The True Freedom model is a new and valuable tool for addiction recovery. It works for addiction in general: from nicotine to crack; from sugar to opioids; from a life-destroying cycle of torture to something coming between you and a person or goal that matters. It will work for you whether you're in a residential rehab that uses True Freedom, part of a local True Freedom Community group, in a prison reading about True Freedom during a group session or from your cell, journeying through it at home after work each day, or if a mentor, loved one or chaplain / pastor / leader is supporting you through it on a one-to-one basis. The True Freedom journey begins with three separate parts of the True Freedom workbook. You are currently holding Part One, which unravels the deception that has kept you trapped, allowing you to move forward. Part Two unpacks the other forces at work in your life and in your addiction. Part Three leads us to take the action needed for addiction recovery to occur. Each milestone ends with a statement of truth, which can be read aloud as a declaration of your progress. At the end of all three parts, you will have twelve milestone statements you can remember as keys to freedom, all of which are recorded at the back of this book.

Dr Robert Lefever is one of the leading international specialists on addictions. He established the very first addiction rehabilitation centre in the UK offering treatment to patients with eating disorders, alcohol or drug problems. He was also the first to treat compulsive gambling, nicotine addiction and workaholism. He identified "Compulsive Helping", when people do too much for others and too little for themselves, as an addictive behaviour and has pioneered its treatment. Dr Lefever has worked with over 5,000 addicts and their families in the last 25 years and, until recently, ran a busy private medical practice in South Kensington (PROMIS Recovery Centre). He now uses his considerable experience to provide intensive private one-to-one care for individuals and their families. Everyone KNOWS what addiction is and what should be done for it. But as this book shows, individual experience cannot apply universally. The psychology of denial - telling addicts that they aren't addicted - is the most devastating feature of addiction. This book offers much practical guidance, with reference to entirely anonymised individual experiences. It also explains the key terminology used in the field. The entire emphasis of the book is on what works. It also explains why some approaches do not work. The author shows that treatment will always have to be in 3 phases (in reverse order): abstinence, emotional - not intellectual - therapy and daily relapse prevention by working the Twelve Step Programme first formulated by Alcoholics Anonymous. Dr Lefever explains specific addictions. These come in 3 clusters: hedonistic, nurturant and relationship. Some addicts have just 1 of these clusters, some two, some all. He shows how patients and their families can take actions to unblock delay. He considers known intervention techniques and family work in tackling compulsive helping, where pain is the great teacher. This practical book offers important guidance on life in recovery, on real friendships, on spontaneity, creativity and enthusiasm. Dr Lefever also examines the future of addiction treatment, as well as its politics.

A breakthrough solution from the author of This Naked Mind Alcohol to help shift your mindset and help you quit smoking for good. Tobacco is bad for us; that's a given. But even though you may know the negative health effects, nicotine's hold is strong, subconscious, and emotional: It tastes good, it's a companion when you're alone, and it can be a shield against stress. What if none of these things were true, though? What if nicotine actually tasted bad and didn't make you less lonely? What if it didn't relax you? It may seem hard to believe, and it's okay to be skeptical, but coming to a new mindset about smoking is the key to quitting. In This Naked Mind: Nicotine, Annie Grace and William Porter combine their trusted approaches to overcoming problem drinking-science-backed, habit-breaking systems that have worked for thousands-to vanquish tobacco addiction. Grace and Porter uncover the subconscious beliefs about smoking that keep us addicted to it despite its well-known costs. With thought-provoking questions and exercises that will spark clarity, this essential book will help you jump-start your no-smoking journey easily and heal your brain and body.

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.

This book explores both the existence and prevalence of addiction in South and East Africa, departing from traditional assumptions about addiction in the region. The authors employ an interdisciplinary approach to understand the actual prevalence of addiction and the forms it takes in South and East Africa. The book also addresses the perceptions and conceptualisation of addiction in the region, in addition to discussing specific issues related to drug and alcohol abuse and addiction, social media addiction, and sex addiction.

At the heart of Richard Bryant-Jefferies' work with problem drinkers is his belief in the power and effectiveness of the person-centred approach to counselling. He suggests that many alcohol problems develop out of, or are connected with, relationship difficulties. He highlights the importance of building a therapeutic relationship with the person, and of engaging with their individuality to encourage sustainable lifestyle change underpinned by personal growth. This practical book shows how such client-focused counselling can support problem drinkers who are seeking to develop and sustain a less alcohol-centred way of life. Demonstrating how the client-counsellor relationship can be harnessed to empower the individual to help themselves, Richard * describes the health risks and effects on family life of alcohol dependency * considers the differences between young and old problem drinkers * analyses the support services available to those seeking change * suggests ways of coping with relapse. Supported by contributions from clients who have undergone counselling for alcohol reliance, this is a comprehensive and positive guide for people working with those who have a problematic relationship with alcohol.

Helping beginning and experienced therapists cope with the myriad challenges of working in agencies, clinics, hospitals, and private practice, this book distills the leading theories and best practices in the field. The authors provide a clear approach to engaging diverse clients and building rapport; interweaving evidence-based techniques to meet therapeutic goals; and intervening effectively with individuals, families, groups, and larger systems. Practitioners will find tools for addressing the needs of their clients while caring for themselves and avoiding burnout; students will find a clear-headed framework for making use of the variety of approaches available in mental health practice.

The most comprehensive source for the latest research and practice techniques for diagnosing and treating addictive disorders

"This book brings together an array of international experts on addictive disorders. Robert Coombs's "Handbook of Addictive Disorders" discusses the contemporary issues surrounding the understanding of addiction, from diagnosis to treatment of an addicted client. The "Handbook of Addictive Disorders" is an example of practical and clinical information at its best."
-Lorraine D. Grymala, Executive DirectorAmerican Academy of Health Care Providers in the Addictive Disorders

"The Handbook of Addictive Disorders: A Practical Guide to Diagnosis and Treatment" is a comprehensive, state-of-the-art resource, featuring valuable contributions from a multidisciplinary team of leading experts. This unique guide deftly defines addiction and examines its comorbidity with other problems. Subsequent chapters present an overview of addictive disorders coupled with strategies for accurately diagnosing them, planning effective treatment, and selecting appropriate interventions. Chapters on public policy and prevention are of indispensable value in light of this growing health concern.

The only reference available to cover the full spectrum of addictions and addictive behaviors, the "Handbook of Addictive Disorders" provides the most current research and treatment strategies for overcoming:

• Chemical dependency
• Workaholism
• Compulsive gambling
• Eating disorders
• Sex addiction
• Compulsive buyingThis useful guide features case studies, figures and diagrams, lists of practical interventions for each disorder, and self-assessment exercises for clients.

Psychologists, addiction counselors, social workers, and others working in the addictions field will find the "Handbook of Addictive Disorders" to be an essential resource for practical, validated information on all types of addictions and their related problems.

Through Homelessness Prevention in Treatment of Substance Abuse and Mental Illness: Logic Models and Implementation of Eight American Projects, psychiatrist, psychologists, and social workers will discover the results of eight, three-year long development projects funded by the Substance Abuse and Mental Health Services Administration (SAMHSA) designed to prevent homelessness in high- risk populations who have problems with alcoholism, drug abuse, and/or mental illness. Through this informative book, you will examine the theory or logic guiding each program, including an up-to-date review of the literature supporting each theory. You will also find a description of the implementation of the program as well as its history, the practical issues involved in delivering services, the pitfalls, lessons learned, and recommendations for the future so you can use the best ideas to implement in your own community and stop these individuals from reaching the streets. Homelessness Prevention in Treatment of Substance Abuse and Mental Illness provides insight into how to deal with many common issues that you are faced with every day, such as matching clients to appropriate services, preventing relapse, case management, training in independent living skills and money management, acquiring and maintaining housing, and benefits and employment for your disadvantaged clients. Compelling and informative, this unique book provides you with many tips and suggestions on how you can help the disadvantaged in our population avoid the added trauma of becoming homeless, such as: examining a new modified therapeutic community (TC) intervention program for mothers recovering from substance abuse who live with their children so you can learn to treat the family as a whole and not just treat the person with a "problem" gaining insight into a new intervention program for families caring for another family member with serious mental illness or substance abuse disorders so you can address such issues as the importance of respite for the family and home visits for relationship building among the entire household discovering a new, independent living model which allows clients with serious mental illnesses to select their own apartments learning about a new program in Philadelphia that offers support services to clients with serious mental illnesses and substance use disorders and provides several levels of housing from emergency shelter to highly supportive permanent housing discovering a community counseling center in Chicago that operates a "bank" that helps mentally ill clients or those with substance use disorders develop skills to independently manage their financial affairs through the use of "vouchers" that can be redeemed for cash for the payment of monthly bills Homelessness Prevention in Treatment of Substance Abuse and Mental Illness provides you with new insights into how you can help your clients overcome political, economic, and environmental barriers to treatment that can lead to homelessness. This essential book will help you improve your services to your clients as well as give you step-by-step guide to implement these new programs in your community.

Clinical Manual of Addiction Psychopharmacology is a comprehensive guide to the pharmacology of drugs of abuse and the medications used to treat dependence on those substances. This new, second edition provides a thorough update on a broad range of addictive substances, along with enhanced coverage in areas where significant advances have been made since publication of the first edition. Clinicians, including psychiatrists, psychiatric residents and fellows, and other mental health practitioners who encounter individuals with substance-related disorders in the course of their clinical work, will find the manual to be well-organized, exhaustively referenced, and current. The book is structured for ease of use and completeness of coverage, with an abundance of beneficial features: * Material is presented in a systematic fashion, addressing epidemiology, pharmacology of the abused substance (including pharmacokinetics and pharmacodynamics), psychopharmacological treatments, and issues of dependence, tolerance, withdrawal, and abstinence.* Both basic science and clinical dimensions are addressed, and these different perspectives, including pharmacotherapy and the psychosocial aspects of treatment, are integrated to allow clinicians a more holistic and effective treatment approach.* Coverage of the pharmacology of drugs of abuse is thorough and reflects the latest research findings, providing a necessary background for understanding the clinical effects and treatment of dependence on these substances.* Coverage of pharmacotherapy for dependence on these drugs is equally comprehensive, with meticulously detailed findings and evidence-based recommendations for the clinical care of patients dependent on a variety of substances.* Tables are used strategically to present complex information in a logical and accessible way; for example, the table on management of alcohol withdrawal syndrome includes detailed information on the symptom-triggered approach, fixed dose schedules, and delirium in a condensed, yet easy-to-understand format. The book is well written and edited for clarity and accuracy by editors and contributors at the forefront of the psychopharmacology of addiction. As new drugs come into the market and old drugs find new applications, clinicians must stay current to provide the best care. Clinical Manual of Addiction Psychopharmacology helps them to do just that, offering both sound science and clinical wisdom to meet the complex challenges of treating individuals with substance-related disorders.

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 book provides professionals with the confidence and know-how to build a complete substance misuse management programme and deliver it within their respective workplace, regardless of sector or discipline. Organizations are frequently in the dark about their rights and obligations where substance misuse takes place in their workplace, affects performance or employee wellbeing, or in extreme cases has a devastating impact on both the company and its employees. There is no formal training for HR, Occupational Health or Health and Safety professionals, solicitors, union representatives and many more situations. This book is written in such a way that as to help those professions, as well as individuals, understand the step-by-step process for building a complete workplace substance and alcohol misuse programme. Managing Workplace Substance Misuse is written by the UK's only registered expert witness for substance misuse policy writing, implementation and mediation. With decades of expertise and first-hand experience of implementing effective policies in some of the UK and world's biggest organizations, Trevor Hall helps all organizations navigate this complex problem, offering consultancy advice and a roadmap to policy development and its implementation, providing you with a comprehensive consultancy in one volume. He explains, too, the central role industry and commerce plays in the identification of substance misuse and the rehabilitation of staff, as well as what organizations can do to protect themselves from the culpability of getting things wrong in a litigious society.

*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.

A practical collection of tried and tested treatment modalities designed to assist the reader in developing the understanding and skills necessary to construct a solid foundation of recovery. DISCOVER RECOVERY, using an applied approach, will allow readers to successfully integrate levels of change and address the many facets of recovery from substance and behavioural addiction. Each chapter provides practical strategies and solutions that help strengthen one's capacity to achieve and sustain recovery through didactic learning and skill development. Core issues are addressed that represent significant internal, interpersonal and environmental obstacles for those new to recovery. * Speaks to the reader in a contemporary manner while respecting the pain of addiction and offering compassion, hope and guidance. * Integrates time-tested wisdom and the spiritual principles of the Twelve Steps with the efficacy of current counselling theories and practice. * Addresses issues unique to families confronting addiction, trauma survivors and those suffering with chronic pain.

Alcohol Use Disorders takes a life-span/developmental approach to understanding the etiologic processes that heighten risk or resilience factors for alcohol use disorders (AUD). Contemporary understanding benefits from thirty years of longitudinal studies that were specifically designed to assess pre-onset origins, predictors of onset, and outcomes through early adulthood. The overriding theme of the volume is that the origins and expression of AUD are best understood within the context of developmental processes and dynamic systems organization and change. Such dynamic systems give rise to diverse pathways that are characterized by multi-finality and equi-finality due to the exchanges among genes, epigenetic processes, and the complexities of the individual organism's experiential world. For some individuals, these dynamic processes lead to risk cumulative or cascade effects that embody adverse childhood experiences that exacerbate risk, predict early onset drinking (or smoking), and are highly likely to lead to AUD during the transitions to adolescence and emerging adulthood. In other cases, protective factors within or outside of the individual's immediate family enable embodiment of normative stress regulatory systems and neural networks that support resilience and prevention of AUD and other addictive behaviors.

Personal trainer and sports nutritionist, Tom Shanahan, outlines a programme of action to energise, reboot and strengthen one's recovery, especially those who feel they may have hit a wall in their programme. SPIRITUAL ADRENALINE imparts the importance of a holistic approach to fitness, good eating habits and connection to a personal higher power in order to optimise the guiding principles of the Twelve Steps and reinforce relapse prevention.

Whether drinking Red Bull, relieving chronic pain with oxycodone, or experimenting with Ecstasy, Americans participate in a culture of self-medication, using psychoactive substances to enhance or manage our moods. A "drug-free America" seems to be a fantasyland that most people don't want to inhabit. High: Drugs, Desire, and a Nation of Users asks fundamental questions about US drug policies and social norms. Why do we endorse the use of some drugs and criminalize others? Why do we accept the necessity of a doctor-prescribed opiate but not the same thing bought off the street? This divided approach shapes public policy, the justice system, research, social services, and health care. And despite the decades-old war on drugs, drug use remains relatively unchanged. Ingrid Walker speaks to the silencing effects of both criminalization and medicalization, incorporating first-person narratives to show a wide variety of user experiences with drugs. By challenging current thinking about drugs and users, Walker calls for a next wave of drug policy reform in the United States, beginning with recognizing the full spectrum of drug use practices.

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.

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.

For people with alcohol excess and liver disease, successful management must be two-fold with management of both their psychological/physical addiction to alcohol and their liver disease. Alcohol Abuse and liver disease, with its joint focus on hepatology and psychiatry, provides both hepatologists and psychiatrists of all levels with a practical, concise and didactic guide to the investigation and clinical management of those with alcohol-related problems. Edited by a practicing hepatologist in the UK and a practising specialist in psychiatry/substance abuse in the US, it covers areas such as: Risk factors for alcoholic liver disease Interaction of alcohol with other co-morbidities Clinical assessment of alcohol intake Detoxification and management of withdrawal Psychotherapeutic and pharmaceutical interventions Treatment of liver disease Key points, management diagrams and high-quality images are all be supported by the very latest in clinical guidelines from the major hepatology and psychiatry societies such as the APA, EPA, AASLD and EASL. With increasing emphasis on multi-disciplinary speciality care in this area, this is the ideal tool to consult in order to provide the best care possible care for what are very challenging patients to manage.

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.

Effectively treat men suffering from addiction and involved in the criminal justice system In the freshly updated second edition of Helping Men Recover: A Program for Treating Addiction, CJS Workbook, a team of dedicated practitioners delivers supplementary resources and tools designed to apply the principles and concepts discussed in the companion Helping Men Recover: A Program for Treating Addiction. The included materials were specifically created to assist men involved in the criminal justice system and can help to treat men at any stage of the criminal process. The Workbook addresses every facet of addiction, from the self to relationships, sexuality, and spirituality, and offers men the ability to process and record the therapeutic experience.

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.

The fifth installment of Addiction Reviews provides refereed reviews on learning theory and addition, deep brain stimulation and addiction, novel therapeutic approaches to addiction, developmental studies of reward, genetics and brain imaging in addiction, genetics of alcoholism and its comorbidities, in addition to other state-of-the art topics in addiction science.

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