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“ Thinking Out of the Box ” : Clinical and Practical Aspects of Moderate Drinking Strategies. Arnold M. Washton, Ph.D. & Scott Stern, LCSW, CADAC RECOVERY OPTIONS New York, NY & Princeton, NJ. Topics. Prefatory remarks Why moderation?

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thinking out of the box clinical and practical aspects of moderate drinking strategies

“Thinking Out of the Box”:Clinical and Practical Aspects of Moderate Drinking Strategies

Arnold M. Washton, Ph.D. &

Scott Stern, LCSW, CADAC

RECOVERY OPTIONS

New York, NY & Princeton, NJ

topics
Topics
  • Prefatory remarks
  • Why moderation?
  • How to enhance treatment attraction, engagement, retention
  • Alcohol’s effects
  • How much drinking is “too much”?
  • Research on moderation
  • Clinical assessment & goal selection
  • Moderation strategies & skills
to download copies of todays slides
To download copies of todays’ slides:
  • www.ModerateDrinkingOptions.com
  • Downloads & Links page
  • NASW Conference: “Moderate Drinking Strategies”
websites
Websites
  • Niaaa.nih.gov
  • Moderation.org
  • ModerateDrinking.com
  • SmartRecovery.org
  • RecoveryOptions.us
  • ModerateDrinkingOptions.com
slide8

Arnold M. Washton, Ph.D.

Joan E. Zweben, Ph.D.

Guilford, 2006

how i arrived at using moderate drinking strategies in my clinical practice
How I arrived at using moderate drinking strategies in my clinical practice
  • In 1975, started treating IV heroin addicts in an East Harlem clinic. Most continued drinking after stopping heroin.
  • Starting in early 1980s, started treating cocaine addicts who often did not want to stop drinking except after multiple alcohol-related relapses
  • Since the beginning, treated countless primary alcoholics who did not want to start with abstinence. Many refused treatment or dropped out prematurely.
how i got here
How I got here
  • Regrettably, I too often took the stance of “come back when you’re motivated and ready to stop”
  • For past 10+ years, I’ve offered moderation training as an initial engagement strategy for patients with serious alcohol problems and as a primary treatment strategy for many with less severe problems
  • Since closing my outpatient clinic in 1998, I’ve been in full time private practice treating high-functioning adults with alcohol and drug problems
how i got here11
How I got here
  • Private practice affords me the flexibility to treat patients without being constrained by agency policies and politics
  • Patients seeking help with moderation or abstinence often find me through my website moderatedrinkingoptions.com and recoveryoptions.us
how i got here12
How I got here
  • Entering the field as a psychologist trained in both cognitive-behavioral and psychodynamic therapies, I gravitated naturally toward more individualized, integrative, non-dogmatic approaches
  • I place great value on establishing a good working therapeutic relationship with my patients, seeing this as the primary vehicle for facilitating positive change
prefatory statement
Prefatory Statement
  • Total abstinence is without question the safest goal for anyone who has developed an alcohol problem
  • This is especially true for anyone who has developed a serious problem that qualifies for (or approximates) a diagnosis of Alcohol Dependence
  • Moderate drinking is generally NOT a realistic or appropriate goal for alcoholics
prefatory statement14
Prefatory Statement

I am not here as a proponent of any singular approach, philosophy, model, or program:

  • Harm Reduction
  • Moderation Management
  • Disease Model
  • 12-Step
  • CBT/Social Learning
  • Psychodynamic (Self-Medication)
prefatory statement15
Prefatory Statement
  • I support and utilize any and ALL of these, depending on what makes the most sense for a given patient and most importantly what seems to work best!
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