Amazon Description: “After surviving nearly a decade of heroin abuse and hard living on the streets of San Francisco’s Tenderloin District, Tracey Helton Mitchell decided to get clean for good.
With raw honesty and a poignant perspective on life that only comes from starting at rock bottom, The Big Fix tells her story of transformation from homeless heroin addict to stable mother of three—and the hard work and hard lessons that got her there. Rather than dwelling on the pain of addiction,Tracey focuses on her journey of recovery and rebuilding her life, while exposing the failings of the American rehab system and laying out a path for change. Starting with the first step in her recovery, Tracey re-learns how to interact with men, build new friendships, handle money, and rekindle her relationship with her mother, all while staying sober, sharp, and dedicated to her future.
A decidedly female story of addiction, The Big Fix describes the unique challenges faced by women caught in the grip of substance abuse, such as the toxic connection between drug addition and prostitution. Tracey’s story of hope, hard work, and rehabilitation will inspire anyone who has been affected by substance abuse while offering hope for a better future.”
Amazon Description: “In powerful parallel stories, mother and daughter give mesmerizing first-person accounts of the nightmare that shattered their family and the amazing journey they took to find their way back to each other. Claire Fontaine’s relentless cross-country search for her missing child and ultimate decision to force her into treatment in Eastern Europe is a gripping tale of dead ends, painful revelations, and, at times, miracles. Mia Fontaine describes her refuge in the seedy underworld of felons and addicts as well as the jarring shock of the extreme, if loving, school that enabled her to overcome depression and self-loathing. Both women detail their remarkable process of self-examination and healing with humor and unsparing honesty.
Come Back is an unforgettable true story of love and transformation that will resonate with mothers and daughters everywhere.”
Amazon Description: “It was love at first sight. The beads of moisture on a chilled bottle. The way the glasses clinked and the conversation flowed. Then it became obsession. The way she hid her bottles behind her lover’s refrigerator. The way she slipped from the dinner table to the bathroom, from work to the bar. And then, like so many love stories, it fell apart. Drinking is Caroline Kapp’s harrowing chronicle of her twenty-year love affair with alcohol.”
Amazon Description: “Hamill explains how alcohol slowly became a part of his life, and how he ultimately left it behind. Along the way, he summons the mood of an America that is gone forever, with the bittersweet fondness of a lifelong New Yorker.”
Amazon Description: “Three years after giving up drinking, Jowita Bydlowska found herself throwing back a glass of champagne like it was ginger ale. It was a special occasion: a party celebrating the birth of her first child. It also marked Bydlowska’s immediate, full-blown return to crippling alcoholism.
In the gritty and sometimes grimly comic tradition of the bestselling memoirs Lit by Mary Karr and Smashed by Koren Zailckas, Drunk Mom is Bydlowska’s account of the ways substance abuse took control of her life—the binges and blackouts, the humiliations, the extraordinary risk-taking—as well as her fight toward recovery as a young mother. This courageous memoir brilliantly shines a light on the twisted logic of an addicted mind and the powerful, transformative love of one’s child. Ultimately it gives hope, especially to those struggling in the same way.”
Amazon Description: “You may not know it, but you’ve met Augusten Burroughs. You’ve seen him on the street, in bars, on the subway, at restaurants: a twentysomething guy, nice suit, works in advertising. Regular. Ordinary. But when the ordinary person had two drinks, Augusten was circling the drain by having twelve; when the ordinary person went home at midnight, Augusten never went home at all. Loud, distracting ties, automated wake-up calls and cologne on the tongue could only hide so much for so long. At the request (well, it wasn’t really a request) of his employers, Augusten lands in rehab, where his dreams of group therapy with Robert Downey Jr. are immediately dashed by grim reality of fluorescent lighting and paper hospital slippers. But when Augusten is forced to examine himself, something actually starts to click and that’s when he finds himself in the worst trouble of all. Because when his thirty days are up, he has to return to his same drunken Manhattan life―and live it sober. What follows is a memoir that’s as moving as it is funny, as heartbreaking as it is true. Dry is the story of love, loss, and Starbucks as a Higher Power.”
Amazon Description: “Kaysen’s memoir encompasses horror and razor-edged perception while providing vivid portraits of her fellow patients and their keepers. It is a brilliant evocation of a “parallel universe” set within the kaleidoscopically shifting landscape of the late sixties. Girl, Interrupted is a clear-sighted, unflinching document that gives lasting and specific dimension to our definitions of sane and insane, mental illness and recovery.”
Amazon Description: “When Mötley Crüe was at the height of its fame, there wasn’t any drug Nikki Sixx wouldn’t do. He spent days—sometimes alone, sometimes with other addicts, friends, and lovers—in a coke- and heroin-fueled daze.
The highs were high, and Nikki’s journal entries reveal some euphoria and joy. But the lows were lower, often ending with Nikki in his closet, surrounded by drug paraphernalia and wrapped in paranoid delusions.
Here, Nikki shares the diary entries—some poetic, some scatterbrained, some bizarre—of those dark times. Joining him are Tommy Lee, Vince Neil, Mick Mars, Slash, Rick Nielsen, Bob Rock, and a host of ex-managers, ex-lovers, and more.
Brutally honest, utterly riveting, and surprisingly moving, The Heroin Diaries follows Nikki during the year he plunged to rock bottom—and his courageous decision to pick himself up and start living again.”
Amazon Description: “Lit follows the self-professed blackbelt sinner’s descent into the inferno of alcoholism and madness–and to her astonishing resurrection. Karr’s longing for a solid family seems secure when her marriage to a handsome, Shakespeare-quoting blueblood poet produces a son they adore. But she can’t outrun her apocalyptic past. She drinks herself into the same numbness that nearly devoured her charismatic but troubled mother, reaching the brink of suicide. A hair-raising stint in ‘The Mental Marriott,’ with an oddball tribe of gurus and saviors, awakens her to the possibility of joy and leads her to an unlikely faith. Not since Saint Augustine cried, ‘Give me chastity, Lord-but not yet!’ has a conversion story rung with such dark hilarity. Lit is about getting drunk and getting sober, becoming a mother by letting go of a mother, learning to write by learning to live. Written with Karr’s relentless honesty, unflinching self-scrutiny, and irreverent, lacerating humor, it is a truly electrifying story of how to grow up–as only Mary Karr can tell it.”
Amazon Description: “Loose Girl is Kerry Cohen’s captivating memoir about her descent into promiscuity and how she gradually found her way toward real intimacy. The story of addiction–not just to sex, but to male attention–Loose Girl is also the story of a young girl who came to believe that boys and men could give her life meaning.”
Amazon Description: “At the age of 23, James Frey woke up on a plane to find his front teeth knocked out and his nose broken. He had no idea where the plane was headed nor any recollection of the past two weeks. An alcoholic for ten years and a crack addict for three, he checked into a treatment facility shortly after landing. There he was told he could either stop using or die before he reached age 24. This is Frey’s acclaimed account of his six weeks in rehab.”
Amazon Description: “Growing up in Beverly Hills, Amy Dresner had it all: a top-notch private-school education, the most expensive summer camps, and even a weekly clothing allowance. But at 24, she started dabbling in meth in San Francisco and unleashed a fiendish addiction monster. Soon, if you could snort it, smoke it, or have sex with it, she did.
Thus began a spiral that eventually landed her in the psych ward–and then penniless, divorced, and looking at 240 hours of court-ordered community service. For two years, assigned to a Hollywood Boulevard “chain gang,” she swept up syringes (and worse) as she bounced from rehabs to halfway houses, all while struggling with sobriety, sex addiction, and starting over in her forties. In the tradition of Orange Is the New Black and Jerry Stahl’s Permanent Midnight, this is an insightful, darkly funny, and shamelessly honest memoir of one woman’s battle with all forms of addiction, hitting rock bottom, and forging a path to a life worth living.”
Amazon Description: “In this tragicomic memoir about alcoholism as spiritual thirst, Heather King—writer, lawyer, and National Public Radio commentator—describes her descent into the depths of addiction. Spanning a decades-long downward spiral, King’s harrowing story takes us from a small-town New England childhood to hitchhiking across the country to a cockroach-ridden “artist’s” loft in Boston. Waitressing at ever-shabbier restaurants, deriving what sustenance she could from books, she became a morning regular at a wet-brain-drunks’ bar—and that was after graduating from law school. Saved by her family from the abyss, King finally realized that uniquely poetic, sensitive, and profound though she may have been, she was also a big-time mess. Casting her lot with the rest of humanity at last, she learned that suffering leads to redemption, that personal pain leads to compassion for others in pain, and, above all, that a sense of humor really, really helps.”
Amazon Description: “There are shelves of memoirs about overcoming the death of a parent, childhood abuse, rape, drug addiction, miscarriage, alcoholism, hustling, gangbanging, near-death injuries, drug dealing, prostitution, and homelessness.
Cupcake Brown survived all these things before she’d even turned twenty.
And that’s when things got interesting. . .
Orphaned by the death of her mother and left in the hands of a sadistic foster parent, young Cupcake Brown learned to survive by turning tricks, downing hard liquor, and ingesting every drug she could find while hitchhiking up and down the California coast. She stumbled into gangbanging, drug dealing, hustling, prostitution, theft, and, eventually, the best scam of all: a series of 9-to-5 jobs.
A Piece of Cake is unlike any memoir you’ll ever read. Moving in its frankness, this is the most satisfying, startlingly funny, and genuinely affecting tour through hell you’ll ever take.”
Amazon Description: “Elizabeth Wurtzel writes with her finger in the faint pulse of an overdiagnosed generation whose ruling icons are Kurt Cobain, Xanax, and pierced tongues. In this famous memoir of her bouts with depression and skirmishes with drugs, Prozac Nation is a witty and sharp account of the psychopharmacology of an era for readers of Girl, Interrupted and Sylvia Plath’s The Bell Jar.”
Amazon Description: “Garnering a vast amount of attention from young people and parents, and from book buyers across the country, Smashed became a media sensation and a New York Times bestseller. Eye-opening and utterly gripping, Koren Zailckas’s story is that of thousands of girls like her who are not alcoholics—yet—but who routinely use booze as a shortcut to courage and a stand-in for good judgment.”
Amazon Description: “Nic Sheff was drunk for the first time at age eleven. In the years that followed, he would regularly smoke pot, do cocaine and Ecstasy, and develop addictions to crystal meth and heroin. Even so, he felt like he would always be able to quit and put his life together whenever he needed to. It took a violent relapse one summer in California to convince him otherwise. In a voice that is raw and honest, Nic spares no detail in telling us the compelling, heartbreaking, and true story of his relapse and the road to recovery. As we watch Nic plunge into the mental and physical depths of drug addiction, he paints a picture for us of a person at odds with his past, with his family, with his substances, and with himself. It’s a harrowing portrait—but not one without hope.”
Amazon Description: “Domenica Ruta grew up in a working-class, unforgiving town north of Boston, in a trash-filled house on a dead-end road surrounded by a river and a salt marsh. Her mother, Kathi, a notorious local figure, was a drug addict and sometimes dealer whose life swung between welfare and riches, and whose highbrow taste was at odds with her hardscrabble life. And yet she managed, despite the chaos she created, to instill in her daughter a love of stories. Kathi frequently kept Domenica home from school to watch such classics as the Godfather movies and everything by Martin Scorsese and Woody Allen, telling her, “This is more important. I promise. You’ll thank me later.” And despite the fact that there was not a book to be found in her household, Domenica developed a love of reading, which helped her believe that she could transcend this life of undying grudges, self-inflicted misfortune, and the crooked moral code that Kathi and her cohorts lived by.
With or Without You is the story of Domenica Ruta’s unconventional coming of age—a darkly hilarious chronicle of a misfit ’90s youth and the necessary and painful act of breaking away, and of overcoming her own addictions and demons in the process. In a brilliant stylistic feat, Ruta has written a powerful, inspiring, compulsively readable, and finally redemptive story about loving and leaving.”
Take psychological self-tests and quizzes, read about symptoms and treatments, compare types of counselling and psychotherapy, learn about secure online therapy, and more
Collaborates with Harvard Health Publications to provide a wide range of unbiased, motivating resources and self-help tools for mental, social, and emotional. 100% nonprofit; dedicated to Morgan Leslie Segal, who died by suicide when she was 29.
Information on mental health, quizzes, and online self-help support groups. The site is owned and operated by Dr. John Grohol, inspired by the loss of his childhood friend to suicide.
An extensive, completely free collection of articles on social skills and getting past social awkwardness. It’s written by someone who’s struggled socially himself, and who has degrees in psychology and counseling.
(Updated 1/22/22) This is a list of 75+ professional membership organizations for mental health clinicians and specialists. It includes the divisions of the American Counseling Association (ACA) and the American Psychological Association (APA).
(Updated 7/13/23) This is a resource guide for suicide prevention and recovery. There are links to educational sites, assessment/screening tools, trainings courses, recommended books, online support communities, mobile apps, and more.
Suicide Prevention & Recovery: 100+ Resources for Mental Health Professionals & Consumers
Lifetime – Suicide Attempt Self-Injury Count (L-SASI)InstructionsScoring | (Source: University of Washington Center for Behavioral Technology) The L-SASI is an interview to obtain a detailed lifetime history of non-suicidal self-injury and suicidal behavior. Citations: Linehan, M. M. &, Comtois, K. (1996). Lifetime Parasuicide History. University of Washington, Seattle, WA, Unpublished work
Non-Suicidal Self-Injury Assessment Tool Brief Version | Full Version | Assessment tool created by Cornell Research Program on Self-Injury and Recovery
Reasons for Living ScaleScoring Instructions | RFL Scale (long form – 72 items) | RFL Scale (short form – 48 items) | RFL Scale (Portuguese) | RFL Scale (Romanian) | RFL Scale (Simplified Chinese) | RFL Scale (Traditional Chinese) | RFL Scale (Thai) | (Source: University of Washington Center for Behavioral Technology) The RFL is a self-report questionnaire that measures clients’ expectancies about the consequences of living versus killing oneself and assesses the importance of various reasons for living. The measure has six subscales: Survival and Coping Beliefs, Responsibility to Family, Child-Related Concerns, Fear of Suicide, Fear of Social Disapproval, and Moral Objections. Citations: Linehan M. M., Goodstein J. L., Nielsen S. L., & Chiles J. A. (1983). Reasons for Staying Alive When You Are Thinking of Killing Yourself: The Reasons for Living Inventory. Journal of Consulting and Clinical Psychology, 51, 276-286
Suicidal Behaviors Questionnaire | SBQ with Variable Labels | SBQ Scoring Syntax | (Source: University of Washington Center for Behavioral Technology) The SBQ is a self-report questionnaire designed to assess suicidal ideation, suicide expectancies, suicide threats and communications, and suicidal behavior. Citations: Addis, M. & Linehan, M. M. (1989). Predicting suicidal behavior: Psychometric properties of the Suicidal Behaviors Questionnaire. Poster presented at the Annual Meeting of the Association for the Advancement Behavior Therapy, Washington, DC
Suicide Attempt Self-Injury Interview (SASII)SASII Instructions For Published SASII | SASII Standard Short Form with Supplemental Questions | SASII Short Form with Variable Labels | SASII Scoring Syntax | Detailed Explanation of SPSS Scoring Syntax | (Source: University of Washington Center for Behavioral Technology) The SASII (formerly the PHI) is an interview to collect details of the topography, intent, medical severity, social context, precipitating and concurrent events, and outcomes of non-suicidal self-injury and suicidal behavior during a target time period. Major SASII outcome variables are the frequency of self-injurious and suicidal behaviors, the medical risk of such behaviors, suicide intent, a risk/rescue score, instrumental intent, and impulsiveness. Citations: Linehan, M. M., Comtois, K. A., Brown, M. Z., Heard, H. L., Wagner, A. (2006). Suicide Attempt Self-Injury Interview (SASII): Development, Reliability, and Validity of a Scale to Assess Suicide Attempts and Intentional Self-Injury. Psychological Assessment, 18(3), 303-312
University of WA Suicide Risk/Distress Assessment Protocol | (Source: University of Washington Center for Behavioral Technology) Reynolds, S. K., Lindenboim, N., Comtois, K. A., Murray, A., & Linehan, M. M. (2006). Risky Assessments: Participant Suicidality and Distress Associated with Research Assessments in a Treatment Study of Suicidal Behavior. Suicide and Life-Threatening Behavior (36)1, 19-33. Linehan, M. M., Comtois, K. A., &, Ward-Ciesielski, E. F. (2012). Assessing and managing risk with suicidal individuals. Cognitive and Behavioral Practice, 19(2), 218-232
The Columbia Lighthouse Project | Offers free training on the Columbia Protocol (Columbia-Suicide Severity Rating Scale, CSSR-S), a tool for assessing suicide risk
(Updated 9/22/22) This resource guide for grief & loss is for mental health professionals as well as for anyone who is grieving. This grief & loss guide includes a list of recommended books (for both adults and children); free printable PDF workbooks and handouts; and links to education and support sites.
Recommended Books for Grief & Loss
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Ambiguous Loss: Learning to Live with Unresolved Grief (2000) by Pauline Boss, Ph.D. (176 pages)
Bearing the Unbearable: Love, Loss, and the Heartbreaking Path of Grief (2017) by Joanne Cacciatore, Ph.D. (248 pages)
The Grief Club: The Secret to Getting Through All Kinds of Change (2006) by Melody Beattie (368 pages)
Grief Day by Day: Simple Practices and Daily Guidance for Living with Loss (2018) by Jan Warner (272 pages)
The Grief Recovery Handbook, 20th Anniversary Expanded Edition: The Action Program for Moving Beyond Death, Divorce, and Other Losses including Health, Career, and Faith (2009) by John W. James & Russell Friedman (240 pages)
Healing a Teen’s Grieving Heart: 100 Practical Ideas for Families, Friends and Caregivers (Healing a Grieving Heart Series) (2001) by Alan D. Wolfelt, Ph.D. (128 pages)
How to Survive the Loss of a Love (2006) by Melba Colgrove, Ph.D., Harold H. Bloomfield, MD, & Peter McWilliams (208 pages)
It’s OK That You’re Not OK: Meeting Grief & Loss in a Culture That Doesn’t Understand (2017) by Megan Divine (280 pages)
I Wasn’t Ready to Say Goodbye: Surviving, Coping and Healing After the Sudden Death of a Loved One (2008) by Brook Noel & Pamela D. Blair, Ph.D. (292 pages)
No Time for Goodbyes: Coping with Sorrow, Anger, and Injustice After a Tragic Death, 7th ed. (2014) by Janice Harris Lord (240 pages)
Permission to Mourn: A New Way to Do Grief (2014) by Tom Zuba (121 pages)
Resilient Grieving: Finding Strength and Embracing Life After a Loss That Changes Everything (2017) by Lucy Hone, Ph.D. (256 pages)
Unattended Sorrow: Recovering from Loss and Reviving the Heart (2019) by Stephen Levine (240 pages)
When Things Fall Apart: Heart Advice for Difficult Times (2016) by Pema Chodron (176 pages)
The Wild Edge of Sorrow: Rituals of Renewal and the Sacred Work of Grief (2015) by Francis Weller (224 pages)
Recommended Books for Children & Adolescents
The Fall of Freddie the Leaf: A Story of Life for All Ages (1982) by Leo Buscaglia (32 pages, for ages 4-8)
Healing Your Grieving Heart for Kids: 100 Practical Ideas (Healing Your Grieving Heart Series) (2001) by Alan D. Wolfelt, Ph.D. (128 pages, for ages 12-14)
Healing Your Grieving Heart for Teens: 100 Practical Ideas (Healing Your Grieving Heart Series) (2001) by Alan D. Wolfelt, Ph.D. (128 pages, for ages 12-18)
The Invisible String (2018) by Patrice Karst (40 pages, for ages 4-8)
The Memory Box: A Book About Grief (2017) by Joanna Rowland (32 pages, for ages 4-8)
Tear Soup: A Recipe for Healing After Loss (2005) by Pat Schwiebert & Chuck DeKlyen (56 pages, for ages 8-12 years)
When Dinosaurs Die: A Guide to Understanding Death (Dino Tales: Life Guides for Families) (1998) by Laurie Krasny Brown (32 pages, for ages 4-8)
When Someone Very Special Dies: Children Can Learn to Cope with Grief (1996) by Marge Heegaard (32 pages, for ages 9-12)
When Something Terrible Happens: Children Can Learn to Cope with Grief (1992) by Marge Heegaard (32 pages, for ages 4-8)
Recommended Books for Clinicians
Creative Interventions for Bereaved Children (2006) by Liana Lowenstein (205 pages)
Grief Counseling and Grief Therapy, Fifth Edition: A Handbook for the Mental Health Practitioner (2018) by William Worden, Ph.D. (352 pages)
Grief Counseling Homework Planner (PracticePlanners) (2017) by Phil Rich (272 pages)
In the Presence of Grief: Helping Family Members Resolve Death, Dying, and Bereavement Issues (2003) by Dorothy S. Becvar (284 pages)
Transforming Grief & Loss Workbook: Activities, Exercises & Skills to Coach Your Client Through Life Transitions (2016) by Ligia Houben (264 pages)
Treating Traumatic Bereavement: A Practitioner’s Guide (2014) by Laurie Anne Pearlman, Ph.D., Camille B. Wortman, Ph.D., Catherine A. Feuer, Ph.D., Christine H. Farber, Ph.D., & Therese A. Rando, Ph.D. (358 pages)
Free Printable Workbooks & Handouts for Grief & Loss
These unique 250 art exercises increase self-esteem, self-awareness and a feeling of success in artistic expression and communication, allowing clients to engage in therapeutic exercises without judgment. Using simple materials like paper, pencils and markers, these techniques can be immediately implemented in your practice.
Using a generous mix of humor and self-disclosure, Gorski describes different levels at which relationships operate. He explains seven characteristics of addictive intimacy and why they feel so good in the short run and hurt so badly in the long run. He gives hope by describing characteristics of healthy intimacy and provides guidelines for relationship building and transforming in recovery.
Attached guides readers in determining what attachment style they and their mate (or potential mate) follow, offering a road map for building stronger, more fulfilling connections with the people they love.
This book lays bare the logic of forgotten abuse. Psychologist Jennifer Freyd’s breakthrough theory explaining this phenomenon shows how psychogenic amnesia not only happens but, if the abuse occurred at the hands of a parent or caregiver, is often necessary for survival. Freyd’s book will give embattled professionals, beleaguered abuse survivors, and the confused public a new, clear understanding of the lifelong effects and treatment of child abuse.
Beyond Addiction goes beyond the theatrics of interventions and tough love to show family and friends how they can use kindness, positive reinforcement, and motivational and behavioral strategies to help someone change. Drawing on forty collective years of research and decades of clinical experience, the authors present the best practical advice science has to offer.
Trauma is a fact of life. Veterans and their families deal with the painful aftermath of combat; one in five Americans has been molested; one in four grew up with alcoholics; one in three couples have engaged in physical violence. Dr. Bessel van der Kolk, one of the world’s foremost experts on trauma, has spent over three decades working with survivors. In The Body Keeps the Score, he uses recent scientific advances to show how trauma literally reshapes both body and brain, compromising sufferers’ capacities for pleasure, engagement, self-control, and trust. He explores innovative treatments—from neurofeedback and meditation to sports, drama, and yoga—that offer new paths to recovery by activating the brain’s natural neuroplasticity. Based on Dr. van der Kolk’s own research and that of other leading specialists, The Body Keeps the Score exposes the tremendous power of our relationships both to hurt and to heal—and offers new hope for reclaiming lives.
Will the person you love ever get better? Chances are you’ve grappled with the question. With care and support from their families, people with schizophrenia can and do make vast improvements. Noted therapists Kim Mueser and Susan Gingerich deepen your understanding of the illness and cover a wide range of effective treatments. Based on decades of research and experience, they offer pragmatic suggestions for dealing with depression, psychosis, and other symptoms. They show you how to prioritize needs, resolve everyday problems, and encourage your loved one to set life goals. Plus, individual sections highlight special issues for parents, children, siblings, and partners. Whether you’re facing schizophrenia for the first time or you’ve dealt with its impact for years, you’ll discover innovative ways to handle challenges that arise over the course of treatment, from reducing the chances of relapse to making friends and finding work. Recovery isn’t an endpoint–it’s a lifelong journey. With love, hope, and realistic optimism, striving for it can lead to a richer, more rewarding life for your entire family.
It was love at first sight. The beads of moisture on a chilled bottle. The way the glasses clinked and the conversation flowed. Then it became obsession. The way she hid her bottles behind her lover’s refrigerator. The way she slipped from the dinner table to the bathroom, from work to the bar. And then, like so many love stories, it fell apart. Drinking is Caroline Kapp’s harrowing chronicle of her twenty-year love affair with alcohol.
Flourish builds on Dr. Seligman’s game-changing work on optimism, motivation, and character to show how to get the most out of life, unveiling an electrifying new theory of what makes a good life—for individuals, for communities, and for nations. In a fascinating evolution of thought and practice, Flourish refines what Positive Psychology is all about.
In The Four Agreements, bestselling author don Miguel Ruiz reveals the source of self-limiting beliefs that rob us of joy and create needless suffering. Based on ancient Toltec wisdom, The Four Agreements offer a powerful code of conduct that can rapidly transform our lives to a new experience of freedom, true happiness, and love.
What transforms this book from words on a page to effective daily practices are the ten guideposts to wholehearted living. The guideposts not only help us understand the practices that will allow us to change our lives and families, they also walk us through the unattainable and sabotaging expectations that get in the way.
The message of Hold Me Tight is simple: Forget about learning how to argue better, analyzing your early childhood, making grand romantic gestures, or experimenting with new sexual positions. Instead, get to the emotional underpinnings of your relationship by recognizing that you are emotionally attached to and dependent on your partner in much the same way that a child is on a parent for nurturing, soothing, and protection. Dr. Johnson teaches that the way to enhance or save a relationship is to be open, attuned, and responsive to each other and to reestablish emotional connection.
One of the most directly helpful books on the subject of loss ever written, the first edition of this comforting and inspiring book, published in 1976, sold nearly two million copies. This completely revised and expanded edition encompasses not only the medical and psychological advances in the treatment of loss, but also the authors’ own experiences.
Borderline personality disorder accounts for almost 25 percent of psychiatric hospitalizations in this country. Lost in the Mirror takes readers behind the erratic behavior of this puzzling disorder, examining its underlying causes and revealing the unimaginable pain and fear beneath its surface.
Combining cutting-edge neuroscience with the latest discoveries on the human microbiome, a practical guide in the tradition of Wheat Belly and Grain Brain that conclusively demonstrates the inextricable, biological link between mind and body.
While many desperately need the help of the 12-step recovery program, the traditional AA model’s focus on an external higher power can alienate people who don’t connect with its religious tenets. Refuge Recovery is a systematic method based on Buddhist principles, which integrates scientific, non-theistic, and psychological insight.
Packed with new exercises and the latest research out of the esteemed Gottman Institute, this revised edition of The Seven Principles for Making Marriage Work is the definitive guide for anyone who wants their relationship to attain its highest potential.
Finally, a psychology-based approach to recovery that doesn’t require faith in a god or supernatural being. This book will guide you through a series of 12 steps designed to free you from the patterns that keep you stuck in your addictive cycle. These 12 steps are developed to be workable whether you are currently in a traditional 12-step program or not.
In clear language, this much-praised and important book describes the nature, causes, symptoms, treatment, and course of schizophrenia, and explores living with it from both the patient’s and the family’s point of view. This new, completely updated seventh edition includes the latest research findings on what causes the illness, as well as information about the newest drugs for treatment, and answers the questions most often asked by families, consumers, and providers.
This practical workbook is designed to be used to accompany a person or group in their addiction recovery process. Therefore, it is also recommended for counselors, clergy, sponsors, or anyone else serious about helping others. The workbook is unique in that it can be applied to any addiction, whether it be chemical dependency, sex, eating, spending, working, or gambling, just to name a few. It contains over 101 practical exercises and leaves no stone unturned in helping the workbook user uncover and deal with the issues they encounter while in recovery.
If you struggle with addiction, seeking treatment is a powerful, positive first step toward eventual recovery. But gaining an understanding of the causes of addiction—such as feelings of helplessness or loss of control—is also crucial for recovery. In this book, addiction expert Suzette Glasner-Edwards offers evidence-based techniques fusing cognitive behavioral therapy (CBT), motivational interviewing, and mindfulness-based relapse prevention to help you move past your addictive behaviors.
Get the tools you need to recover from alcoholism and other forms of addiction. This substance abuse workbook equips you with actionable strategies and coping techniques to succeed in recovery when faced with daily challenges, stressors, and triggers.
Developed from years of experience working with complex and challenging clients, Daniel Fox, PhD has created the ultimate workbook to effectively treat clients with antisocial, histrionic, narcissistic and borderline personality disorders.
Living with anxiety, panic disorders, or phobias can make you feel like you aren’t in control of your life. Tackle the fears that hold you back with this go-to guide. Packed with the most effective skills for assessing and treating anxiety, this evidence-based workbook contains the latest clinical research. You’ll find an arsenal of tools for quieting worry, ending negative self-talk, and taking charge of your anxious thoughts.
Learn practical strategies for identifying anxiety triggers, challenging the thoughts and beliefs that lead to distress, safely facing feared situations, and truly loosening anxiety’s grip – one manageable step at a time. Updated throughout, the second edition includes evaluation exercises that help you get to know your anxiety; up-to-date information about panic attacks, social anxiety, and other topics; additional graphics; and new troubleshooting tips and tools for success.
Attachment theory explores the different ways we develop connections with others. If you’re searching for a way to create stronger, healthier, and more authentic relationships with the people you love, The Attachment Theory Workbook can help. It’s your guide to understanding your own attachment style and exploring actionable exercises to improve honesty, intimacy, and communication with your partner, family, or close friends.
Many tens of thousands of mental health and health care professionals have used this essential book – now significantly revised with 70% new content reflecting important advances in the field – to develop and sharpen their skills in motivational interviewing (MI). Clear explanations of core MI concepts are accompanied by carefully crafted sample dialogues, exercises, and practice opportunities. Readers build proficiency for moving through the four processes of MI – engaging, focusing, evoking, and planning – using open-ended questions, affirmations, reflective listening, and summaries (OARS), plus information exchange.
Designed for mental health clinicians, coaches, and clients alike, The CBT Toolbox is a go-to resource for addressing unhelpful thinking patterns and implementing practical, proven, action steps to achieve goals and live life more intentionally. Dr. Riggenbach is legendary for providing evidence-based strategies that actually work, all in the form of his signature “tools.”
Anxiety and panic are intense emotions, and in the moments that you experience them it may seem like you are powerless, but nothing could be further from the truth. This workbook offers a practical program that you can use on your own, or with a therapist, to take back that power and conquer your anxiety.
Cognitive behavioral therapy (CBT) is the most widely used treatment for depression for one simple reason: it works. The CBT program in this workbook has helped thousands of readers defeat the depressive thoughts and beliefs that keep them from enjoying life and feeling like themselves. Used alone or in conjunction with therapy, The Cognitive Behavioral Workbook for Depression delivers evidence-based tools you can confidently use to start feeling better.
In The Complex PTSD Workbook, you’ll learn all about C-PTSD and gain valuable insight into the types of symptoms associated with unresolved childhood trauma. Take healing into your own hands while applying strategies to help integrate positive beliefs and behaviors.
Featuring more than 225 user-friendly handouts and worksheets, this is an essential resource for clients learning dialectical behavior therapy (DBT) skills, and those who treat them. All of the handouts and worksheets discussed in Marsha M. Linehan’s DBT Skills Training Manual, Second Edition, are provided, together with brief introductions to each module written expressly for clients. Originally developed to treat borderline personality disorder, DBT has been demonstrated effective in treatment of a wide range of psychological and emotional problems. No single skills training program will include all of the handouts and worksheets in this book; clients get quick, easy access to the tools recommended to meet their particular needs.
This comprehensive resource provides vital tools for implementing DBT skills training. The reproducible teaching notes, handouts, and worksheets used for over two decades by hundreds of thousands of practitioners have been significantly revised and expanded to reflect important research and clinical advances. The book gives complete instructions for orienting clients to DBT, plus teaching notes for the full range of mindfulness, interpersonal effectiveness, emotion regulation, and distress tolerance skills.
From the best-selling author, Mary Ellen Copeland, comes the Second Edition of The Depression Workbook. Learn to practice the latest research-based self-help strategies to relieve depression and address other mental health issues.
The Dialectical Behavior Therapy Skills Workbook, a collaborative effort from three esteemed authors, offers evidence-based, step-by-step exercises for learning these concepts and putting them to work for real and lasting change. Start by working on the introductory exercises and, after making progress, move on to the advanced-skills chapters. Whether you’re a mental health professional or a general reader, you’ll benefit from this clear and practical guide to better managing your emotions.
If you have an anxiety disorder or experience anxiety symptoms that interfere with your day-to-day life, you can benefit from learning four simple skills that therapists use with their clients. These easy-to-learn skills are at the heart of dialectical behavior therapy (DBT), a cutting-edge therapeutic approach that can help you better manage the panic attacks, worries, and fears that limit your life and keep you feeling stuck.
With this powerful and proven-effective workbook, you’ll find practical exercises for overcoming trauma using mindfulness, interpersonal effectiveness, emotion regulation, and distress tolerance. You’ll learn how to be present in the moment and identity the things that trigger your trauma. You’ll also find activities and exercises to help you cope with stress, manage intense emotions, navigate conflict with others, and change unhealthy thought patterns that keep you stuck. Finally, you’ll find practical materials for review and closure, so you can take what you’ve learned out into the world with you.
Trauma can turn your world upside down; afterward, nothing may look safe or familiar. And, if you are a woman, studies show that you are twice as likely than your male counterparts to suffer from the effects of a traumatic event sometime during your life. Whether the trauma is physical, sexual, or emotional, these events can overwhelm you, destroying your sense of being in control and altering your attachments to others. If left unaddressed, the resulting psychological trauma can lead you to a wide range of destructive symptoms like anxiety, depression, substance abuse, phobias, personality disorders, flashbacks, emotional numbing, and nightmares. This book offers proven-effective, step-by-step exercises you can use to work through and minimize the consequences of a traumatic event.
In The PTSD Workbook, Third Edition, psychologists and trauma experts Mary Beth Williams and Soili Poijula outline techniques and interventions used by PTSD experts from around the world to conquer distressing trauma-related symptoms. In this fully revised and updated workbook, you’ll learn how to move past the trauma you’ve experienced and manage symptoms such as insomnia, anxiety, and flashbacks.
What are the ingredients of a successful and enduring relationship? Love, passion, and commitment are all vital―yet without certain basic skills, even the most devoted partners can find themselves descending into arguments, power struggles, and disillusionment. With The Relationship Skills Workbook, Dr. Julia Colwell presents a practical guide for building a conscious partnership based on cooperation and trust―offering relationship-saving techniques and on-the-spot conflict resolution tools for disarming the explosive clashes that most commonly break couples apart.
With this second edition of The Self-Esteem Workbook, you’ll learn to see yourself through loving eyes by realizing that you are inherently worthy, and that comparison-based self-criticism is not a true measure of your value. In addition to new chapters on cultivating compassion, forgiveness, and unconditional love for yourself and others—all of which improve self-esteem—you’ll find cutting-edge information on brain plasticity and how sleep, exercise, and nutrition affect your self-esteem.
If you are shy or socially anxious, you may dread going to parties, speaking in front of crowds or people you don’t know, going to job interviews, and other critical life situations. You aren’t alone. In fact, studies show that millions of people suffer from a social anxiety disorder. Unfortunately, you can’t hide from some social situations—no matter how much you wish you could. But you don’t have to go on suffering silently. The good news is there are proven-effective techniques you can start using right away to help ease your anxiety or shyness and start living the life you were meant to live: a life where fear doesn’t get in the way of reaching your goals.
Wellness and health are interrelated, but distinct concepts. Health is considered free from disease. Wellness is much more complex. Optimum wellness balances five basic dimensions: physical, career, emotional, social, and spiritual. In this wellness workbook you will find a wellness scale in each chapter, and wellness worksheets that are printable and reproducible. This wellness workbook, written for practitioners to use one-on-one or with groups, contains five sections to help participants learn more about themselves and their lifestyles. It also includes a bonus section on life skills.
For more than thirty years, John W. Travis, M.D., and Regina Sara Ryan have taught hundreds of thousands of people a practical whole-self approach to wellness and healthy living.
Harvard addiction and trauma expert Lisa M. Najavits offers this step-by-step program to help women overcome the often-overlooked problems associated with their drug and alcohol addictions, such as body image, trauma and violence, relationships, stress, and thrill-seeking. She explores how women differ from men in their addiction and recovery, and adapts this information to help you embark on your journey to healing. A chapter on co-occurring emotional problems allows you to evaluate whether you have any of the key disorders common among women with addiction, such as depression, post-traumatic stress, eating disorders, or phobias.
86 T.I.P.S. (Treatment Ideas and Practical Strategies) for the Therapeutic Toolbox features dozens of reproducible handouts, experiential activities, exercises, self-discovery tools and more. The topics covered are perfect for individual clients or in group therapy settings. Within the T.I.P.S. approach, each of the 86 activities, handouts or strategies is broken down even further into T.I.P.s (Theory, Implementation and Processing). This unique approach makes every TIP easy to understand and put to practice.
127 More Amazing Tips and Tools for the Therapeutic Toolbox is Judy Belmont’s third Tips and Tools book in PESI’s bestselling series that has offered thousands of clinicians practical “hands on” strategies to help clients reach therapeutic goals. Judy Belmont’s newest Tips and Tools addresses today’s evolving needs, using techniques from CBT, DBT and positive psychology to help their clients and their practice.
Judith Belmont, M.S., has gathered this collection of T.I.P.S. (Treatment Ideas and Practical Strategies) from more than 30 years of clinical experience coupled with her passion for “hands-on” mental wellness education. These are straightforward and universally relevant “how to” exercises and all the TIPS are geared to helping participants take a proactive approach – and experience change, not just talk about it. Within the T.I.P.S. approach, each of the 103 activities, handouts or strategies is broken down even further – into T.I.P.s (Theory, Implementation and Processing). This unique approach makes every TIP easy to understand and put to practice. You will find blueprints for group success in icebreakers, role plays, mindfulness, stress resiliency, communication skills, imagery, personal growth, group cohesiveness and skill building.
Bestselling author Judith Belmont has created another treasure chest of hands-on and easy-to-use handouts, activities, worksheets, mini-lessons and quizzes that help clients develop effective life skills.
Energize, empower and educate your group participants with these 100 interactive activities designed for clients dealing with mental health and substance abuse recovery issues.
This is the workbook that all mental health professionals wish they had at the beginning of their careers. Containing over 100 approaches to effectively deal with trauma, this workbook pulls together a wide array of treatments into one concise resource. Equally useful in both group and individual settings, these interventions will provide hope for the client, as well as expand and solidify the professional’s expertise.
Simple, attachment is the way that we connect to each other. Without attachment, people feel alone to deal with challenges they face, which leads to distress, dysfunction and mental health disorders. It is possible to repair dysfunctional attachment, but first it is necessary to recognize attachment style, unhealthy relationship patterns, and the impact they are having.
Guidelines are presented for evaluating information from multiple sources, constructing a wide-ranging differential diagnosis, creating a safety hierarchy, and using decision trees to derive a valid working diagnosis. The book addresses specific issues in diagnosing the conditions most often seen in mental health practice, with an emphasis on how diagnosis informs effective treatment. More than 100 vivid vignettes illustrate the diagnostic process and allow readers to practice their skills.
With more questions and answers than any other edition, the Encyclopedia of Counseling, 4th Edition, is still the only book you need to pass the NCE, CPCE, and other counseling exams. Every chapter has new and updated material and is still written in Dr. Rosenthal’s lively, user-friendly style counselors know and love. The book’s new and improved coverage incorporates a range of vital topics, including social media, group work in career counseling, private practice and nonprofit work, addictions, neurocounseling, research trends, the DSM-5, the new ACA and NBCC codes of ethics, and much, much more.
Showing how to weave assessment into all phases of therapy, this indispensable text and practitioner guide is reader friendly, straightforward, and practical. Specific strategies are provided for evaluating a wide range of clinical issues and concerns with adults, children and adolescents, families, and couples. The authors demonstrate ways to use interviewing and other techniques to understand both individual and relationship functioning, develop sound treatment plans, and monitor progress. Handy mnemonics help beginning family therapists remember what to include in assessments, and numerous case examples illustrate what the assessment principles look like in action with diverse clients.
Utilizing pedagogical tools such as call-out boxes, Test Yourself questions, and case studies, the author provides step-by-step guidelines for effective planning, goal setting, and evaluation, along with tips for giving constructive feedback and applying coaching strategies to motivate supervisees. She also clearly explains how to manage paperwork and describes specialized techniques, such as using video in supervision. This informative text also includes a special section on ethics authored by a leading expert in the field.
Providing immediately useful group counseling suggestions and tips for addictions counselors, Group Exercises for Addiction Counseling offers powerful techniques that can be adapted to any clinical practice.
Now in a fully rewritten fourth edition, this is the authoritative presentation of motivational interviewing (MI), the powerful approach to facilitating change. It has been updated and streamlined to be even more user-friendly as a practitioner guide and course text. MI originators William R. Miller and Stephen Rollnick elucidate the four tasks of MI – engaging, focusing, evoking, and planning – and vividly demonstrate what they look like in action. A wealth of vignettes and interview examples illustrate the dos and don’ts of successful implementation in diverse contexts. The book reviews the evidence base for the approach and covers ways to assess the quality of MI. The companion website provides reflection questions, annotated case material, and additional helpful resources.
Providing tools to enhance treatment of any clinical problem, this book shows how integrating motivational interviewing (MI) and cognitive-behavioral therapy (CBT) can lead to better client outcomes than using either approach on its own. The authors demonstrate that MI strategies are ideally suited to boost client motivation and strengthen the therapeutic relationship, whether used as a pretreatment intervention or throughout the course of CBT.
Courtney Armstrong’s The Therapeutic “Aha!” explores the thrilling and rare moment when a client reaches an elusive realization, allowing them to make meaningful change. In 10 straightforward strategies, this practical book demonstrates how to shake things up in therapy when a client is stuck or stalled to jumpstart progress. Readers will learn how to spark the “emotional brain”―the part of the brain that houses automatic, unconscious patterns―and create new neural pathways that engage and advance the healing process.
The latest research from neuroscience and psychotherapy has shown we can rewire the brain to facilitate trauma recovery. Trauma Treatment Toolbox teaches clinicians how to take that brain-based approach to trauma therapy, showing how to effectively heal clients’ brain with straightforward, easy-to-implement treatment techniques.
Initially, the idea of group therapy terrified me. What if I can’t “control” the group? What if I can’t think of anything to say? And the overly dramatic, What if everyone gets up and walks out?
Group facilitation wasn’t always comfortable, and I made many mistakes, but I grew. I realized it’s okay to be counselor and human; at times, humans say dumb stuff, hurt each other’s feelings, and don’t know the answer.
This resource guide provides practical information and tools for group therapy for mental health practitioners.
Group therapy is an evidence-based treatment for substance use and mental disorders. An effective group calls for a skilled clinician to meet treatment standards.
Professional associations, such as the American Group Psychotherapy Association, have developed best practice guidelines based on scientific data and clinical research. The Association for Specialists in Group Work created best practice guidelines for group work and guiding principles.
Fun Facts: My favorite icebreaker activity involves passing out blank slips of paper to each group member and instructing them to write a “fun fact” about themselves, something no one else in the group would know.
Depending on the crowd, you may want to tell clients not to write anything they wouldn’t want their peers to know. (I adopted this guideline after a client wrote about “sharting” himself.) Once everyone has written something, have them fold their papers and place in a container of some sort (a gift box, paper bag, plastic bowl, etc.) Group members take turns passing around the container (one-at-a-time) and picking a slip to read aloud. They must then guess who wrote it. (Give them at least three guesses before turning it over to the rest of the group.)
Icebreaker Question Cards: A similar but more structured activity is to write out questions ahead of time and have clients take turns drawing and answering the questions. Questions can be silly, thought-provoking, or to illicit a strong emotional response (depending on audience and goals).
People Search: This activity utilizes a list of traits, feats, talents, or experiences. Each client receives the list and is given x amount of time to find someone in the group who is a match; that individual will then sign off. The first person to have their list completely signed sits down; they win.
(Prizes optional, but always appreciated.) During the debriefing, it’s fun to learn more (and thereby increase understanding and compassion).
First Impressions: This works best with group members who don’t know each other well. It’s important for group members to at least know each other’s names (or wear name tags). Each group member has a sheet of paper with various “impressions.”
Clients write other group members’ names for each impression. In addition to enhancing a sense of community, this activity provides an avenue for discussing harmful stereotypes and stigma.
Affirmations Group: Affirmations groups can be powerful, generating unity and kindness. The effect seems to be more pronounced in gender-specific groups. There are a variety of ways to facilitate an affirmations group, ranging from each person providing an affirmation to the client on their right to individuals sharing a self-affirmation with the group to creating a self-affirmation painting.
Another idea is to give each client a sheet of paper. (Consider using quality, brightly-colored paper/posterboard and providing markers, gel pens, etc.) Clients write their name on it and then all the papers are passed around so each group member has the opportunity to write on everyone else’s sheet. Once their original paper is returned to them, they can read and share with the group. This can lead to a powerful discussion about image, reputation, feeling fake, etc.
Most Likely & Least Likely to Relapse: This activity works best with a well-formed group and may require extra staff support. It’s good for larger groups and can be highly effective in a therapeutic community.
Clients receive blank pieces of paper and are tasked to write the names of who they think is most likely and least likely to relapse. After writing their own name on the sheet, they turn it in to staff (effectively allowing staff to maintain a safe and productive environment). Staff then read each sheet aloud (without naming who wrote it). If they choose, clients can share what they wrote and provide additional feedback. (Most do.) Clients selected as “most likely” (in either category) have the opportunity to process with other group members and staff.
Access more group therapy worksheets and handouts here.
In need of fresh material? It can be easy to fall into a rut, especially if you’re burnout or working with a particularly challenging group. The following three PDF downloads are lists of ideas/questions for groups.
Practical Tips for Psychoeducation & Process Groups
As a group facilitator, consider incorporating some sort of experiential activity, quiz, handout, game, etc. each group to engage clients and keep them engaged.
Handout review (clients take turns reading) (5-10 minutes)
Group discussion/processing (10-15 minutes)
Restroom/smoke break (5 minutes)
Roleplay or short video clip (to visually present what was covered in the handout/discussion) (5-10 minutes)
Facilitator summarizes and asks group members how they will incorporate what they learned or how they’re feeling (5 minutes)
Group members have the opportunity to respond (5-10 minutes)
If an experiential or interactive exercise isn’t feasible, provide coffee or snacks; sitting for 45 minutes is difficult for some, and 90 minutes can be unbearable.
Another idea is to have a “fun” or “free” group. Ideas include going bowling, having a potluck, Starbucks run, game group, escape room, nature walk, etc.
Dealing with Challenges
Clients are not always willing therapy participants; some are court-ordered to attend or there to have privileges restored. Some attendees may be there “voluntarily,” but only to save their marriage or keep a job, not believing they need help. In residential treatment, clients attend mandatory groups as part of the daily schedule.
Even when attendance is truly voluntary, a group member may be in a bad space. Maybe they’re stressed about the rent or just got into a fight with their significant other. Or what if the AC is broken and the group room is 80 degrees?
Anticipating challenges is the first step to effectively preventing and managing them.
Click here for a helpful article from Counseling Today that addresses the concept of client resistance.
Tips for Dealing with Challenges
1. If possible, co-facilitate. One clinician leads while the other observes. The observer remains attuned to the general “tone” of the group (e.g., facial expressions, body language, etc.)
2. Review the expectations at the beginning of every group. Ask clients to recall the guidelines (instead of you telling them). This promotes a collaborative spirit.
3. After guidelines are reviewed, explain that while interrupting is discouraged, there may be times when you interject to maintain the overall wellness and safety of the group. (Knowing this, a client is less likely to get angry or feel disrespected when/if it happens.)
4. And if during group you must interrupt, apologize and explain the rationale.
5. Avoid power struggles at all costs, especially when a client challenges the benefits of treatment. Challenging the efficacy of treatment (or you as a clinician) is a defense mechanism. If the group is relatively healthy, you may want to illicit feedback from other group members before responding. Sometimes, the best response is simply “okay,” or none at all… and keep moving to avoid the group becoming a complaint session. You could also acknowledge the client’s perspective and ask to meet with them after group to discuss.
6. If a client becomes angry or tearful, give them time to vent for a moment or two (don’t “Band-Aid”); they may be able to self-regulate. (If they do self-regulate, share your observations and offer praise.)
7. If a client’s anger escalates to a disruptive level, ask them to take a break. At this point, their behavior is potentially triggering other group members. Don’t raise your voice. Stay calm and be respectful but firm. Direct them to step out and ask them to return when they’re ready.
8. If a client is disrespectful (cursing at you or another client, name-calling, insulting, etc.) while escalated, let them know it’s not okay, but don’t attempt to provide feedback. (A simple, “Hey, that’s not okay,” will suffice.) Bring it up with the client later when they’re able to process.
9. Once the escalated client exits the room, acknowledge what happened and let the group know you intend to follow up with that person. If a group member wants to talk about it, ask them to limit their share to how it made them feel, but stress that it’s not okay to talk about an absent group member. (“How would you feel if we talked about you when you weren’t here?”) Strongly suggest that they wait until the person returns (and is open) to have a group discussion (if appropriate).
10. After a major blow-up (and once everyone is calm), it can be beneficial for the group to process it with the person who escalated. Group members can empathize/relate, share their observations and/or how it made them feel, and offer feedback.
11. If other disruptive behaviors occur in group (side conversations, snoring, etc.) address them in the moment objectively (without shaming). Point out the behavior and explain how it’s disruptive to the group. Refer back to the group guidelines. Ask group members to comment as well. If you let a behavior persist, hoping it will eventually stop, you’re sending the message that it’s okay, not only to the person who is disruptive, but to the entire group. This impacts the integrity of the group and opens things up for additional disruptive behaviors.
12. For clients who monopolize, are constantly joking, or who attempt to intentionally distract by changing the topic, objectively point out your observations. When appropriate, ask other group members to comment on your observations and provide feedback to their peer.
13. If, on the other hand, one or several clients seem disengaged or unmotivated, consider asking why, privately or in the group, whichever is clinically appropriate.
14. If there’s a general level of disengagement, bring it up in the group. Remain objective and state your observations.
15. Anticipate that at times, people may not have much to say. (Consider that while there’s always something to learn or process, that doesn’t mean someone is ready to or has the emotional energy to.) Maybe they’re distracted or tired or feeling “talked out.” It’s good to have backup plans: watch a psychoeducational film, take a walk in the park, listen to meditations or music, provide worksheets, education reading material, or coloring sheets.
16. Always keep in mind a client’s stage of change, their internal experiences (e.g., hearing voices, social anxiety, paranoia, physical pain, etc.), external circumstances (e.g., recent medication change, loss of housing, conflict with roommates, etc.), and history of trauma. What looks like resistance may be something else entirely.
Adverse Outcomes in Group Psychotherapy | Roback, H. B. (2000). Adverse outcomes in group psychotherapy: Risk factors, prevention, and research directions. The Journal of Psychotherapy Practice and Research, 9(3), 113–122.
Differences that Make a Difference | Change-Caffaro, S., & Caffaro, J. (2018). Differences that make a difference: Diversity and the process group leader. International Journal of Group Psychotherapy, 00: 1-15.
Group Interventions| Ezhumalai, S., Muralidhar, D., Dhanasekarapandian, R., & Nikketha, B. S. (2018). Group interventions. Indian Journal of Psychiatry, 60(Suppl 4), S514–S521.
Group Therapy for Substance Use Disorders | Wendt, D. C., & Gone, J. P. (2017). Group therapy for substance use disorders: A survey of clinician practices. Journal of Groups in Addiction & Recovery, 12(4), 243–259.
Modeling Cohesion Change in Group Psychotherapy | Tucker, J. R. (2016). Modeling cohesion change in group psychotherapy: The influence of group leader behaviors and client characteristics. Graduate Theses and Dissertations, 15175.
Effective Group Therapy | (2023) Putting together a successful group involves thinking not only about the structure of the group but about the interactions between group members and how those interactions can support the therapeutic process. (Source: American Psychological Association)
Center for Group Studies | The Center provides a unique method of group training. Principles and techniques are based on the theory that the group is a powerful agent of change.
Group Dynamics | This blog provides some links and book chapters on various topics related to the study of groups. You can also find teaching resources related to group dynamics.
Management Library | This site provides free resources for managers, entrepreneurs, and leaders. Much of the content on facilitation and teams is applicable to group facilitation.
My Group Guide | A great tool for those who do not have the time to find worksheets/handouts for their clients, group activities, and other resources.
Resources in Group Psychotherapy | Helpful resources and links for group psychotherapy from the Sacramento Center for Psychotherapy, including an online forum.
Systems-Centered Training & Research Institute | SCTRI is an non-profit organization with members from all around the world that supports training and research in the systems-centered approach.
The following is a list of movies about addiction and mental disorders that are appropriate to show in treatment settings. This post includes movie summaries and downloadable PDF handouts with questions for discussion.
Please note that some of the films on this list are graphic and may not be appropriate for children or adolescents.
Hint: The handouts contain spoilers; do not provide until after the movie ends.
Movies About Addiction & Mental Illness
Disclaimer: This post contains affiliate links. As an Amazon Associate I earn a small commission from qualifying purchases.
103 minutes (1 hour, 43 minutes), R-rating for language and drug use
Summary: Julia Roberts plays a mother, Holly, whose 19-year old son, Ben, surprises her by returning home for Christmas. Ben is newly in recovery; his addiction has placed a tremendous strain on the family in the past. Ben’s younger siblings are happy to see him, but Holly, fearing that he is not ready, is apprehensive.
That evening, the family attends church. When they return, they find their home burglarized and the dog missing. Ben blames himself, believing someone from his past took the dog to get his attention; he leaves to look for the dog. Holly goes with him, but they’re later separated, and Holly attempts to track Ben. Eventually, she ends up at an abandoned barn where she finds her son on the floor, unresponsive. The movie ends with her administering Narcan to Ben.
127 minutes (2 hours, 7 minutes), R-rating for strong language and content relating to drugs, sexuality, and suicide
Summary: Winona Ryder plays Susanna, a young woman with borderline personality disorder, who is sent to a psychiatric hospital after a suicide attempt in the late 1960s. She befriends Lisa (Angelia Jolie), who carries a diagnosis of sociopathy (antisocial personality disorder). Initially, Susanna is in denial about her mental condition and is not open to treatment. However, she reaches a turning point after a tragedy.
123 minutes (2 hours, 3 minutes), PG-13 rating for mature thematic elements including substance abuse/recovery, some sexual situations, language, and brief violence
Summary: Trevor (Haley Joel Osment) starts a chain reaction of goodness for a social studies project with a plan to change the world for the better. In this film, Trevor is a high school student whose mother, Arlene (Helen Hunt), struggles with alcoholism and whose father is abusive. He rises above unfortunate circumstances with the kindhearted idea to do a good deed, but instead of requesting payback, asking the receiver to “pay it forward” to at least three people – and on and on. While the movie has a bittersweet end, the message is uplifting and powerful.
Summary: Charlie is an unpopular high school freshman, a “wallflower,” who is befriended by two seniors, Patrick and Sam (Emma Watson). The movie is about their friendship and Charlie’s personal struggles with the recent suicide of his friend and his own mental illness. Throughout the film, Charlie has flashbacks of his aunt, who died in a car accident when he was 7. It’s eventually revealed that Charlie’s aunt molested him; a sexual encounter with Sam triggers Charlie’s repressed memories. Charlie has a mental breakdown.
113 minutes (1 hour, 54 minutes), R-rating for language and brief sexuality
Summary: Anne Hathaway plays Kym, a troubled young woman, who returns from rehab to her family home for her sister’s wedding. The film portrays how Kym’s addiction has placed strain on the family.
Other great resources for using clinical films as therapeutic interventions include the book Movies & Mental Illness: Using Films to Understand Psychopathy, 4th ed. (by Danny Wedding and Ryan M. Niemiec) and the site Teach With Movies.
(Updated 11/28/23) If you’re a counselor or therapist, you’re probably familiar with Therapist Aid, one of the most well-known sites for providing no-cost therapy worksheets. But Therapist Aid isn’t the only resource for free clinical tools! This is a list of over 200 sites with free therapy worksheets and handouts.
See below for links to websites with free therapy worksheets and handouts for clinical use and self-help.
Click here for therapy worksheets, handouts, and guides posted on this site. Access additional free printables by joining Mind Remake Project’s Facebook group, Resources for Mental Health Counselors & Social Workers. 🆕
Sites with Free Therapy Worksheets & Handouts
Therapy Worksheets for Mental Health
91 Free Counseling Handouts | Handouts on self-esteem, emotions, recovery, stress, and more (Source: Kevin Everett FitzMaurice)
A Good Way to Think: Resources | Therapy worksheets and handouts on happiness, well-being, values, etc. (Source: A Good Way to Think by David)
Articles by Dr. Paul David | Clinical handouts on depression, relationships, substance use disorders, family issues, etc. (Source: Dr. Paul David, PhD)
Black Dog Institute: Resources & Support | Downloadable fact sheets, handouts, mood trackers, and more on a variety of mental health topics (Source: Black Dog Institute Australia)
Bryan Konik: Free Therapy Worksheets | A collection of therapy worksheets on stress management, anxiety, relationships, goal setting, and trauma (Source: Bryan Konik, Therapist & Social Worker)
Cairn Center: Resources | A modest collection of printable assessments, handouts, and worksheets on DBT, anxiety, depression, etc. (Source: Cairn Center)
Coping.us | Printable tools for coping (Source: James J. Messina, PhD & Constance Messina, PhD)
Cornell Health: Fact Sheet Library | A variety of handouts and tracking sheet on various health topics; only a few relate to mental health and addiction (Source: Cornell University)
Counseling Library Handouts | A collection of handouts on depression, trauma, personality, and more (Source: Morning Light Counseling, Carrie M. Wrigley, LCSW)
Downloads | A small collection of therapy worksheets/workbooks on boundaries, anger, anxiety/mindfulness, relationships, and more (Source: Christina Bell, Registered Psychologist)
DOWNLOADS from Get Self Help | Free therapy worksheets and handouts on a variety of topics (Source: Getselfhelp.co.uk)
EchoHawk Counseling: Materials and Resources | Articles, worksheets, and handouts on a variety of topics, including boundaries, emotions, grief, stress, trauma, etc. (Source: Lance Echo-Hawk)
Faith Harper: Worksheets and Printables | A small collection of therapy worksheets and handouts, including a gratitude journal (Source: Faith G. Harper, PhD, LPC-S, ACS, ACN)
Free Social Work Tools and Resources | Worksheets, workbooks, assessments, and other resources for adults and children (Source: SocialWorkersToolbox.com)
Self-Help Library | Multiple handouts on topics including communication, relationships, anxiety, ADHD, anger, depression, and more (Source: Present Centered Therapy)
Self-Help Toolkits | Articles and handouts on worry, depression, assertiveness, etc. (Source: Dr. Danny Gagnon, PhD, Montreal Psychologist)
Therapy Worksheets | A resource blog with links to free therapy worksheets on various mental health topics (Source: Therapy Worksheets by Will Baum, LCSW)
Tim’s Resource Notebook | A small collection of handouts on various topics such as relationships, emotions, and values (Source: Tim’s Resource Notebook)
Therapy Worksheets for Substance Use Disorders & Addiction
Substance Abuse | 12-page PDF packet (Source: Carleton University, Criminal Justice Decision Making Laboratory & Ontario Ministry of Community Safety and Correctional Services)
Relaxation | 15-page packet on relaxation skills for anxiety (Source: Michigan Medicine)
Stress Management | 5-page packet on stress management (Source: Inner Health Studio)
Stress Management – Patient Handouts | A collection of handouts on stress management; some of the other sections, including “General Health and Wellness” and “Nutrition” have links to handouts as well (Source: UMASS Medical School Department of Psychiatry)
Printable Grief and Loss Resources | A fairly extensive collection of printable handouts on grief and loss (Source: Hamilton’s Funeral & After Life Services)
Anger Management | 13-page PDF packet (Source: Carleton University, Criminal Justice Decision Making Laboratory & Ontario Ministry of Community Safety and Correctional Services)
Free Tools | Handouts, worksheets, and workbooks including mindful coloring sheets (Source: The Wellness Society)
Handouts and Worksheets | 21-page PDF packet with handouts and worksheets on self-care topics (Source: Psychological First Aid for Schools Field Operations Guide)
Online CBT Resources | Worksheets and questionnaires from Andrew Grimmer, a counselling psychologist and accredited cognitive behavioural psychotherapist in the UK (Source: Online CBT Resources)
Oklahoma TF-CBT Therapy Resources | Printable trauma-focused handouts and assessments for therapists to use with children and adolescents (Source: Oklahoma TF-CBT Therapy Resources)
Prevention Dimensions: Lesson Plans | Downloadable PDF handouts for children from kindergarten to sixth grade (Source: Utah Education Network)
Printable Worksheets | Worksheets for children on physical activity, substance abuse, nutrition, and more (Source: BJC School Outreach and Youth Development)
Just for Teens: A Personal Plan for Managing Stress | 7-page PDF handout (Source: American Academy of Pediatrics from Reaching Teens: Strength-Based Communication Strategies to Build Resilience andSupport Healthy Adolescent Development)
Oklahoma TF-CBT Therapy Resources | Printable trauma-focused handouts and assessments for therapists to use with children and adolescents (Source: Oklahoma TF-CBT Therapy Resources)
Oregon State University: Learning Corner | Student worksheets on time management, wellness, organization skills, etc. (Source: Oregon State University Academic Success Center)
The Relaxation Room | Self-care and stress management handouts for college students (Source: Andrews University)
Resilience Toolkit | PDF handouts for college students on resiliency (Source: Winona State University)
Self-Help Resources | Links to articles for college students on a variety of topics (not in PDF form) (Source: Metropolitan Community College Counseling Services)
Step UP! Resource Library | Worksheets/handouts for students on prosocial behavior and bystander intervention (Source: Step UP!)
Your Life Your Voice: Tips and Tools | Links to articles and PDF printables on a variety of topics for teens and young adults (Source: Your Life Your Voice from Boys Town)
Therapy Worksheets for Marriage/Relationships & Family
Attitudes and Behaviour | 9-page PDF packet on criminal thinking (Source: Carleton University, Criminal Justice Decision Making Laboratory & Ontario Ministry of Community Safety and Correctional Services)
Motivation To Change | 16-page PDF packet on motivation to change criminal behavior (Source: Carleton University, Criminal Justice Decision Making Laboratory & Ontario Ministry of Community Safety and Correctional Services)
Peers & Relationships | 12-page PDF packet on how associates impact criminal behavior (Source: Carleton University, Criminal Justice Decision Making Laboratory & Ontario Ministry of Community Safety and Correctional Services)
