Research reveals that the great majority of adolescents in addiction treatment do not believe they have a substance use disorder and are usually not in treatment under their own volition (Sanders, 2011). This leads to automatic resistance to counseling. Nearly 60 percent of adolescents miss their second outpatient session and over 50 percent drop out of residential treatment prematurely or are administratively discharged (Sanders, 2011). This article will introduce an approach to adolescent…