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It is vital that your teen feels able to talk to you about drugs; if they are using but are afraid of the consequences of telling you it will only lead to more deception.

You might as well write ‘I don’t want you to go to AA’ in big letters on the wall behind the therapist’s chair. It’s about that obvious.

AA and NA weren’t designed by professionals and they do not operate like professionally-developed behavioral therapy programs.

A shorter stay is cheaper and less disruptive to your life, but 90 day programs give you more time to master the skills of recovery.

Busy professionals, though, may rely on “taking notes,” and doing the more formal documentation “later, when there’s time.”

Clinicians who improve their skills produce better outcomes for the client.

The way addicts and alcoholics themselves talk about their condition (“an emotional disease,” “a parasite the feeds on our emotions”, “an emotional cancer,” “a fear based disease”) is rarely considered in theories of addiction.

While it may have similarities to other disorders, the emotional dysregulation that characterizes addiction is not the same.

Is there a disparity between what you can observe and what the patient reports?

12 Step literature suggests that sponsors stick with advice on how to work the Steps, rather than stray into realms better left to trained professionals.