Practicing Harm Reduction Psychotherapy This book presents an innovative model for the treatment of clients with alcohol and substance abuse problems. For the first time, the goals and methods of harm reduction are incorporated into a multidimensional psychotherapeutic approach. Denning demonstrates that traditional, abstinence-based approaches are inappropriate for many people who seek help for psychological or emotional problems, and shows how effective therapeutic work can be conducted even with individuals who are still using drugs. The focus is on reducing the damage done by drug use while respecting each client's needs, priorities, and life choices. A comprehensive clinical rationale is provided, and readers are taken step-by-step through assessment and treatment. Intervention strategies are described in depth, illustrated with extended case examples. Topics covered include addressing the difficulties with effect and trust that are often found in substance-using, looking at neurobiological aspects of addiction, and working with dual- and multidiagnosis patients. Applications to consultation and training are also discussed. Grounded in psychodynamic, cognitive-behavioral, and public health principles, this book will be of immediate practical value to clinicians in a wide range of settings.