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Severe Substance Use Disorder
Severe Substance Use Disorder
Introduction

This chapter includes three case studies of individuals with severe substance use disorders. We struggled as a therapeutic team, and each individual was satisfied with his progress.

Clinical Cases
Jon: Shadow Use to Termination of Therapy

This is a case study about a long-term marijuana user who started using at age 13. When he was 36 we terminated our 4-year therapy relationship, recognizing that Jon did not want to stop his shadow using habit at this time in his life.

A former student of mine called with a feverish tone in her voice and asked if I was accepting referrals. She conveyed a sense of immediacy as she told me about her friend who was being “bullied, pressured, and cornered” by ...

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