A trusted and authoritative resource through three editions, The American Psychiatric Publishing Textbook of Substance Abuse Treatmenthas been fully updated to present the most current scientific and clinical information on a wide range of substance use disorders, from tobacco and alcohol to methamphetamine and "club drug" abuse. It is a comprehensive guide to treatment written at a level appropriate to both experienced and new clinicians, reflecting the expertise of leading addiction specialists in psychiatry and allied fields. With most chapters extensively revised by new authors, it incorporates the latest biomedical research findings as well as recent advances in treatment modalities and the growth of pharmacotherapies. The text offers a comprehensive view of the basic science and psychology underlying addiction as well as extensive coverage of all treatment approaches and specialty topics, such as Alcoholics Anonymous (AA). Coverage of therapeutic issues focuses on goals assessment and outcome research, emphasizing the knowledge needed to treat patients' primary addictive problems by overcoming their defensiveness and denial through empathic engagement and maintaining a willingness to persevere through the vicissitudes of recovery. Practical, treatment-oriented material is presented in more quick reference tables than before to make the book an even more useful clinical resource, and lists of recommended readings have been enhanced. Among the new edition's features: Separate chapters on the biology and clinical management for each of the drug categories in order to reflect new understandings of mechanisms of drug action. A more detailed description of the nature of buprenorphine and its role in treating opioid addiction, focusing particularly on its clinical efficacy and recommendations for use in office-based opioid treatment for special populations. New extensive coverage on cognitive-behavioral therapy, motivational enhancement, and contingency management. New research on 12-step programs and their role in addiction treatment, including an evidence-based review of what is currently understood about AA-related change and outcome research on self-help programs. A new chapter devoted to special concerns posed by abusers of prescription drugs-Vicodin, OxyContin, Ritalin, and others. A new chapter addressing special considerations in the treatment and prevention of substance abuse in gay, lesbian, and transgender persons. Designed to serve clinicians in practice as well as researchers concerned with addiction, the textbook is also appropriate for trainees in psychiatry, general medicine, and other health fields. It is an invaluable source of treatment options for anyone concerned with the problems posed by patients with substance abuse disorders.