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Substance Dependence—A Relapsing Disease
Substance dependence—A relapsing disease
Setting the Context for Relapse

So, you say you are interested in working with clients who want abstinence from substances as a treatment goal? Congratulations! We hope that this decision was made because you enjoy challenging work with very mixed results (spoiler alert!—many of your clients will relapse, and many of those who relapse will do so repeatedly). As soon as the treatment goal is abstinence, relapse is a very likely possibility. Far more of your clients will relapse than will not. This dynamic makes the work very challenging. If you are going to work with this population, please do not pin your professional satisfaction on clients in your care remaining abstinent. We fully support the notion of abstinence ...

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