HTT-ClinHelpful discussions for treatment clinicians & recovery pros

Useful stories and common sense answers to your questions about challenging cases and clinical issues from Scott McMillin, co-author of “Don’t Help: A Positive Guide to Working With the Alcoholic,” “The Healing Bond: Treating Addictions in Groups,” and five other popular addiction books.

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Cross Addiction: Is it a Myth?

September 25, 2014 by C. Scott McMillin

There are many concepts in clinical psychology that are not science-based, but are nonetheless still of use in therapy.

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Prognosis

September 4, 2014 by C. Scott McMillin

Patients are often afraid to ask, but when they do, they seem to want the truth.

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Root Cause

July 3, 2014 by C. Scott McMillin

Complex behaviors often require complex explanations.

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Addiction Counseling Ingredients

April 28, 2014 by C. Scott McMillin

Stats are something we impose on them when there’s already another client waiting in the corridor and the charting still isn’t done.

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Counseling Effectiveness: Allegiance and Alliance

April 24, 2014 by C. Scott McMillin

The challenge is to develop that relationship quickly enough to engage the client and create an environment that promotes success.

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Professional Versus Not

April 17, 2014 by C. Scott McMillin

From the beginning, it was designed to be a program for living… a grass-roots approach based not on scientific research or professional practice but on the direct experience of recovering persons.

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Engaging Engagement

July 29, 2013 by C. Scott McMillin

Woman standing, talking to seated women grouped in a circle, gesturing emotionally

Sending somebody to meetings without some prep work is like making a referral for therapy without bothering to find a therapist.

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What KIND of Disease is Addiction?

February 27, 2013 by C. Scott McMillin

Most communities provide both options for opioid patients, and lacking a methadone for alcohol or cocaine, use a more traditional abstinence-based approach for those addictions.

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My Kid Can’t Be Addicted: Family Defenses

February 25, 2013 by C. Scott McMillin

What underlies these defenses is anxiety. We’re afraid of what we might find out.

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Treatment Outcomes: Does it Work?

July 1, 2012 by C. Scott McMillin

Signpost with arms pointing to good, better, best

Our longstanding practice of branding anyone who drank again a ‘failure’ kept us from recognizing very real success right under our noses.

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