Integrating 12 Steps and Psychotherapy: Helping Clients Find Sobriety and Recovery presents a practical and applied approach to working with substance dependent clients. Designed to be accessible to a wide and multidisciplinary audience of helpers at all skill levels, this text helps future practitioners fully understand the clinical challenges with substance dependence, adjust their thinking and technique in order to match their client's phase of recovery, and optimize client retention and treatment outcomes. Utilizing educator, training, and practice perspectives, authors Kevin A. Osten and Robert Switzer explore relevant theory and techniques in integrating 12-Steps across a broad range of clinical issues including: the assessment and treatment of resistant and ambivalent pre-recovery clients; boundary setting, undoing antisocial adaption; processing counter transference reactions; and the intersection between biological functioning and ability in early recovery.
Chapter 7: Hitting Bottom
What exactly prompts a person into acknowledging that they have lost all control over their intoxicants? What causes people to revert back to intoxicant use after they get clean? Are there ways to detect substance use in therapy or signs that someone is contemplating relapsing? These are just some of the questions that are answered in this chapter while addressing the end point of using, and a relapse in sobriety. We begin by covering that event referred to as a “bottom” that often is the entry point of many into sobriety.
Hitting “Bottom” and the Entrance into Recovery
What Is Meant by the Term Bottom and Is It Necessary to Reach Before Recovery?
There are many reasons why use happens. Sobriety, on the other hand, ...