"The second edition takes what was already a pragmatic clinical text and offers key updates related to client-centered care, harm reduction, and evidence-based adjunctive pharmacotherapies. This is a book written by therapists for therapists. It provides the perfect combination of clinical wisdom and science-based recommendations."--Molly Magill, LICSW, PhD, Department of Behavioral and Social Sciences, Brown University School of Public Health "As a trainer of mental health practitioners, I highly recommend this book. Washton and Zweben offer a foundational approach to individualized treatment that is engaging and humane and that meets people 'where they are' with non-stigmatizing language and a harm reduction mindset. Readers will understand how office-based treatments are an effective and accessible piece of the SUDs treatment continuum. For the novice or seasoned clinician, this book offers a menu of options for integrative care that will immediately inform clinical work with complex, co-occurring challenges, particularly those associated with the opioid epidemic."--Mark S.

Woodford, PhD, Department of Counselor Education, The College of New Jersey "A remarkably practical and down-to-earth guide for working with SUDs, which vex even the most experienced clinicians. Washton and Zweben bypass the politics and rhetoric and instead focus on what really matters: doing what works! This book is a true gem for practitioners wanting to know what to do in session that actually helps their clients address this challenging issue."--Diane R. Gehart, PhD, Professor and Program Coordinator, Marriage and Family Therapy, California State University, Northridge "I have assigned this book as the primary text for a master's-level Substance Use Disorders course and a postgraduate certificate program for masters- and doctoral-level students. I could not find another text that was as practical and realistic about the dilemmas of working with clients with SUDs. The second edition retains all the strengths of the first--such as optimism about the possibility of recovery, centrality of the therapeutic relationship, detailed clinical guidance, value placed on a range of treatments--while incorporating important new material. The authors' approach to relapse prevention contains a rich understanding of what pulls people back into using drugs and ways to interrupt this cycle."--Maryann Amodeo, PhD, MSW, LICSW, Professor Emerita and Former Co-Director, Center for Addictions Research and Services, School of Social Work, Boston University-.