ABSTRACT

At times an addiction intervention can become difficult. Complications arise. You may meet resistance from family members who oppose systemic change. Or you may need to address underlying mental, physical, or family systems issues. This chapter aims to give clinicians the tools they need to identify more difficult situations so they might apply different approaches to a complicated intervention.

This chapter examines the most common types of difficult interventions that clinicians will encounter, with case studies for each. The text reviews characteristics, objections, and counter-objections for the following types of complicated interventions: dual diagnosis cases, cases when other medical conditions are present, multiple addictions, trauma-informed cases, multiple family members with mental health problems, clinical interventions, and reverse interventions.