BEHAVIORAL HEALTH OF THE PALM BEACHES THERE IS HOPE. WE CAN HELP. HOPEPersonal accounts of recovery STORIES from drug & alcohol addiction THERE IS HOPE. WE CAN HELP. McDonald Oden Behavioral Health of the Palm Beaches Behavioral Health of the Palm Beaches treats our clients with the dignity and respect Community Outreach Specialist they deserve. We are a licensed, accredited McDonald Oden is a former professional drug rehab and medical detox center for football player who was exposed to cocaine the treatment of drug dependency, alcohol during his rookie season. Before he knew it, problems, and mood disorders. Our residential he was in the grip of an addiction that cut his and extended care treatment programs career tragically short, alienated him from employ an innovative and clinically oriented, his family and eventually left him homeless. multi-phase, 12-step approach that is He eventually entered BHOPB with nothing tailored to each individual’s unique needs. but a few articles of clothing in a brown paper bag. After getting clean, Oden started sharing his story with audiences, becoming a valuable member of the BHOPB team. CALL (855) 647-HOPE See Mac’s story and more at: HOPESTORIES.COM THE APRIL ISSUE OF COUNSELOR MAGAZINE SPECIAL ISSUE ON ADOLESCENTS & YOUNG ADULTS FEATURING . An Exclusive Interview! Counselor editor Robert J. Ackerman, PhD, will interview Reid Wilson, PhD, and Lynn Lyons, LICSW (the authors of Anxious Kids, Anxious Parents) about dealing with children and anxiety disorders. Their book is hailed as a “revolutionary approach to break the cycle of childhood anxiety and expose the most common treatment mistakes.” SPECIAL OFFER GO TO HCIBOOKS.COM A Special Edition of “Inside Books”! ENTER CODE The newest book by Teen Ink, Bullying Under Attack, invites readers to “meet the bully, WWADOL14 the bullied, and the bystander.” This “Inside Books” special will include an excerpt from TO SAVE AN ADDITIONAL Bullying Under Attack written by a former bullying victim. In addition, “Inside Books” 30 PERCENT OFF! will also feature praise and accolades for Bullying Under Attack from various reviewers. An All-New Directory! This special issue of Counselor will feature a brand new insert of treatment centers specifically geared towards helping adolescents and young adults recover from mental health, substance use, and eating disorders. Watch out for this informational directory which will feature treatment centers from all over the United States! A New Article from the Journal of Substance Abuse Treatment! Counselor’s renewed collaboration with the Journal of Substance Abuse Treatment (JSAT) begins with an article on the effectiveness of outpatient treatment for adolescents by Emily E. Tanner-Smith, PhD. Adapted JSAT articles will be appearing in every issue of Counselor through the rest of 2014! The Last Column of Dr. David J. Powell The April issue of Counselor will feature Dr. David J. Powell’s last column—the second part of his two-part series on mentorship—that he submitted to the magazine before his passing in November 2013. Part one can be seen on page 28. This is a must-read issue for any and all counselors treating adolescents and young adults! In addition, this issue will be just in time for the FEATURING THESE EXCEPTIONAL SPEAKERS: U.S. Journal Training Conference on Adolescents and Young Adults held in Las Vegas, Nevada from April 24-26. Contact Larry Mendoza at [email protected] for marketing opportunities. Daniel Jean James Jane Patrick Robert See page 27 for more information! Amen, MD Kilbourne, EdD Garbarino, PhD Middleton-Moz, MS DeChello, PhD Ackerman, PhD www.counselormagazine.com 1 Laboratory Services Addiction and Treatment We support recovery. Rapid, accuRate, and compRehensive dRug testing Trust your addiction and treatment testing to Alere Toxicology. » Superior analytical methods using state-of-the-art technol- At Alere Toxicology we understand the unique challenges facing addiction ogy, including Immunoassay treatment professionals. Objective monitoring of drug and alcohol use is integral and LC/MS/MS technology to effective treatment strategies and essential for early detection and intervention. » Panels for a broad array of Alere offers customized testing and documentation solutions, scientifically drugs and metabolites, with a credible data interpretation, and world-class service to help addiction dynamic test menu continually professionals individualize therapy and optimize patient outcomes. expanding to include emerging synthetic drugs Call 800.241.0467 or visit aleretoxicology.com/treatment » Access to highly qualified, expert toxicologists » Comprehensive, accurate, easy-to-read reports within 1-2 days » Dedicated client support team © 2013 Alere. All rights reserved. The Alere Logo and Alere are trademarks of the Alere group of companies. 800325 REV1 4/13 2 Counselor · February 2014 CONTENTS Letter from the Editor By Robert J. Ackerman, PhD 8 36 Editor At the Crossroads: CAADAC Connection and How to Be An Effective 10 Interface in Animal- Addictions Counselor Assisted Interventions in An SUD’s World Explains the benefits of By Pete Nielsen, CADC-II, and animal-assisted therapy in Dee-Dee Stout, MA, CADC-II treatment centers, provides a case study, and presents crite- ria to consider when selecting and training animal assists. IC&RC By Maryjo Brown, MA, LPC, IC&RC Updates Prevention 14 and Cheryl Knepper, MA, LPC, Specialist Credential ICCDPD, ATR-BC, CSAT-S By Julie Stevens, MPS, LDCD-I, ACPS 46 Cultural Trends Molly: Not Safe and 16 When Sex and Not Ecstasy! Stimulants Are Fused: By Maxim W. Furek, Two Behaviors, MA, CADC, ICADC One Addiction Describes current research, provides outlines of clients Opinion who may be addicted to sex and stimulants Why I Work at An 20 simultaneously, and discusses Outpatient Methadone treatment options. Treatment Facility By Robert Weiss, LCSW, CSAT-S By Randi Konikoff, NCC, LPC, CCS, LCAS, BCPCC From Leo’s Desk Imagination: 22 The True Ecstasy 52 By Rev. Leo Booth Theoretical Perspectives for Working with AOD Clients: Wellness Choosing Your Best The Role of Faith 24 Psychotherapy Match in Recovery Provides an overview of By John Newport, PhD four psychoanalytical theories and questions the usefulness of those theories in relation to AOD clients. The Integrative Piece By David Patterson, PhD Stepping Stones 26 By Sheri Laine, LAc, Dipl. Ac. www.counselormagazine.com 3 STRETCHING INTO THE NEW YEAR Advisory Board FRANCES L. BRISBANE, PHD PATRICK J. CARNES, PHD A Health Communications, Inc. MICHAEL L. DENNIS, PHD Publication 3201 S.W. 15th Street EDWARD M. HALLOWELL, MD As we enter Deerfield Beach, FL 33442-8190 WILLIAM A. HOWATT, PHD, EDD, ICADC (954) 360-0909 • (800) 851-9100 MARY BETH JOHNSON, MSW our 38th year Fax: (954) 360-0034 of professional publishing, we have modernized E-mail: [email protected] EdWARD J. KHANTZIAN, MD our masthead and broadened our target audience Website: www.counselormagazine.com RHONDA MESSAMORE, CADC II, ICADC WILLIAM COPE MOYERS to include “behavioral heath” counselors/thera- Counselor (ISSN 1047 - 7314) is published pists, in addition to addictions professionals. bimonthly (six times a year) and copyrighted CARDWELL C. NUCKOLS, PHD by Health Communications, Inc., all rights CARMINE PECORARO, PSYD, CAP reserved. Permission must be granted by the In the late 1970s and early 1980s, the term dual- publisher for any use or reproduction of the DAVID J. POWELL, PHD diagnosis was first applied to those who were magazine or any part thereof. Statements of MARSHALL ROSIER, MS, CAC, LADC, MATS, addicted, the idea being that the addict often had fact or opinion are the responsibility of the au- CDDP-D thors alone and do not represent the opinions, an accompanying behavioral health or mental policies or position of COUNSELOR or Health SHAWN CHRISTOPHER SHEA, MD disorder. Clinicians soon realized that the phrase Communications, Inc. KAY SHEPPARD, MA “dual-diagnosis” was too restricting, since addic- Health Communications, Inc., is located at S. LALA ASHENBERG STRAUSSNER, DSW, MSW, CAS tion most often involved multiple disorders—thus, a 3201 S.W. 15th St., Deerfield Beach, FL 33442 - 8190. MICHAEL J. TALEFF, PHD, CSAC, MAC new term, “co-occurring disorders,” was introduced. Subscription rates in the United States are WILLIAM L. WHITE, MA one year $41.70, two years $83.40. Canadian Today, as evidenced by the new DSM-5, the impor- orders add $15 U.S. per year, other interna- JEFF WILBEE, CAE tance of understanding the complexity of addiction tional orders add $31 U.S. per year payable with order. and the relationship with behavioral disorders is Medical Advisory Board Florida residents, add 6% sales tax and S TUART GITLOW, MD, MPH, MBA even more paramount. Equally, the necessity for applicable surtaxes. Periodical postage rate PAUL H. EARLEY, MD, FASAM paid at Deerfield Beach, FL, and additional cross-training between addiction professionals and MARCUS J. GOLDMAN, MD offices. Postmaster: Send address changes to behavioral mental health professions is a must. Counselor, P.O. Box 15009, North Hollywood, MEL POHL, MD, FASAM CA 91615 - 5009 EDWIN A. SALSITZ, MD, FASAM Whether a behavioral health problem increases © Copyright 2011, Health DAVID E. SMITH, MD, FASAM one’s likelihood of substance abuse or whether Communications, Inc. HOWARD WETSmAN, MD substance abuse increases the likelihood of behav- Printed in the U.S.A. PENELOPE P. ZIEGLER, MD ioral health disorders is a conundrum for clinicians. It is with this increasing complexity and the President & Publisher Editor R OBERT ACKERMAN, PHD demand for more sophisticated treatment that the PETERO VEGS decision has been made to expand the audience for E -mail: [email protected] COUNSELOR to include those professionals work- Editor Associate Editor ing with behavioral disorders. R OBERT ACKERMAN, PHD LAHE HONARBAKHSH Phone: (800) 851-9100 ext. 211 or (954) 360-0909 ext. 211 Not only does this change relate to the addictions Executive Editor field, but also to the ever increasing awareness of Fax: (954) 570-8506 GARIL Y S.