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Co-Occurring Disorders

From the author:

I was over a decade into my career as a psychiatrist, both clinical and administrative,  when it sank in that that over half the people who come for help have significant co-occurring substance use and mental disorders. Sadly, what happens, despite a growing awareness of co-occurring disorders, is that current assessment and treatment paradigms focus primarily on one problem or the other, leaving much unassessed, unaddressed, or ignored. For anyone who has watched a client or family member struggle with drugs or alcohol, achieve abstinence in a rehab facility, only to relapse within days to weeks after discharge, this point is painfully real.

    “What happened?”

    “They were doing so well.”

What happened is that their anxiety, depression, impulsivity, and so forth, led to urges and cravings that they were unequipped to manage.  In the millisecond it took for their mind to connect a first drink, pill, snort, or shot of heroin to reduction in anxiety and other negative emotions, a month’s worth of 12-step became nothing but a memory.

All of which led me to write this book. I wanted a consistent and effective approach to assess and work with individuals with any number of co-occurring combinations. It’s clear that what we need for the homeless woman, with intravenous opioid use and schizoaffective disorder, is different from the insurance executive who sucks down a daily fifth of whiskey to keep his anxiety and panic at bay, or the teen who cuts herself and misuses her brother’s stimulants to both decrease her appetite, and her overwhelming feelings of sadness and emptiness.

Throughout this book I review evidence-based therapies and interventions, where they exist and where there’s much work still to be done. I provide linkages to helpful assessment tools, with a focus on those that are both well-validated and free to use.

This manual gives clinicians the tools they need to:

  • Complete thorough and ongoing assessments for clients with a broad-array of Co-Occurring Disorders
  • Generate diagnostic differentials, which include medication, medical, and substance-induced disorders.
  • Identify emergent issues
  • Work through level-of-care decision making
  • Illicit the client’s goals and aspirations
  • Construct treatment/recovery plans that are client centered
  • Assess the effectiveness of treatment

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To order your copy through the publisher,