Chapter 1: Addictions Counseling: A Comprehensive Overview
* Definitions and historical perspectives of addiction
* Etiological models of addiction (e.g., biopsychosocial model)
* Ethical and legal considerations in addictions counseling
Real Example: A counselor works with a client who has been struggling with alcohol addiction for several years. The counselor assesses the client's history, biological vulnerabilities, and social stressors that may have contributed to the addiction.
Chapter 2: The Stages of Change Model
* Transtheoretical Model of Change (Prochaska and DiClemente)
* Stages of change (precontemplation, contemplation, preparation, action, maintenance, relapse)
* Strategies for working with clients at different stages
Real Example: A counselor assists a smoker who is in the precontemplation stage. The counselor uses motivational interviewing techniques to help the client explore their ambivalence and consider the potential benefits of quitting.
Chapter 3: Assessment and Diagnosis of Addiction
* Screening for addiction disorders
* Diagnostic criteria (DSM-5)
* Assessment instruments (e.g., Addiction Severity Index)
* Differential diagnosis of addiction disorders
Real Example: A counselor conducts an intake assessment with a client suspected of having an opioid addiction. They use the ASI to collect information on the client's substance use, physical health, mental health, and other areas of functioning.
Chapter 4: Treatment Planning for Addiction
* Individualized treatment planning
* Evidence-based interventions (e.g., CBT, ACT, DBT)
* Medication-assisted treatment (e.g., methadone, buprenorphine)
* Continuum of care (inpatient, outpatient, recovery support)
Real Example: A counselor develops a treatment plan for a client with methamphetamine addiction. The plan includes cognitive restructuring, contingency management, and weekly outpatient counseling sessions.
Chapter 5: Counseling Techniques for Addiction
* Motivational interviewing
* Cognitive behavioral therapy
* Family therapy
* Relapse prevention planning
* Group therapy
Real Example: A counselor uses motivational interviewing to engage a client in a conversation about their alcohol intake. The counselor helps the client recognize the negative consequences of drinking and identify their own motivations for change.
Chapter 6: Ethical and Legal Issues in Addiction Counseling
* Confidentiality and privacy
* Informed consent
* Dual relationships
* Reporting suspected child or elder abuse
* Legal implications of addiction counseling
Real Example: A counselor becomes aware that their client is abusing a prescribed medication. The counselor must balance their ethical obligation to protect the client with their legal obligation to report suspected abuse.
