Reflecting the latest content in the DSM–5, The Spectrum of Addiction presents a comprehensive overview of addictive behaviors and habits from early use through risky use, severe-risk use, and addiction. Authors Laura Veach and Regina Moro draw from their experience in both teaching and counseling to provide real-world knowledge and evidence-based practices for working with clients who fall within the spectrum of addiction ranging from experimentation to physical addiction and recovery. With a unique focus on neuroscience, integration of CACREP standards, and extensive coverage of addictions across the lifespan, the book serves as a practical resource for future addiction counselors. The Spectrum of Addiction is part of SAGE’s Counseling and Professional Identity Series. To learn more about each text in the series, please visit

Understanding Risky Use Patterns

Understanding Risky Use Patterns

Learning Objectives

The learner will be able to

  • define risky use;
  • list at least three important factors counselors should consider in understanding risky use patterns; and
  • discuss two main contributors to binge drinking by college students.


For a number of years, precious resources in the substance abuse field were mainly used for primary prevention efforts or intensive addiction treatment. Research, too, focused on work to prevent substance use, especially in youth in elementary schools, or on counseling services after addiction took its toll on the individual and family. Imagine on the spectrum of use, one end representing prevention of first use and, at the far end of the spectrum, intensive inpatient specialized addiction treatment. Sparse attention was given to the area in ...

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