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Chemical Dependency Counseling
A Practical Guide
Seventh Edition
- Robert R. Perkinson - Keystone Treatment Center, Canton, South Dakota
September 2026 | SAGE Publications, Inc
Chemical Dependency Counseling: A Practical Guide offers a comprehensive, step-by-step introduction to addiction treatment grounded in twelve-step principles and evidence-based practice. Guiding readers through the full continuum of care—from assessment and treatment planning to intervention, continuing care, and discharge—Robert R. Perkinson equips future and practicing counselors with the clinical tools, judgment, and compassion needed for real-world practice. Fully updated to reflect current neuroscience, diagnostic standards, and public health realities, the Seventh Edition is an essential core text for addiction and substance use counseling programs.
Preface
Acknowledgments
Chapter 1: First Contact
Chapter 2: First Hours of Treatment
Chapter 3: Biopsychosocial Interview
Chapter 4: Treatment Plan
Chapter 5: Individual Treatment
Chapter 6: Group Therapy
Chapter 7: Drugs of Abuse
Chapter 8: Recovery Skills
Chapter 9: Steps
Chapter 10: Lectures
Chapter 11: Special Problems
Chapter 12: Adolescent Treatment
Chapter 13: The Family Program
Chapter 14: The Clinical Staff
Chapter 15: Discharge Summary and Continuing Care
Chapter 16: The Good Counselor
Appendix 1: Short Michigan Alcoholism Screening Test (SMAST)
Appendix 2: AUDIT Questionnaire
Appendix 3: The CRAFFT INTERVIEW (version 2.1)
Appendix 4: Biopsychosocial Assessment
Appendix 5: Rethinking Drinking
Appendix 6: Alcohol Withdrawal Scale
Appendix 7: Clinical Opiate Withdrawal Scale (COWS)
Appendix 8: DSM-5-TR Psychoactive Substance Use Disorder
Appendix 9: Daily Craving Record
Appendix 10: Sample Biopsychosocial Interview
Appendix 11: Hamilton Depression Rating Scale
Appendix 12: Step One
Appendix 13: Personal Recovery Plan
Appendix 14: Feelings
Appendix 15: Chemical Use History
Appendix 16: Relapse Prevention
Appendix 17: Codependency
Appendix 18: Anger Management
Appendix 19: Stress Management
Appendix 20: Relationship Skills
Appendix 21: Honesty
Appendix 22: Love, Trust, and Commitment
Appendix 23: Barriers in Thinking
Appendix 24: Self-Discipline
Appendix 25: Communication Skills
Appendix 26: Drug Categories for Substances of Abuse
Appendix 27: Heroin
Appendix 28: National Cancer Institute Guide to Quitting Smoking
Appendix 29: Drug Abuse Screening Test
Appendix 30: Impulse Control
Appendix 31: Addictive Relationships
Appendix 32: Alcohol Abstinence Self-Efficacy Scale
Appendix 33: Step Two
Appendix 34: Step Three
Appendix 35: Step Four
Appendix 36: Step Five
Appendix 37: Psychotherapeutic Medications
Appendix 38: Narcissism
Appendix 39: Hamilton Anxiety Rating Scale
Appendix 40: Post-traumatic Stress Disorder (PTSD) Checklist Civilian Version
Appendix 41: Post-traumatic Stress Disorder (PTSD) Checklist Military Version
Appendix 42: Gambling History
Appendix 43: Pressure Relief Group Meeting and Budget Form
Appendix 44: Honesty for Gamblers
Appendix 45: Step One for Gamblers
Appendix 46: Step Two for Gamblers
Appendix 47: Step Three for Gamblers
Appendix 48: Step Four for Gamblers
Appendix 49: Step Five for Gamblers
Appendix 50: Relapse Prevention for Gamblers
Appendix 51: Adolescent Unit Level System
Appendix 52: Adolescent Unit Point System
Appendix 53: Peer Pressure
Appendix 54: The Behavioral Contract
Appendix 55: Family Questionnaire
Appendix 56: Sample Discharge Summary
Appendix 57: NAADAC Code of Ethics 2025
Appendix 58: Fagerström Test for Cigarette Dependence
Appendix 59: Diagnostic/Integrated Summary
Appendix 60: Mental Health Screening
Appendix 61: Adult Nurses Intake
Appendix 62: Adolescent Nurses Intake
Appendix 63: Adult Inpatient Program Schedule
Appendix 64: Adolescent Inpatient Program Schedule
Appendix 65: Gambling Inpatient Program Schedule
Appendix 66: Adult Outpatient Program Schedule
Appendix 67: Adolescent Outpatient Program Schedule
Appendix 68: Gambling Outpatient Program Schedule
Appendix 69: Day Treatment Schedule Program
Appendix 70: Strengths, Needs, Abilities, and Preferences
Appendix 71: Finding Your Ace Score
About the Author
References