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The scope of this book attests to the pervasiveness of substance abuse in our society, and to the progress made in developing treatment models for dealing with this devastating problem. Given the enormous impact of alcohol and other drug abuse on the abuser, his or her spouse, children, and workplace, and the usual proclivity of all concerned to hide and deny the true nature of the problem, it is extremely important that every clinician know how to determine when substance abuse is present and the kind of treatment required. This book contains nineteen chapters written by clinicians who are experts in alcohol and other substance abuse treatment. It provides a comprehensive overview of prevailing treatment philosophies applicable to a wide variety of patients requiring varying levels of care from outpatient private practice to hospital inpatient.
Many of the authors view a clinician's lack of knowledge about substance abuse as a major barrier to effective diagnosis and treatment. Depression, anxiety, sexual dysfunction, marital conflict and financial distress are routine presenting problems. Drinking and drug taking behavior may be present, but minimized or denied completely. It is of vital importance mat the clinician be aware that intrapsychic and interpersonal difficulties are often side effects of a substance abuse disorder. If this is not recognized, the real cause of problematic behavior will remain ignored and untreated.