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

Intensive Addictions Counseling

Intensive Addictions Counseling

Learning Objectives

Upon completion of this chapter, the learner will be able to

  • describe at least three main evidence-based counseling approaches used in intensive addictions counseling settings;
  • list at least one neurobiological aspect important for understanding the treatment of a substance use disorder; and
  • cite three levels of care for intensive treatment of process addictions.


Addictions counseling has undergone major changes in the last 25 years, especially within the intensive levels of care, such as residential addiction treatment, inpatient hospital addiction treatment, partial hospitalization, and intensive outpatient programs (IOP) for addictive disorders. While entire books have been written to describe intensive addictions counseling approaches and models, it is beyond the scope of this chapter to be all-inclusive of the lengthy history of intensive counseling. ...

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