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But if the client also conveys a strong desire to get a degree or a worthwhile job, or start a family or get out of debt – these also constitute motivators for success.

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

If Bob gets a job, his mom will ask him to move out of the basement, and he’ll have to get a roommate, which he doesn’t want, so better to remain unemployed.

One large survey of alcoholics found that some 14% had actually become dependent within a year of the first drink. The percentage almost doubled when the time period was extended to two years.

That doesn’t mean you need a program that treats senior exclusively. It does suggest that you should concentrate your efforts on programs with access to physician care beyond simple detox.

Would have been easy enough to avoid, had I seen it coming. Unfortunately the brain I was using to make decisions was the addicted one. It was not a friend to recovery.

It’s not just what you present to your client — it’s how you present it. By following a few simple rules, you get better results. It’s not a perfect system, by any means. But it should improve outcomes.

Suffering victim and destructive asshole, all wound up in the same person. That’s the “alcoholic/addictive” personality. But who is the “real person” underneath the disease?

Mindfulness therapies are a way of stepping outside your everyday attitudes and beliefs — those automatic to your thinking — in order to consider alternatives that might improve your life.

It’s as if the addict is so accustomed to just acting on impulse that he/she has lost touch with the source of the impulse — ordinarily a negative emotional state such as anxiety, anger, sadness, etc.