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August 2010, Vol. 11, Issue 4
Developing a More Skilled Co-Occurring Disorders Workforce

In an economic climate of rising poverty rates (37.3 million in 2007; up 20 percent since 2000) and scores of people without insurance (45.7 million in 2007; up 15 percent since 2000), individuals seeking treatment of ­mental health and substance us

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On Science and Service: An Interview with Tom McLellan, PhD, Deputy Director White House Office of National Drug Control Policy

Science has served as a powerful tool to elevate the quality of modern addiction treatment, and there is no name more associated with that effort than Dr. Tom McLellan. Dr. McLellan served as Professor of Psychology in Psychiatry at the University of

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Seme 7 (Non-Native) Counselor in a First Nations Community: A Story of Professional/ Personal Growth and Transformation

The 500-member community of Alkali Lake is located in a remote area of British Columbia, about 35 miles from Williams Lake in the Cariboo Region of the Province. It is significant in the world of addictions recovery because of a sobriety movement tha

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The Pathway to Erotic Intelligence for Recovering Sex Addicts

Editor’s Note: This article is comprised of material from the author’s book,
Erotic Intelligence: Igniting Hot, Healthy Sex While in Recovery from Sex Addiction.

Hot, healthy sex comes from a mutual commitment to recover from sex addiction and bui

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From The Editor - August 2010 From The Editor - August 2010

Dear Readers,
Abuse of prescription drugs continues to be a significant problem in the United States, affecting a wide range of the population, including men, women and te

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Directions Directions

I recently found myself walking along the streets of Edgartown, Mass. The town, an old whaling port on the island of Martha’s Vineyard, was my home for the summers of t
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Pharmacotherapy Treatment Options for Opioid Use Disorders Pharmacotherapy Treatment Options for Opioid Use Disorders

The Substance Abuse and Mental Health Services Administration (SAMHSA) estimates nearly 2 million Americans abused or were dependent upon opioids in 2007 (OSA, 2009). Rec

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Addiction Counselor Self-Disclosure Revisited Addiction Counselor Self-Disclosure Revisited

The February 2010 issue of Counselor contained an article by William A. Rule titled “Self-Disclosure in Addictions Counseling: To Tell or Not to Tell.”  We are grate

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Predictors of  Treatment Outcome Predictors of Treatment Outcome

Addiction counselors always seem eager to know what client variables predict treatment outcome, and that is the focus of this column.
Treatment prediction variables are 

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On-Camera Treatment: Therapy or Theatrics On-Camera Treatment: Therapy or Theatrics

As an occasional viewer of the reality series Celebrity Rehab, I have lately become concerned that those involved in the production of the show might have a blind spot re

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Sleep Deprivation and the Unholy Trinity of Celebrity Death  Sleep Deprivation and the Unholy Trinity of Celebrity Death

The common denominator connecting the deaths of celebrities Heath Ledger, Anna Nicole Smith and Michael Jackson is prescription drug abuse triggered by chronic sleep depr

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Wellness and Recovery Applications In Treating Older Adults (Part 1) Wellness and Recovery Applications In Treating Older Adults (Part 1)

Aging and addiction is prompting increased concern among addictions professionals.  This stems in part from the overall “graying” of the population, together with ch

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(Female and Male) Perspectives on Sex Addiction (Female and Male) Perspectives on Sex Addiction

“There is no difference between an inappropriate orgasm and a recovered alcoholic taking a drink.” —“Gerard,” 45, sober 10 years.

“We (sex addicts) detox too.
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Sexual Attraction and the Counseling Relationship Sexual Attraction and the Counseling Relationship

The chemical dependency treatment profession has become more research-oriented, yielding evidenced-based treatments and increased knowledge on the neurobiology of chemica

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