Addictions Counseling Today

Kevin Alderson, PhD, is Professor Emeritus of counseling psychology from the University of Calgary. He has been a counselor for 40 years and a registered psychologist since 1986. He is serving a 3-year term as president-elect, president, and past president, respectively, for the College of Alberta Psychologists, the body that regulates psychology in Alberta, Canada. Dr. Alderson is a professional member of the Association for Addiction Professionals, and currently sits on the editorial board for the Journal of Alcoholism, Drug Abuse & Substance Dependence and the Austin Journal of Drug Abuse and Addiction. He also holds membership in the American Counseling Association, the American Psychological Association, the Canadian Counselling and Psychotherapy Association, and the Canadian Psychological Association. Since 2008, Dr. Alderson has been the editor-in-chief of the Canadian Journal of Counselling and Psychotherapy, which is the only national peer-reviewed journal in the counseling and psychotherapy field in Canada. He currently works half-time for Yorkville University as their director for a proposed online doctor of counseling and psychotherapy degree program.  Dr. Alderson has authored nine previous books and several scholarly articles and book chapters. He completed a MSc in clinical, school, and community psychology from the University of Calgary, and a PhD in counseling psychology at the University of Alberta. Dr. Alderson is married and is the father of two adult children. Outside of counseling, he enjoys racket sports, dancing, hiking, camping, and weight training.

• PrefaceAcknowledgmentsFor InstructorsAbout the AuthorChapter 1. IntroductionIntroductionDefinitionsHistory of Drugs, Addictions, and Addiction CounselingLabeling TheoryRepeating Harmful Addictive BehaviorsTreatment and “Maturing Out”Becoming a Certified Addiction CounselorRoles and Settings of Addiction CounselorsVideosIndividual ExercisesClassroom ExercisesChapter SummaryReferencesChapter 2. Ethical, Legal, and Professional Issues in Addiction CounselingGeneral Discussion of Ethics (ACA’s 2014 Code of Ethics)Six Ethical PrinciplesEthical StandardsSpecific Discussion of Ethical, Legal, and Professional IssuesCottone and Tarvydas’s (2016) Discussion of Ethics in Addiction CounselingWorking With the Legal System and Court-Referred ClientsSpecial Considerations in Offering Couples, Marriage, and Family CounselingResolving Ethical IssuesRecord-Keeping StandardsThird-Party and Private Practice ReimbursementCounselor Recovery StatusResources and VideosJournals and ConferencesIndividual ExercisesClassroom ExercisesChapter SummaryReferencesAppendix 2A. Confidentiality Agreement With Minors (“Assent”)Appendix 2B. Initial Clinical RecordAppendix 2C. Subsequent Clinical RecordsChapter 3. Theories of AddictionMoral or “Choice” ModelBiological and “Disease” TheoriesPsychological TheoriesFamily or “Systems Theory” ModelsSociocultural TheoriesPostmodern TheoriesBiopsychosocial ModelResources and VideosJournals and ConferencesIndividual ExercisesClassroom ExercisesChapter SummaryReferencesAppendix 3A. Answers to Can You Guess Which Theory(ies) Explains the Counselor’s Behavior?Appendix 3B. Public Attitudes About Addiction SurveyChapter 4. The Neuroscience of AddictionsNeurogenetic and Genetic StudiesBasics of NeuroscienceThe Body’s Nervous System, Neurons, and Glial CellsDivisions and Structures of the BrainNeuroscience of AddictionsNeurobiological Theories of Drug DependenceDevelopmental Concerns During AdolescenceBehavioral AddictionsTreatment Implications Emanating from NeuroscienceResources and VideosJournals and ConferencesIndividual ExercisesClassroom ExercisesChapter SummaryReferencesPART I: GENERAL TREATMENT CONSIDERATIONSChapter 5. DSM-5, Polyaddictions, and ComorbidityDSM-5PolyaddictionsComorbidityResources and VideosJournals and ConferencesIndividual ExercisesClassroom ExercisesChapter SummaryReferencesChapter 6. Individual Counseling and Relapse PreventionEvidence-Based Individual Counseling for AddictionsBeginning Counseling Work With ClientsHow Effective Are Psychosocial Approaches in Addiction Treatment?What Is Evidence-Based Counseling?Cognitive-Behavioral Therapy and Behavior TherapyMotivational Interviewing and Motivational Enhancement TherapyTranstheoretical Model of ChangeMindfulness TreatmentsBrief InterventionsIntegrative TherapySolution-Focused TherapyConducting a Mental Status Examination and Collecting Clients’ HistoriesAssessment and Intervention Strategies for Suicide Risk and PreventionAssessment Strategies for Homicide RiskImpermanently Ending Our Counseling Relationship With ClientsRelapse PreventionCommon Counseling MistakesGeneric Addiction AppsResourcesIndividual ExercisesClassroom ExercisesChapter SummaryReferencesChapter 7. Couples, Family, Group, and Mutual Support GroupsCouples CounselingFamily CounselingGroup CounselingMutual Support GroupsResources and VideosJournals and ConferencesIndividual ExercisesClassroom ExercisesChapter SummaryReferencesAppendix 7A. Conflict ResolutionAppendix 7B. Changes Needed and Wanted in This RelationshipAppendix 7C. Common Mistakes Made by Couples and Family CounselorsAppendix 7D. Group Facilitation RoleplaysChapter 8. Prevention, Evaluation, and AssessmentPreventionUniversal PreventionSelective PreventionIndicated PreventionMass Media CampaignsBehavioral AddictionParental Strategies for Preventing AddictionIndividual Strategies for Preventing AddictionEvaluationProgram EvaluationPrevention EvaluationTreatment EvaluationAssessmentResources and VideosJournals and ConferencesIndividual ExercisesClassroom ExercisesChapter SummaryReferencesPART II: SUBSTANCE ADDICTIONSChapter 9. Alcohol AddictionBackground InformationWorking With Diverse PopulationsMedications and Other Relevant Physical InterventionsSpecific Counseling ConsiderationsRelevant Mutual Support Groups, Websites, and VideosRelevant Phone AppsJournals and ConferencesIndividual ExercisesClassroom ExercisesChapter SummaryReferencesChapter 10. Cannabis AddictionBackground InformationWorking With Diverse PopulationsMedications and Other Relevant Physical InterventionsSpecific Counseling ConsiderationsRelevant Mutual Support Groups, Websites, and VideosRelevant Phone AppsJournals and ConferencesIndividual ExercisesClassroom ExercisesChapter SummaryReferencesChapter 11. Opioid AddictionBackground InformationWorking With Diverse PopulationsMedications and Other Relevant Physical InterventionsSpecific Counseling ConsiderationsRelevant Mutual Support Groups, Websites, and VideosRelevant Phone AppsJournals and ConferencesIndividual ExercisesClassroom ExercisesChapter SummaryReferencesChapter 12. Nicotine AddictionBackground InformationWorking With Diverse PopulationsMedications and Other Relevant Physical InterventionsSpecific Counseling ConsiderationsRelevant Mutual Support Groups, Websites, and VideosRelevant Phone AppsJournals and ConferencesIndividual ExercisesClassroom ExercisesChapter SummaryReferencesChapter 13. Other Drug AddictionsBackground InformationWorking With Diverse PopulationsMedications and Other Relevant Physical InterventionsSpecific Counseling ConsiderationsRelevant Mutual Support Groups, Websites, and VideosRelevant Phone AppsJournals and ConferencesIndividual ExercisesClassroom ExercisesChapter SummaryReferencesPART III: RECOGNIZED BEHAVIORAL ADDICTIONSChapter 14. Gambling AddictionBackground InformationWorking With Diverse PopulationsMedications and Other Relevant Physical InterventionsSpecific Counseling ConsiderationsRelevant Mutual Support Groups, Websites, and VideosRelevant Phone AppsJournals and ConferencesIndividual ExercisesClassroom ExercisesChapter SummaryReferencesChapter 15. Internet-Related Addictions: Internet Addiction, Internet Gaming Disorder, and Social Media AddictionBackground InformationWorking With Diverse PopulationsMedications and Other Relevant Physical InterventionsSpecific Counseling ConsiderationsRelevant Mutual Support Groups, Websites, and VideosRelevant Phone AppsJournals and ConferencesIndividual ExercisesClassroom ExercisesChapter SummaryReferencesPART IV: CONTROVERSIAL BEHAVIORAL ADDICTIONSChapter 16. Sex AddictionBackground InformationWorking With Diverse PopulationsMedications and Other Relevant Physical InterventionsSpecific Counseling ConsiderationsRelevant Mutual Support Groups, Websites, and VideosRelevant Phone AppsJournals and ConferencesIndividual ExercisesClassroom ExercisesChapter SummaryReferencesChapter 17. Romantic Relationship AddictionBackground InformationWorking With Diverse PopulationsMedications and Other Relevant Physical InterventionsSpecific Counseling ConsiderationsRelevant Mutual Support Groups, Websites, and VideosRelevant Phone AppsJournals and ConferencesIndividual ExercisesClassroom ExercisesChapter SummaryReferencesChapter 18. Food AddictionBackground InformationWorking With Diverse PopulationsMedications and Other Relevant Physical InterventionsSpecific Counseling ConsiderationsRelevant Mutual Support Groups, Websites, and VideosRelevant Phone AppsJournals and ConferencesIndividual ExercisesClassroom ExercisesChapter SummaryReferencesChapter 19. Exercise AddictionBackground InformationWorking With Diverse PopulationsMedications and Other Relevant Physical InterventionsSpecific Counseling ConsiderationsRelevant Mutual Support Groups, Websites, and VideosRelevant Phone AppsJournals and ConferencesIndividual ExercisesClassroom ExercisesChapter SummaryReferencesChapter 20. Shopping AddictionBackground InformationWorking With Diverse PopulationsMedications and Other Relevant Physical InterventionsSpecific Counseling ConsiderationsRelevant Mutual Support Groups, Websites, and VideosRelevant Phone AppsJournals and ConferencesIndividual ExercisesClassroom ExercisesChapter SummaryReferencesChapter 21. Work AddictionBackground InformationWorking With Diverse PopulationsMedications and Other Relevant Physical InterventionsSpecific Counseling ConsiderationsRelevant Mutual Support Groups, Websites, and VideosRelevant Phone AppsJournals and ConferencesIndividual ExercisesClassroom ExercisesChapter SummaryReferencesPART V: SUMMARY AND CONCLUSIONSChapter 22. Summary and ConclusionsA Metaphor for AddictionsRisk FactorsProtective FactorsCounseling ConsiderationsWhat Counselors Bring to the TableReferencesEpilogueAppendix A. CACREP Addiction Counseling StandardsAppendix B. Generic Preparation and Action StrategiesAppendix C. Relapse Prevention Handouts for ClientsAppendix D. Mental Status ExaminationIndex

"Addictions Counseling Today is not only current and based on a thorough literature review, but inclusive and impressive in its ability to capture the perceptions of both the counselor and the addict. Hearing the thoughts of an active user was both powerful and impactful. The application of the stages of change model to goal-setting is invaluable to students who are learning the first steps of treatment planning and relapse prevention."