The Therapist's Guide to Addiction Medicine: A Handbook for Addiction Counselors and Therapists

by Barry Solof

Overview

A comprehensive volume designed for professionals practicing in or entering the field of addiction treatment. 

Written in clear and compelling language, this book gives therapists and counselors the information and tools needed to help their clients successfully recover from addiction. It highlights current trends in addiction treatment, as well as address a wide range of related topics, including neurochemistry, drugs of abuse, and process addiction, such as gambling, food, and sex. 

Barry Solof, MD, FASAM, is a graduate of Yale Medical School and has been practicing addiction medicine for thirty-five years. He is the medical director of Michaels' House, a nationally recognized rehabilitation facility for addiction and co-occurring disorders, located in Palm Springs, California.

Product Details

ISBN-13:	9781937612443
Publisher:	Central Recovery Press
Publication date:	09/09/2013
Sold by:	Barnes & Noble
Format:	eBook
Pages:	340
File size:	1 MB

About the Author

Barry Solof, MD, FASAM is a graduate of Yale Medical School and has been practicing addiction medicine for thirty-five years. He was the Regional Chief of Addiction Medicine for Kaiser Permanente in Southern California, as well as an Associate Professor of Psychology at Los Angeles City College. Currently, Dr. Solof is the Medical Director of Michael's House, a nationally recognized rehabilitation facility for addiction and co-occuring disorders, located in Palm Springs, California.

Table of Contents

Preface xi

Acknowledgments xvii

Introduction xix

Chapter 1 "I'm Not an Addict; I Can Stop Anytime I Want!" 1

What Is Addiction? 1

What Is Addiction Treatment? 17

Chapter 2 Hey! You Talkin' to Me? 35

The Brain Anatomy and Chemistry of Addiction 35

Chapter 3 Denial Is Not Just a River in Egypt! 55

Denial Can Take Many Different Forms 55

Chapter 4 There's an App for That! 61

Medically Managed Detoxification 65

Opiatcs/Opioids 67

Stimulants 69

Alcohol 71

Sedative-Hypnotics 76

Chapter 5 Getting with the Program 81

Medication-Assisted Treatment and Recovery 81

Antabuse 84

Naltrexone 86

Campral 88

Opiate/Opioid Substitution 89

Methadone 90

Buprenorphine 95

Chapter 6 Which Came First, the Chicken or the Egg? 101

Addiction, Comorbid Psychiatric Disorders, and Psychotropic Medications 101

Depressive Disorders 106

Anxiety Disorders 111

ADHD 114

Bipolar Disorder 117

Schizophrenia 119

Cognitive Behavioral Therapy (CBT) 128

Dialectical Behavior Therapy (DBT) 132

Motivational Interviewing (MI) 133

Chapter 7 What a Pain in the 137

Addiction and Chronic Pain 137

The Making of an Epidemic 139

Pseudoaddiction 143

Methadone for Pain 144

Weighing the Cost and Benefits of Using Opioids in Treating Chronic Pain 145

Chapter 8 Cirrhosis Is NOT One of the Knights of the Round Table 149

Addiction and Comorbid Medical Conditions 149

Alcohol 150

Injection Drug Use 156

Stimulants 158

Chapter 9 You People Are Really Sick! 161

Addiction and Infectious Diseases 161

Hepatitis 161

Hepatitis C 162

HIV and AIDS 167

TB 171

Sexually Transmitted Diseases (STDs) 176

Chapter 10 Look into My Eyes-You're Getting Very Sleepy! 179

Addiction and Sleep Problems 179

Chapter 11 What's the Matter with Kids Today? 191

Adolescents and Addiction 191

Adolescents Are Different 194

Special Considerations for Adolescent Treatment 199

Inhalants 200

Club Drugs 202

Bath Salts 205

Hallucinogens 205

Anabolic Steroids 207

Chapter 12 Using for Two 213

Addiction and Pregnancy 213

Chapter 13 I'd Walk a Mile for a Camel-If I Could Only Catch My Breath 223

Nicotine Addiction and Smoking Cessation 223

Chapter 14 Process Addictions: Gambling, Food, and Sex, Oh, My! 235

Pathological Gambling 237

Eating Disorders 242

Sex Addiction 247

Chapter 15 Passing a Drug Test Won't Get You into College (But It Will Help You Stay Out of Trouble)! 251

Appendix A Recovery, Diet, and Nutrition 259

Appendix B Patient Guidelines for Early Recovery 265

Appendix C The California Society of Addiction Medicine's Position on Medical Marijuana 271

Resources

Twelve-Step Mutual-Aid and Support Programs for Addicts 277

Non-Twelve-Step Mutual-Aid and Support Programs for Addicts 279

Twelve-Step Mutual-Aid and Support Programs for Family Members and Significant Others 281

National Agencies 281

Editorial Reviews

The Therapist's Guide to Addiction Medicine is so informative and personally written, I learned and grew while I enjoyed reading. Dr. Solof has practiced addiction medicine for multiple decades and addresses the important questions before the reader can even formulate them. He clearly expresses his opinions regarding effective treatmnet hwile encouraging therapists to be flexible within their own approach with clients, allowing for whatever works for each individual. Armed with this book, therapists will be trained and able to make accurate assessments and sound clinical interventions with their addicted clientele. This book should be a standard text in any counselor training program! —Judi Hollis, PhD, Pioneer in addiciton treatment, Author of Fat Is a Family Affair, Fat & Furious, Hot & Heavy, and From Bagels to Buddha

Barry Solof's The Therapist's Guide to Addiction Medicine is a great book! Dr. Solof is a master clinician. In a few words, he says what it has taken me a lifetime to learn. This book takes complex clinical findings gleaned from the last twenty years of medical research and boils it down to the essential lessons. It bring understanding that bridges the medical and social treatment of addiction. I plan to give a copy to all my consulting therapists, physicians, and patients. For anyone who wants to understand the medical and biological basis of addiction, with its life-gripping impact on the brain and body, this is the go-to normal. —David Pating, MD, Chief of Addiction Medicine at Kaiser Medical Center, Chair of the California Mental health Services Oversight and Accountability Commission, Past President of the California Society of Addiction Medicine

The Therapist's Guide to Addiction Medicine is a thoughtful review of addiction medicine for therapists and counselors to work effectively with their clients who have addictive disorders. Dr. Solof draws on his thirty-five years of addiction medicine practice to provide therapists with information about the disease of addictions and tools to moe clients toward recovery. For anyone interested in entering the field of addiction treatment as well as for experienced counselors, this is a must-read. —Mel Pohl, MD, FASAM, Author of A Day without Pain; Pain Recovery: How to Find Balance and Reduce Suffering from Chronic Pain; and Pain Recovery for Families: How to Find Balance When Someone Else's Chronic Pain Becomes Your Problem Too

Dr. Solof has written a book that crystallizes the wisdom and experience of a brilliant doctor who has spent decades successfully treating the chemically addicted. He cites cutting-edge research every therapist needs to know to offer clients the best chance at a successful recovery. There is thoughtful consideration of the interaction between the biological and psychological aspects of addiction and the psychopharmacological and psychotherapeutic choices for treatment. This book can be used as a textbook for students and trainees in chemical dependency programs, as well as a practical reference for clinicians. —Rochelle Sechooler, PhD, Chair, Psychology/Human Services Drug and Alcohol Studies Program, Los Angeles City College

From the Publisher