For persons with this prevalent and difficult-to-treat dual diagnosis, the most urgent clinical need is to establish safety--to work toward discontinuing substance use, letting go of dangerous relationships, and gaining control over such extreme symptoms as dissociation and self-harm. The manual is divided into 25 specific units or topics, addressing a range of different cognitive, behavioral, and interpersonal domains. Each topic provides highly practical tools and techniques to engage patients in treatment; teach "safe coping skills" that apply to both disorders; and restore ideals that have been lost, including respect, care, protection, and healing. Structured yet flexible, topics can be conducted in any order and in a range of different formats and settings. The volume is designed for maximum ease of use with a large-size format and helpful reproducible therapist sheets and handouts, which purchasers can also download and print at the companion Web page. See also the author's self-help guide Finding Your Best Self, Revised Edition: Recovery from Addiction, Trauma, or Both, an ideal client recommendation.

    Louis Cozolino shows us how brains are highly social organisms. Balancing cogent explanation with instructive brain diagrams, he presents an atlas of sorts, illustrating how the architecture and development of brain systems from before birth through adulthood determine how we interact with others.

    Written by the treatment's developers, the book includes session-by-session guidelines for implementation, complete with extensive sample dialogues and 40 reproducible client handouts. It explains the theoretical and empirical underpinnings of CPT and discusses how to adapt the approach for specific populations, such as combat veterans, sexual assault survivors, and culturally diverse clients. The large-size format facilitates photocopying and day-to-day use. Purchasers also get access to a Web page where they can download and print the reproducible materials. CPT is endorsed by the U.S. Departments of Veterans Affairs and Defense, the International Society of Traumatic Stress Studies, and the U.K. National Institute for Health and Care Excellence (NICE) as a best practice for the treatment of PTSD.

    This therapeutic theory is founded on the idea that people have many interacting narratives that go into making up their sense of who they are, and that the issues they bring to therapy are not restricted to (or sited within) the clients themselves, but rather are influenced and shaped by cultural discourses about identity and power.

    It examines the concept of "cultural humility" as part of the major characteristics of cultural competence in counselor education and practice; roles of white allies in multicultural counseling and in social justice counseling; and the concept of "minority stress" and its implications in work with marginalized populations. The book also reviews and introduces the most recent research on LGBTQ issues, and looks at major research developments in the manifestation, dynamics, and impact of microaggressions.Chapters in Counseling the Culturally Diverse, 8th Edition have been rewritten so that instructors can use them sequentially or in any order that best suits their course goals. Each begins with an outline of objectives, followed by a real life counseling case vignette, narrative, or contemporary incident that introduces the major themes of the chapter. In-depth discussions of the theory, research, and practice in multicultural counseling follow.Completely updated with all new research, critical incidents, and case examples Chapters feature an integrative section on "Implications for Clinical Practice," ending "Summary," and numerous "Reflection and Discussion Questions" Presented in a Vital Source Enhanced format that contains chapter-correlated counseling videos/analysis of cross-racial dyads to facilitate teaching and learning Supplemented with an instructor's website that offers a power point deck, exam questions, sample syllabi, and links to other learning resources Written with two new coauthors who bring fresh and first-hand innovative approaches to CCD Counseling the Culturally Diverse, 8th Edition is appropriate for scholars and practitioners who work in the mental health field related to race, ethnicity, culture, and other sociodemographic variables. It is also relevant to social workers and psychiatrists, and for graduate courses in counseling and clinical psychology related to working with culturally diverse populations.

    His first book, Psychopath Free, explained how to identify and survive the immediate situation. In this highly anticipated new book, he guides readers on what to do next--how to fully heal from abuse in order to find love and acceptance for the self and others.Through his close work with--and deep connection to--thousands of survivors of abusive relationships Jackson discovered that most survivors have symptoms of trauma long after the relationship is over. These range from feelings of numbness and emptiness to depression, perfectionism, substance abuse, and many more. But he's also found that it is possible to work through these symptoms and find love on the other side, and this book shows how. Through a practice of mindfulness, introspection, and exercises using specific tools, readers learn to identify the protective self they've developed - and uncover the core self, so that they can finally move on to live a full and authentic life--to once again feel light, free, and whole, and ready to love again.This book addresses and provides crucial guidance on topics and conditions like: complex PTSD, Narcissistic abuse, Avoidant Personality Disorder, Codependency, Core wounding, toxic shame, Borderline Personality Disorder, and so many more. Whole Again offers hope and multiple strategies to anyone who has survived a toxic relationship, as well as anyone suffering the effects of a breakup involving lying, cheating and other forms of abuse--to release old wounds and safely let the love back inside where it belongs.

    Every time we experience loss—a personal or national one—we hear them recited: denial, anger, bargaining, depression, and acceptance. The stages are invoked to explain everything from how we will recover from the death of a loved one to a sudden environmental catastrophe or to the trading away of a basketball star. But the stunning fact is that there is no validity to the stages that were proposed by psychiatrist Elisabeth Kübler-Ross more than forty years ago. In The Truth About Grief, Ruth Davis Konigsberg shows how the five stages were based on no science but nonetheless became national myth. She explains that current research paints a completely different picture of how we actually grieve. It turns out people are pretty well programmed to get over loss. Grieving should not be a strictly regimented process, she argues; nor is the best remedy for pain always to examine it or express it at great length. The strength of Konigsberg’s message is its liberating force: there is no manual to grieving; you can do it freestyle. In the course of clarifying our picture of grief, Konigsberg tells its history, revealing how social and cultural forces have shaped our approach to loss from the Gettysburg Address through 9/11. She examines how the American version of grief has spread to the rest of the world and contrasts it with the interpretations of other cultures—like the Chinese, who focus more on their bond with the deceased than on the emotional impact of bereavement. Konigsberg also offers a close look at Kübler-Ross herself: who she borrowed from to come up with her theory, and how she went from being a pioneering psychiatrist to a New Age healer who sought the guidance of two spirits named Salem and Pedro and declared that death did not exist. Deeply researched and provocative, The Truth About Grief draws on history, culture, and science to upend our country’s most entrenched beliefs about its most common experience.

    Hunter examines the physical and emotional impact of abuse on its victims and the factors affecting revovery. With personal case histories of victims and their families, this is a powerfully written and meticulously researched book that is a landmark in the field of child sexual abuse literature.

    “Ego state therapy” refers to a powerful, flexible therapy that helps clients integrate and reconcile these distinct aspects of themselves.This book offers a grab bag of ego state interventions—simple, practical techniques for a range of client issues—that any therapist can incorporate in his or her practice. In her characteristic wise, compassionate, and user-friendly writing style, Robin Shapiro explains what ego states are, how to access them in clients, and how to use them for a variety of treatment issues. After covering foundational interventions for accessing positive adult states, creating internal caregivers, and working with infant and child states in Part I: Getting Started With Ego State Work, Shapiro walks readers step-by-step through a variety of specific interventions for specific problems, each ready for immediate application with clients. Part II: Problem-Specific Interventions includes chapters devoted to working with trauma, relationship challenges, personality disorders, suicidal ideation, and more.Ego state work blends easily, and often seamlessly, with most other modalities. The powerful techniques and interventions in this book can be used alone or combined with other therapies. They are suitable for garden-variety clients with normal developmental issues like self-care challenges, depression, grief, anxiety, and differentiation from families and peer groups. Many of the interventions included in this book are also effective with clients across the dissociation spectrum—dissociation is a condition particularly well suited to ego state work—including clients who suffer trauma and complex trauma. Rich with case examples, this book is both a pragmatic introduction for clinicians who have never before utilized parts work and a trove of proven interventions for experienced hands to add to their therapeutic toolbox. Welcome to a powerful, flexible resource to help even the most difficult clients build a sense of themselves as adult, loveable, worthwhile, and competent.

    This daily reader contains inspirational quotations from Overeaters Anonymous literature along with the experience, strength and hope of Overeaters Anonymous members.

    . . when it comes to the legacy of this country's war on drugs, we should all share his outrage." --The New York Times Book Review From one of the world's foremost experts on the subject, a powerful argument that the greatest damage from drugs flows from their being illegal, and a hopeful reckoning with the possibility of their use as part of a responsible and happy lifeDr. Carl L. Hart, Ziff Professor at Columbia University and former chair of the Department of Psychology, is one of the world's preeminent experts on the effects of so-called recreational drugs on the human mind and body. Dr. Hart is open about the fact that he uses drugs himself, in a happy balance with the rest of his full and productive life as a colleague, husband, father, and friend. In Drug Use for Grown-Ups, he draws on decades of research and his own personal experience to argue definitively that the criminalization and demonization of drug use--not drugs themselves--have been a tremendous scourge on America, not least in reinforcing this country's enduring structural racism.Dr. Hart did not always have this view. He came of age in one of Miami's most troubled neighborhoods at a time when many ills were being laid at the door of crack cocaine. His initial work as a researcher was aimed at proving that drug use caused bad outcomes. But one problem kept cropping up: the evidence from his research did not support his hypothesis. From inside the massively well-funded research arm of the American war on drugs, he saw how the facts did not support the ideology. The truth was dismissed and distorted in order to keep fear and outrage stoked, the funds rolling in, and Black and brown bodies behind bars.Drug Use for Grown-Ups will be controversial, to be sure: the propaganda war, Dr. Hart argues, has been tremendously effective. Imagine if the only subject of any discussion about driving automobiles was fatal car crashes. Drug Use for Grown-Ups offers a radically different vision: when used responsibly, drugs can enrich and enhance our lives. We have a long way to go, but the vital conversation this book will generate is an extraordinarily important step.

    He argues this destruction will continue until Americans learn to heal the generational anguish of white supremacy, which is deeply embedded in all our bodies. Our collective agony doesn't just affect African Americans. White Americans suffer their own secondary trauma as well. So do blue Americans—our police.My Grandmother's Hands is a call to action for all of us to recognize that racism is not about the head, but about the body, and introduces an alternative view of what we can do to grow beyond our entrenched racialized divide.This book paves the way for a new, body-centered understanding of white supremacy—how it is literally in our blood and our nervous system. It offers a step-by-step solution—a healing process—in addition to incisive social commentary.Resmaa Menakem, MSW, LICSW, is a therapist with decades of experience currently in private practice in Minneapolis, MN, specializing in trauma, body-centered psychotherapy, and violence prevention. He has appeared on the Oprah Winfrey Show and Dr. Phil as an expert on conflict and violence. Menakem has studied with bestselling authors Dr. David Schnarch (Passionate Marriage) and Dr. Bessel van der Kolk (The Body Keeps the Score). He also trained at Peter Levine's Somatic Experiencing Trauma Institute.

    So how do you handle the narcissistic people in your life? You might interact with them in social or professional settings, and you might even love one—so ignoring them isn’t really a practical solution. They're frustrating, and maybe even intimidating, but ultimately, you need to find a way of communicating effectively with them.Disarming the Narcissist, Second Edition, will show you how to move past the narcissist's defenses using compassionate, empathetic communication. You'll learn how narcissists view the world, how to navigate their coping styles, and why, oftentimes, it's sad and lonely being a narcissist. By learning to anticipate and avoid certain hot-button issues, you'll be able to relate to narcissists without triggering aggression. By validating some common narcissistic concerns, you'll also find out how to be heard in conversation with a narcissist.This book will help you learn to meet your own needs while side-stepping unproductive power struggles and senseless arguments with someone who is at the center of his or her own universe. This new edition also includes new chapters on dealing with narcissistic women, aggressive and abusive narcissists, strategies for safety, and the link between narcissism and sex addiction.Finally, you'll learn how to set limits with your narcissist and when it's time to draw the line on unacceptable behavior.

    Picture it. Construct it, carefully and deliberately in your mind. Be careful not to omit anything. Imagine it happening to you, to the people you love. Imagine the worst thing in the world. Now try not to think about it.This is what it is like for Fletcher Wortmann. In his brilliant memoir, the author takes us on an intimate journey across the psychological landscape of OCD, known as the “doubting disorder,” as populated by God, girls, and apocalyptic nightmares. Wortmann unflinchingly reveals the elaborate series of psychological rituals he constructs as “preventative measures” to ward off the end times, as well as his learning to cope with intrusive thoughts through Clockwork Orange-like “trigger” therapy.But even more than this, the author emerges as a preternatural talent as he unfolds a kaleidoscope of culture high and low ranging from his obsessions with David Bowie, X-Men, and Pokemon, to an eclectic education shaped by Shakespeare, Kierkegaard, Catholic mysticism, Christian comic books, and the collegiate dating scene at the “People’s Republic of Swarthmore.” Triggered is a pitch-perfect memoir; a touching, triumphantly funny, compulsively readable, and ultimately uplifting coming-of-age tale for Generation nxiety.

    Nicole LePera often found herself frustrated by the limitations of traditional psychotherapy. Wanting more for her patients—and for herself—she began a journey to develop a united philosophy of mental, physical and spiritual wellness that equips people with the interdisciplinary tools necessary to heal themselves. After experiencing the life-changing results herself, she began to share what she’d learned with others—and soon “The Holistic Psychologist” was born.Now, Dr. LePera is ready to share her much-requested protocol with the world. In How to Do the Work, she offers both a manifesto for SelfHealing as well as an essential guide to creating a more vibrant, authentic, and joyful life. Drawing on the latest research from a diversity of scientific fields and healing modalities, Dr. LePera helps us recognize how adverse experiences and trauma in childhood live with us, resulting in whole body dysfunction—activating harmful stress responses that keep us stuck engaging in patterns of codependency, emotional immaturity, and trauma bonds. Unless addressed, these self-sabotaging behaviors can quickly become cyclical, leaving people feeling unhappy, unfulfilled, and unwell.