DSM-5 versus DSM-IV

May 1, 2014 by C. Scott McMillin

Craving has finally been added to the symptom list. I was never entirely clear on why it wasn’t included in DSM-IV, since there’s an impressive body of research on craving measurement.

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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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Ethical Challenge

April 21, 2014 by C. Scott McMillin

The law can reflect professional ethics, but many times it does not. It’s quite possible for a certain type of conduct to be within the law and yet not meet ethical standards.

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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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Are 12-Step Fellowships Religious?

April 14, 2014 by C. Scott McMillin

Both sides present arguments, and for the most part, those arguments depend on the separation of spirituality from religion.

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Desire for Drugs

April 10, 2014 by C. Scott McMillin

One study indicated that it could take as little as 33 milliseconds to trigger a craving. If something only lasts three one-hundredths of a second, you’re probably not going to be aware of it.

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Routines for Living Recovery

April 3, 2014 by C. Scott McMillin

Ultimately, what replaces addiction in recovery is life, in all its glory.

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Relapse After Longterm Sobriety

March 31, 2014 by C. Scott McMillin

Something serious is wrong, and it’s not being handled at all well.

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Confrontation Without Conflict

March 27, 2014 by C. Scott McMillin

If we inadvertently activate the ‘fight-flight’ response, communication will come to a halt.

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