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Chapter 16: Treatment of Substance Use Disorders

Chapter 16: Treatment of Substance Use Disorders

pp. 623-678

Authors

, Old Dominion University, Virginia
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Extract

Several pathways can lead out of destructive drug use, including natural recovery with no treatment. Mental-health professionals in treatment programs or working independently offer treatment, and Alcoholics Anonymous (AA) and secular groups enable mutual support for recovery from SUD. The Minnesota Model, based on the principles of AA, heavily influences many treatment programs. Counseling and psychotherapy are primary treatments for SUD, often conducted in groups. Sharing of common SUD experiences relieves shame and isolation that impede recovery. Office-based treatment may provide individual psychotherapy. Therapists and counselors try to establish an alliance with clients to promote intrinsic motivation for secure abstinence. Therapies include cognitive-behavioral, 12-step facilitation, mindfulness, dialectical behavior change, and couples or family therapy. Brief Interventions are short counseling sessions most appropriate for early-stage substance abuse. Alcohol or other drug use often recurs after treatment, and prevention of relapse is a primary goal of SUD treatment. Participation in mutual assistance groups is associated with lower rates of relapse.

Keywords

  • Alcoholics Anonymous
  • NESARC survey
  • counseling
  • psychotherapy
  • cognitive-behavioral therapy
  • intrinsic motivation
  • treatment effectiveness
  • Minnesota Model
  • brief intervention
  • controlled drinking

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