Now more than ever, sufferers of opioid use disorder (OUD) need an authoritative guide. Brimming with expert advice and actionable tips from noted addiction psychiatrist Dr. Adam Bisaga, Overcoming Opioid Addiction demystifies addiction and destigmatises medication-assisted treatment. In this book, OUD sufferers, their loved ones, and professionals alike will learn everything they need to know, including: * The science that underlies addiction and why the opioid epidemic has taken hold and become so deadly * The different stages and effective methods of treatment, including detoxification vs. maintenance medications, as well as behavioural therapy * How to deal with relapses and how to thrive despite OUD. Complete with a brief guide tailored to families that offers crucial, life-saving information, such as how to select the best program, manage medications, and reverse an overdose, this is the ultimate guide to identifying, treating, and overcoming OUD - once and for all.

A widely adopted practitioner resource and course text, this book shows how to apply knowledge about behavior change in general -- and the stages-of-change model in particular -- to make substance abuse treatment more effective. The authors are leaders in the field who describe ways to tailor interventions for clients with varying levels of motivation or readiness to change. They draw on cutting-edge theory and research on the transtheoretical model to explain what works (and what doesn't work) at different stages of change. Rich clinical examples illustrate the "whats," "whys," and "how-tos" of using the stages-of-change model to inform treatment planning and intervention for individuals, groups, couples, and families. New to This Edition *Reflects the ongoing development of the stages-of-change model and research advances over the past decade. *Chapter on stage-based brief interventions in health care, social service, and community settings. *Group treatment chapter has been significantly revised. *Expanded coverage of the change processes relevant to each stage. See also Group Treatment for Substance Abuse, Second Edition, by Mary Marden Velasquez et al., a manual for a group-based approach grounded in the transtheoretical model.

The media goes wild when politicians and celebrities being caught "cheating" on their spouses are exposed in public. Most of these types of stories focus on the person doing the "cheating," not the partner who is left behind. After the media spotlight cools down, what happens to these partners? How do they make the decision to stay or go? Is there really any hope for the future of the relationship? How do they survive the shame and move forward? "Mending A Shattered Heart" provides real hope, promise and inspiration to readers who are struggling.
Anyone who has discovered their loved one, the one person that they are supposed to trust completely, has been cheating on them will want to read this book. Readers have an opportunity to explore whether the person they are in a relationship with is simply behaving badly or truly suffers from a disease called sex addiction. Knowing the difference and knowing what to do about it can be transformational.
Author and editor, Stefanie Carnes brings together several leading experts in the field of sex addiction and family therapy to guide the reader through an assortment of difficult questions, including, Should I stay or should I go?, How Do I Set Boundaries and Keep Myself Safe?, What Does It Mean if My Partner Has Shown an Interest in Minors? and "What should I tell the kids?" Each of these topics are tackled in individual chapters producing a comprehensive guide that offers readers expertise on how to begin the painful road of mending a shattered heart.
What is unique about "Mending A Shattered Heart" is that it offers such inspiration and promise for the partner of a sex addict. It shows the seriousness of sex addiction and offers hope by showing that treatment can be successful, but hard work needs to be done--by both the partner and the addict. Without partners really examining their relationship with the sex addict, they can find themselves in a spiral of devastating relationships, essentially leaving the relationship and then falling in love with the same type of person over and over again with the same disastrous results. "Mending A Shattered Heart" shows the reader that they do have options. Even if the partner makes the decision to leave the relationship, there are things they can do to help them in their own recovery and make sure this never happens again. If they choose to stay in the relationship, they can work toward repairing the damaged relationship along with their own recovery.
All the material in "Mending A Shattered Heart" is provided in a question and answer format that delves into essential information including therapeutic and practical information that the partner can use right away. This second edition of the book includes a new focus on the impact of the trauma when a partner discovers his or her partner is cheating and what to do about it.

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.

After a decade of heavy partying and hard drinking in London, Amy Liptrot returns home to Orkney, a remote island off the north of Scotland. The Outrun maps Amy's inspiring recovery as she walks along windy coasts, swims in icy Atlantic waters, tracks Orkney's wildlife, and reconnects with her parents, revisiting and rediscovering the place that shaped her. A Guardian Best Nonfiction Book of 2016 Sunday Times Top Ten Bestseller New Statesman Book of the Year

Addictions have increased markedly in contemporary societies over the past decades. As well as widely acknowledged issues surrounding illegal substance addictions, there are increasing numbers of problems related to behavioural addictions such as the use of legal substances such as antidepressants and amphetamines. These addictions are concerning for a range of public policy fields, not least, public health and social cohesion. As a result, cohesive governance of addictive substances and behaviours is paramount to future public policy. This book is based on the findings of a five year, multidisciplinary project (Addictions and Lifestyles in Contemporary Europe - Reframing Addictions Project) studying the pace and impact of addictions in Europe, and is the concluding volume in the Governance of Addictive Substances and Behaviours series. Authored by 11 leading figures in the fields of public health, psychology, sociology, psychiatry, addiction studies, epidemiology, and social and public policy, the book takes a truly comprehensive approach to the study of the current state of addiction governance in Europe and proposals for a future governance framework. No one country has yet got governance polices right. The project's outcome is a plan for the redesign of addictions governance, which includes amendments to key metrics used in research, promoting individual-level to society-level scope of understanding in policy approaches, and bringing the impact of dependency on societal well-being to the fore. New Governance of Addictive Substances and Behaviours is an unprecedented study, both in terms of international reach and scope of issues addressed. It will be a key resource for anyone with an interest in research-driven European policy change in public health and the field of addictive substances and behaviours.

Addiction: A biopsychosocial perspective provides students with an evidence-based approach to addiction whilst covering a broad range of topics, critical perspectives and influential theories in addiction. With chapters discussing key theories, psychological, biological and societal aspects of addiction, this is a highly accessible and essential resource for students and researchers that: Offers an evidence-based discussion of addiction Addresses the neuroscience and psychology of addiction Provides a critical account of the science and research in addiction Includes chapter overviews and summaries, learning aims and case studies to help students in their study

Written by leaders in the addictions field, 100 authors from six countries, this handbook is a thoroughly comprehensive resource. Philosophical and legal issues are addressed, while conceptual underpinnings are provided through explanations of appetitive motivation, incentive sensitization, reward deficiency, and behavioral economics theories. Major clinical and research methods are clearly mapped out (e.g. MRI, behavioral economics, interview assessments, and qualitative approaches), outlining their strengths and weaknesses, giving the reader the tools needed to guide their research and practice aims. The etiology of addiction at various levels of analysis is discussed, including neurobiology, cognition, groups, culture, and environment, which simultaneously lays out the foundations and high-level discourse to serve both novice and expert researchers and clinicians. Importantly, the volume explores the prevention and treatment of such addictions as alcohol, tobacco, novel drugs, food, gambling, sex, work, shopping, the internet, and several seldom-investigated behaviors (e.g. love, tanning, or exercise).

Concurrent Treatment of PTSD and Substance Use Disorders Using Prolonged Exposure (COPE) is a cognitive-behavioral psychotherapy program designed for patients who have posttraumatic stress disorder (PTSD) and a co-occurring alcohol or drug use disorder. COPE represents an integration of two evidence-based treatments: Prolonged Exposure (PE) therapy for PTSD and Relapse Prevention for substance use disorders. COPE is an integrated treatment, meaning that both the PTSD and substance use disorder are addressed concurrently in therapy by the same clinician, and patients can experience substantial reductions in both PTSD symptoms and substance use severity. Patients use the COPE Patient Workbook while their clinician uses the Therapist Guide to deliver treatment. The program is comprised of 12 individual, 60 to 90 minute therapy sessions. The program includes several components: information about how PTSD symptoms and substance use interact with one another; information about the most common reactions to trauma; techniques to help the patient manage cravings and thoughts about using alcohol or drugs; coping skills to help the patient prevent relapse to substances; a breathing retraining relaxation exercise; and in vivo (real life) and imaginal exposures to target the patient's PTSD symptoms.

One of the Washington Post's Ten Best Books of 2013

More than twenty-three thousand women die from heavy drinking in the United States each year. Incidents of binge drinking and so-called drunkorexia are on the rise, contributing to an exponential increase in the number of health conditions and cancers among women.

Combining in-depth research with her own personal story of recovery, the award-winning journalist Ann Dowsett Johnston tells of maintaining her high-powered career as a vice principal of McGill University while wrestling with the demon that defeated her own mother: alcohol addiction. After a very private exit from her professional life, Dowsett Johnston went to rehab; now sober, she has dedicated her career to examining the relationship between women and high-risk drinking.

In Drink, Dowsett Johnston dissects the psychological, social, and workplace factors that contribute to this crisis, and explores its far-reaching effect on both society at large and individual lives. Comprehensive and emotionally compelling, Drink is a brave and powerful story, beautifully told, and an important investigation into an epidemic that we can no longer afford to ignore.

This book provides a first in-depth, comprehensive, and evidenced-based overview of the treatment of substance use disorders in the pregnant patient. It provides readers with materials that will not only aid them in identifying, assessing, and understanding the issues involved in treating these women, but also the practical tools to implement the best practices from comprehensive care programs specializing in this sort of treatment. Each chapter strikes a balance between the best scientific information available and reasoned, clinical wisdom to fill in where evidence-based information is unavailable - all in a form that is practical and accessible. It is a valuable tool for clinicians and service providers across disciplines.

'Darkly angelic prose... a joy to read, with the final part in particular recalling David Foster Wallace at his best' Alex Preston, Observer ________________________________ Will's mother's hokey homily, Waste not, want not... hisses in his ears as he oscillates furiously on the spot, havering on the threshold between the bedroom and the dying one... all the while cradling the plastic leech of the syringe in the crook of his arm. Oscillating furiously, and, as he'd presses the plunger home a touch more... and more, he hears it again and again: Waaaste nooot, waaant nooot..! whooshing into and out of him, while the blackness wells up at the periphery of his vision, and his hackneyed heart begins to beat out weirdly arrhythmic drum fills - even hitting the occasional rim-shot on his resonating rib cage. He waits, paralysed, acutely conscious, that were he simply to press his thumb right home, it'll be a cartoonish death: That's all folks! as the aperture screws shut forever. ________________________________________ 'Self's writing has the same technicolour velocity, malign comedy as his best novels' Evening Standard 'Refreshing . . . Self is never happier than when frolicking in the hinterland between sincerity and performative, winking hyperbole' TLS

Becoming a quality parent doesn't happen by accident or coincidence - it needs conscious awareness and intentional effort. Working a programme of recovery is among the greatest gifts a parent can give his or her child. It is, also, a frequently underappreciated and underutilised asset in terms of how recovering people can approach parenting. When practised, the principles of recovery not only improve the well-being and functioning of a person in recovery, but can, also, facilitate healthy, quality parenting in ways that better meet the needs of children and their parents. ROOTS AND WINGS is designed to provide the practical guidance that will help people develop the awareness and skills they need to become the parents they want to be - the parents their children need them to be or even the parents they wished they themselves had.

Millions of us suffer from addiction, including psychiatrist and recovering alcoholic Carl Erik Fisher. But where does this centuries-old behaviour come from and how should we treat it? As a young doctor, Carl Erik Fisher came face to face with his own addiction crisis, one that nearly cost him everything. Now, in The Urge, he investigates the history of this condition; how we have struggled to define, treat, and control it; and how broader understanding and compassion could change people's lives. The Urge is at once an eye-opening history of ideas, a riveting personal story of addiction and recovery, and a clinician's urgent call for a more expansive, nuanced view of one of society's most intractable challenges.

Gambling Disorder: A Clinical Guide to Treatment is a systematic, eloquent, and exhaustive examination of the etiology, psychopathology, neurobiology, and treatment of the disorder, which was reclassified for DSM-5. Building on its 2004 predecessor, Pathological Gambling, which was groundbreaking for its era, the second edition has been thoroughly restructured and is designed to prepare clinicians to diagnose, treat, and-most important of all-understand their patients with the disorder. More common than previously supposed, gambling disorder is associated with decreased self-esteem, comorbid substance use disorders, financial and legal difficulties, relationship and family stress, and suicidality. Yet, many clinicians are unaware of the personal and social consequences of this disorder, as well as its implications for public health. Accordingly, the book provides a detailed look at the effects of gambling on societal, familial, and individual health and well-being and prepares clinicians to accurately assess their patients and provide effective treatments. As befits a field that has been the recent focus of so much innovative and promising research, the new edition boasts a fresh roster of contributors, each of whom bring special insight to their areas of expertise. Noteworthy topics include: * Currently available screening and assessment instruments for diagnosing gambling disorder and monitoring symptom change are discussed in-depth, including psychometric properties, norms, administration methods, and scoring and interpretation of each instrument. * Online gambling and gambling-gaming convergence is considered in a new chapter, which explores the complex interplay between gambling and technology. Highlighted issues include the growth of interactive platforms, role of new player experiences and reward structures, tailoring of products to individuals, and integration into other online activities, such as gaming and social media.* Gender differences in epidemiology, phenomenology, psychiatric comorbidity, and biology have been identified among patients with gambling disorder, with important treatment implications. Similarly, older adults and young people can exhibit significant differences in behavior. These are explored in separate, clinically rich, chapters.* The always evolving field of gambling and criminal/legal issues is explored in a chapter on forensic issues in gambling, which examines the relationship of gambling disorder to antisocial personality disorder and domestic abuse, and looks at the interface between gambling and the legal system.* Tremendous advances in the treatment of gambling disorder have been made since the last edition, and these are reflected in comprehensive chapters on psychosocial and pharmacological treatments. Full of expert clinical knowledge and cutting-edge research, Gambling Disorder: A Clinical Guide to Treatment is the clinician's comprehensive guide to helping patients with gambling disorder find relief from this disabling disorder.

Integrative Addiction and Recovery offers an authentic model of comprehensive integrative modalities germane and specific to the field of addiction and recovery treatment. Although many treatment services for addiction include "holistic," "alternative," or "integrative" in their descriptions, they contain no substantive programs or services consistent with the mind, body, spirit paradigm contained within the integrative approach to health and healing. Consequently, many patients do not have the opportunity to benefit from the true spirit of an integrative approach within the discipline of addition and recovery medicine. This book sets the standard for a bona fide integrative approach for others to follow, providing information that is immediately useful in clinical practice and rigorously evidence-based. Authored by world-class experts in the field of addiction medicine, Integrative Addiction and Recovery presents both scientific and holistic data regarding a wide variety of holistic and conventional approaches to the treatment of substance abuse and behavioral addictions. Its chapters cover both conventional and holistic treatment and provide background for each of the major classes of drugs of abuse, including opiates, alcohol, tobacco, stimulants, sedative-hypnotics, hallucinogens and marijuana. It also includes chapters on the topics of food addiction and behavioral addictions such as gambling and shopping. The authors explore the major holistic modalities, providing background and theory in areas like acupuncture, Traditional Chinese Medicine, Homeopathy, Aromatherapy, and Ayurvedic Medicine, while at the same time providing spiritual approach chapters on Shamanism and Ibogaine, as well as more conventional issues with a holistic view including Co-Occurring Disorders and Psychosocial Treatment, and Group Support. The very complex issue of chronic pain and addiction is also addressed, along with relapse prevention strategies.

Addiction: A biopsychosocial perspective provides students with an evidence-based approach to addiction whilst covering a broad range of topics, critical perspectives and influential theories in addiction. With chapters discussing key theories, psychological, biological and societal aspects of addiction, this is a highly accessible and essential resource for students and researchers that: Offers an evidence-based discussion of addiction Addresses the neuroscience and psychology of addiction Provides a critical account of the science and research in addiction Includes chapter overviews and summaries, learning aims and case studies to help students in their study

If you feel as if you can no longer control your gambling, if your gambling has interfered with your family, social, or working life, this workbook can help you take back control.
Though gambling has become increasingly prevalent in society, pathological gambling is a serious condition. Pathological gamblers find they are unable to participate in their social lives, have problems at work, and end up in financial trouble because they feel compelled to keep gambling. Much of this problem comes from incorrect beliefs about the nature of the game; people believe they can beat the system or learn to control the outcome of games of chance. In this treatment, you will learn not only how to avoid problem situations, but also the truth about gambling.
Overcoming Your Pathological Gambling is written by researchers who have spent over two decades studying the psychology of gambling. This book represents the treatment they have found to be most effective at controlling the urge to gamble, understanding the true nature of gambling games, and preventing future gambling problems. Intended for use in conjunction with supervised therapy, this workbook includes various self-assessments and exercises designed to help you reach the ultimate goal of complete abstinence from gambling.
This workbook and the corresponding therapist guide form a complete treatment package that will help you overcome your gambling problem and learn recovery skills that are useful for a lifetime.

This book explains the rationale for changes in the DSM-5 (R) related to incorporating behavioral addictions alongside substance use disorders; it also illuminates the significance of including the construct of behavioral addictions in this widely used psychiatric diagnostic manual. The chapters herien describe eight behaviors often considered addictions, including gambling disorder, internet gaming disorder, internet addiction, food addiction, hypersexuality, shopping addiction, exercise addiction, and tanning addiction. Also examined are prevalence rates in epidemiological samples, risk factors, and promising treatment approaches. The result is an easy-to-use resource and guide for clinicians, students, and researchers.

DARK, HONEST, UPLIFTING. THIS IS A SOBRIETY MEMOIR LIKE NO OTHER. > 'This is a book that tears down walls.' Marian Keyes 'Bryony Gordon is a terrific, compassionate writer whose razor-sharp honesty slices through every sentence of this compelling memoir.' Liz Day 'Poetic, raw and very important.' Fearne Cotton Bryony Gordon is a respected journalist, a number-one bestselling author and an award-winning mental health campaigner. She is also an alcoholic. In Glorious Rock Bottom Bryony opens up about a toxic twenty-year relationship with alcohol and drugs and explains exactly why hitting rock bottom - for her, a traumatic event and the abrupt realisation that she was putting herself in danger, time and again - saved her life. Known for her trademark honesty, Bryony re-lives the darkest and most terrifying moments of her addiction, never shying away from the fact that alcoholism robs you of your ability to focus on your family, your work, your health, your children, yourself. And then, a chink of light as the hard work begins - rehab; twelve-step meetings; endless, tedious, painful self-reflection - a rollercoaster ride through self-acceptance, friendship, love and hope, to a joy and pride in staying sober that her younger self could never have imagined. Shining a light on the deep connection between addiction and mental health issues, Glorious Rock Bottom is in turn, shocking, brutal, dark, funny, hopeful and uplifting. It is a sobriety memoir like no other.

Substance misuse and its pervasive problems is a constant challenge for social work, health and related professionals today. With heightened political and policy emphasis on all aspects of substance misuse, it is paramount that professionals remain up-to-date on current issues and their responsibilities. Based on research and evidence, this book provides a sound basis for grounded and innovative practice. Leading international contributors outline holistic and specialist approaches to policy and practice, and highlight the shift in emphasis from immediate risk minimisation to long-term recovery, the importance of prevention and the pivotal role of workforce development. Issues surrounding work with children and families affected by substance misuse are explored, and ways of implementing new approaches revealed. The book also looks at the impact of the smoking ban in Scotland, and suggests ways to support tobacco use cessation. This book is essential reading for all front-line practitioners working with substance misusers, including social work, health professionals and counsellors.

Do you feel trapped by alcohol?
Do you find yourself thinking about drinking too often?
Do you put alcohol ahead of the most important things in your life?

If so - here's some good news. You can quit drinking, and it's not as difficult as you think.

Simon Chapple is a Certified Alcohol Coach who has helped thousands of people change the way that alcohol features in their lives. In How to Quit Drinking in 50 Days he'll give you a structured way to find complete freedom from alcohol - for now, or forever.

This 50-day journey to freedom is split into two parts. Days 1-25 will ask you to take an honest look at the impact alcohol has had on your life, to examine the reasons for your drinking, and will arm you with the best strategy for quitting alcohol successfully. Days 26-50 will ask you to make the commitment to taking a break from alcohol - taking each step with one chapter a day, and answering the questions that come up.

There are strategies for dealing with challenges and setbacks, and a wealth of resources for finding support and inspiration. Above all, there is a genuine passion for the sober adventure, and the huge rewards of an alcohol-free life - a life of freedom that's waiting for you.

Review: Advance praise: 'This book brings together Jim Orford's vast knowledge of addiction research and theory and, using the unifying concept of power, it examines the multi-layered nature of how we are, at several levels, disempowered by our involvement with addictive consumptions. From the three case studies at the opening to his examples of communities reclaiming power at the end, his chapters move progressively from the individual, to families, to neighbourhoods and communities and onto the broader societal and industrial contexts that shape addictions in our lives. It is the first book on addiction I have read that thoroughly integrates so many important strands of thinking on this complex topic.' Peter J. Adams, Centre for Addiction Research, University of Auckland, and author of Fragmented Intimacy: Addiction in a Social World Advance praise: 'An important book with a powerful central message. Jim Orford masterfully weaves together wide-ranging and diverse fields of knowledge hitherto kept separate. The result is a fascinating exploration of the subtle but strong interconnections between addiction, powerless and power. Once again, Jim Orford breaks new ground.' Judith Harwin, Centre for Child and Youth Research, Brunel University Advance praise: 'This thought-provoking and beautifully written book delivers an important message for change on a broad canvas of integrated ideas: those most affected by addictions have been silenced and their voices need to be heard in the corridors of power.' Tim Stockwell, Director, Centre for Addictions Research of British Columbia, University of Victoria

The past thirty years have witnessed a revolution in the science of addiction, yet we still rely on outdated methods of treatment. Expensive new programs for managing addiction are also flourishing, but since they are not based in science, they offer little benefit to people who cannot afford to lose money or faith in their recovery. Clarifying the cutting-edge science of addiction for both practitioners and general readers, The Thirteenth Step pairs stories of real patients with explanations of key concepts relating to their illness. A police chief who disappears on the job illustrates the process through which a drug can trigger the brain circuits mediating relapse. One person's effort to find a burrito shack in a foreign city illuminates the reward prediction error signaled by the brain chemical dopamine. With these examples and more, this volume paints a vivid, readable portrait of drug seeking, escalation, and other aspects of addiction and suggests science-based treatments that promise to improve troubling relapse rates. Merging science and human experience, The Thirteenth Step offers compassionate, valuable answers to anyone who hopes for a better handle on a confounding disease.