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

Assessment of Risky Use and Addictive Disorders

Assessment of Risky Use and Addictive Disorders

Learning Objectives

Upon completion of reading this chapter and completing the suggested activities, the learner will

  • describe the specific elements in releasing confidential information;
  • list key considerations in an informed consent process;
  • discuss at least two counseling skills recommended for assessment;
  • describe empathy as it relates to building rapport and trust; and
  • practice screening in a role play with at least one screening tool.

Risky Use

In the previous chapter, information was provided in a brief overview of risky use of addictive substances for which the field has gained better knowledge. In this chapter, we examine various counseling-related elements, such as empathy, involved in assessing various types of use and misuse over the vast spectrum of problematic substance use. ...

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