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      1. SUBSTANCE USE DISORDER

Definitions: Consistently uses alcohol or other mood-altering drugs until high, intoxicated, or passed out.
Unable to stop or cut down use of mood-altering drug once started, despite the verbalized desire to do so and the negative consequences continued use brings.
Denies that chemical dependence is a problem, despite feedback from significant others that the use of the substance is negatively affecting him/her/them and others.
Continues substance use despite knowledge of experiencing persistent physical, legal, financial, vocational, social, and/or relationship problems that are directly caused by the use of the substance.
Exhibits physical withdrawal symptoms (e.g. shaking, seizures, nausea, headaches, sweating, anxiety, insomnia, depression) when going without the substance for any length of time.
Suspends important social, recreational, or occupational activities because they interfere with using the mood-altering drug.
Goals: Establish and maintain total abstinence, while increasing knowledge of the disease and the process of recovery.
Acquire the necessary 12-step skills and/or other skills to maintain long-term sobriety from all mood-altering substances and live a life free of substance abuse.
OBJECTIVES INTERVENTIONS
Work cooperatively with the therapist toward agreed-upon therapeutic goals while being as open and honest as comfort and trust allows. (1, 2) Establish rapport with the client toward building a strong therapeutic alliance; convey caring, support, warmth, and empathy; provide nonjudgmental support and develop a level of trust with the client toward he/she/they feeling safe to discuss his/her/their substance use and its impact on his/her/their life.