• The Scarlet Sisterhood: Treating Partners of Sex Addicts

    Addiction is a disease, end of discussion . . . right? As practitioners within the field of behavioral health and wellness, we have all heard the message, loud and clear. Many of us subscribe to the concept without question, confident in our convictions that addicts are sick people, not bad people. Some of us have built our careers upon this assertion, while others espouse it personally, within our own lives and family relationships.


  • Evaluating a Competency-Based Supervision Approach for Motivational Interviewing

    Motivational interviewing (MI) is a well-known, evidence-based, brief counseling approach for substance use disorders (SUDs) that combines person-centered principles with strategies for enhancing motivation for change (Miller & Rollnick, 2012). Counselors using MI help their clients talk themselves into change by exploring and developing their motivations for change and lessening and resolving their arguments against it.


David E. Smith

David E. Smith, MD, FASAM, FAACT, Diplomat, American Board of Addiction Medicine, is the past president of the American Society of Addiction Medicine and the California Society of Addiction Medicine, founder of the Haight-Ashbury Free Clinics in San Francisco, and Chair of Addiction Medicine and the Medical Quality Assurance Committee at Muir Wood Adolescent and Family Services.

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