, free will, and biology. Understanding the diversity of these theories allows us to build a framework for more effective treatment for all addiction types. For individuals suffering from addiction, their families, and those who devote their lives to ending addiction's grasp on our society, this book offers a fresh perspective and a framework for long-term solutions.

Substance use disorders (SUDs) are common among many patients with medical and psychiatric disorders. Professionals from all medical and behavioral health disciplines must address SUDs to provide optimal care to patients. Failure to do so may contribute to morbidity and mortality in cases of more severe substance dependence.
This new volume in the Pittsburgh Pocket Psychiatry series provides a comprehensive overview of substance use disorders for medical students and psychiatric residents. It is aimed particularly at increasing student's knowledge and skills in addressing SUDs. The handy pocket-sized book focuses on those substances used, abused and leading to addiction and the clinical implications of SUDs. Epidemiology, etiology, classifications of SUDs, screening and assessment, and pharmacotherapy and psychosocial interventions are discussed alongside case histories illustrating the material covered. Questions for the reader stimulate thinking about specific cases and how the medical student or resident can help patients with SUDs.
Additional chapters focus on problems caused or worsened by SUDs such as Hepatitis C, HIV/AIDS and co-occurring psychiatric disorders. Relapse and recovery are also explored given many patients with substance dependence relapse. Adolescents with SUDs, prevention and harm reduction interventions are also reviewed.
The concept of rom SUDs is incorporated in many of the chapters. Medical, psychological, family and cultural aspects of addiction and recovery are addressed, providing the reader with a broad framework for understanding and helping patients with SUDs, as well as their families. An extensive list of online resources is provided that includes mutual support programs as well as professionals and organizations who offer helpful materials and programs for patients with SUDs.
Contributing authors represent medicine, psychiatry, social work, psychology in diverse treatment settings. Many authors are also researchers and all are educators involved in mentoring medical students, residents, fellows and other health care professionals.

Alcohol has always been an issue in public health but it is currently assuming increasing importance as a cause of disease and premature death worldwide. Alcohol: Science, Policy, and Public Health provides an interdisciplinary source of information that links together, the usually separate fields of, science, policy, and public health. This comprehensive volume highlights the importance of bringing scientific knowledge to bear in order to strengthen and develop alcohol public policy. The book looks at the historical evolution of alcohol consumption in society, key early studies of alcohol and disease, and the cultural and social aspects of alcohol consumption. It then goes on to cover the chemistry and biology of alcohol, patterns of consumption, gender and age-related issues, alcohol and injury, alcohol and cancer and non-malignant disease, and various current therapeutic aspects. The book concludes with a section on alcohol policy, looking at issues of poverty, the availability of alcohol and alcohol control measures. This major reference, written by international leaders in the fields of alcoholism and alcohol policy, provides a comprehensive study of one of the foremost health problems in the world, and represents the highest standards of research within the field. It will be valuable to physicians and health professionals involved with patients with alcohol-related problems, scientists, public health specialists, health policy specialists, researchers and legislators as well as students of public health.

While there is a wealth of published information on addiction medicine, the psychological aspects of alcohol abuse, and behavioral medicine with regard to addiction, virtually none of these resources were written with the primary care provider in mind. Addressing Unhealthy Alcohol Use in Primary Care is a resource for primary care clinicians who are confronted by patients with these problems daily, and who wish to successfully address these issues in their practice. It would focus on the literature and science relevant to primary care practice and cover the range of interventions appropriate for this setting. Topics include assessment, brief counseling interventions, pharmacotherapy, referrals to both specialty care and Alcoholics Anonymous (and other self-help programs), psychiatric co-morbidity and other drug use, and other information specific to the needs of the primary care provider.

In Addictive Behaviors in Women, leading experts from psychiatry, psychology, sociology, and social work concisely review the addictive process and the characteristic behaviors of women who are dependent on alcohol and/or drugs. Topics include why women smoke, the role of personality in female addiction, sexuality issues in chemically dependent women, dieting and alcohol use in women, alcohol's role in sexual assault, and the impact of drug abuse on the family and pregnancy. Addictive Behaviors in Women illuminates the causes and effects of the many lifestyle decisions women make that lead to addiction to drugs, work, sex, gambling, or to any of the many other elective aspects of our lives. It shows how addictive decisions can be avoided and/or treated, thereby making women's lives safer, more productive, and healthier.

Tony 10 was the online betting username of Tony O'Reilly, the postman who became front-page news in 2011 after he stole EURO1.75 million from An Post while he was a branch manager in Gorey, Co. Wexford. He used the money to fund a gambling addiction that began with a bet of EURO1 and eventually rose to EURO10 million, leading to the loss of his job, his family, his home - and winning him a prison sentence. This is his story. 'Remarkable.' The Sunday World 'Incredible.' The Guardian 'Read it in a day ... it pulls you in and traps you in a mix of high tension, disbelief, and sadness.' Michael Foley 'Tony 10 is probably the most compelling read of the year ... a chilling, jaw-dropping bruiser of a book.' The Irish Times 'Picked it up one Sunday morning and could not put it down - absolutely blew my doors off.' Paul Kimmage 'Gripping and insightful. Easily one of the best non-fiction books of the year.' Hot Press 'I cannot think of a more important book ever written on any aspect of Irish sport.' The Irish Examiner 'There is more drama in Chapter 10 of this book alone than you'd find in an entire year's subscription to Netflix.' Brian Boyd 'A spine-tingling tale, beautifully told.' The Irish Independent 'A brilliant, nerve-shredding account of one man's gambling addiction - and every word of it true. I highly recommend it.' Paul Howard 'A startling illustration of the silent devastation that gambling can inflict.' The Racing Post 'A stupendous piece of work.' The Sunday Independent