The Dually Diagnosed: A Therapist's Guide to Helping the Substance Abusing, Psychologically Disturbed Patient / Edition 1

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Overview

Treatment of even the accurately dually diagnosed is limited by the specialization of the professionals. Their intellectual biases differ and their therapeutic approaches can be hard to reconcile: Is one disorder secondary to the other? Should the clinician be supportive or confrontational? Should medication be prescribed? Or hospitalization? Or a twelve-step program? As the number of seriously ill substance abusers in outpatient settings multiplies with the ascendance of managed care and its attendant cost restrictions, more and more practitioners of every stripe will encounter the therapeutic dilemmas posed by the dually diagnosed. Dennis Ortman, challenging the conventional wisdom that splits treatment between the psychological and medical arenas in order to address both, argues that clinicians should be prepared to treat the entire patient in one therapeutic space. To that end, he offers principles, strategies, and techniques consistent with the goal of an integrated treatment model. His presentation_based on interviews with therapists experienced with the dually diagnosed, buttressed by his research into the nature of substance abuse, and animated with clinical examples_will support practitioners in both the addiction and mental health fields while also stimulating dialogue among them and contributing to the ongoing debate.

Covers various clinical issues like shifting the theraputic focus, addressing denial, responding to relapses, etc.

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Editorial Reviews

Henry Richards
I hope that this work finds its way onto the desks, and not the bookshelves, of every therapist and counselor providing direct services to the dual diagnosis population.
Kenneth Minkoff
This book is a wonderfully compassionate, extremely readable, and impressively non-dogmatic guide for outpatient psychotherapists interested in learning some basic, practical strategies for engaging and treating dual diagnosis patients.
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Product Details

  • ISBN-13: 9781568217703
  • Publisher: Aronson, Jason Inc.
  • Publication date: 3/28/1997
  • Edition description: New Edition
  • Edition number: 1
  • Pages: 402
  • Product dimensions: 6.22 (w) x 8.52 (h) x 0.95 (d)

Meet the Author

Dennis Ortman counseled individuals and families struggling with substance abuse while serving as a Catholic priest in the Archdiocese of Detroit. Since earning his doctorate in clinical psychology, he has specialized in the treatment of patients in whom psychiatric disorders coexist with addiction problems. In addition to his work in outpatient mental health clinics, he consults on integrating treatment for the dually diagnosed.
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Table of Contents

Preface
Acknowledgments
1 Introduction 3
2 The Outpatient Setting 21
3 The Relationship of the Disorders 37
4 Modifying Therapeutic Techniques 51
5 Shifting the Therapeutic Focus 67
6 Assessing the Disorders 83
7 Addressing Denial 109
8 Making Referrals 133
9 Prescribing Medications 153
10 Encouraging Participation in Twelve Step Programs 167
11 Requiring Abstinence 183
12 Responding to Relapses 197
13 Involving the Family 211
14 Initiating Termination 223
15 Measuring Success 235
16 The Inpatient Setting 247
Epilogue 273
References 283
Index 293
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