Dr. Andrew Tatarsky, a pioneer in Integrative Harm Reduction Psychotherapy, shares insights from his 35-year journey in addiction treatment. He emphasizes a compassionate approach that meets clients where they are, challenging the limitations of abstinence-only methods. The conversation delves into the psychology of addiction, exploring motivations behind substance use and the importance of the therapeutic alliance. Techniques like 'urge surfing' highlight mindfulness in managing cravings, promoting healthier coping strategies without immediate demands for abstinence.
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insights INSIGHT
Start By Asking Their Goals
Harm Reduction Psychotherapy starts by asking the client "What are your goals?" rather than imposing abstinence.
Keeping the clinician's agenda to the side creates a safer space for genuine exploration and change.
question_answer ANECDOTE
From Abstinence Programs To Harm Reduction
Andrew Tatarsky describes working in abstinence-only programs and later breaking the rules to help actively using clients in therapy.
That shift, and mentorship from Alan Marlatt, led him to develop Integrative Harm Reduction Psychotherapy.
question_answer ANECDOTE
Personal Treatment Trauma Shaped His Work
At 15 he experienced a therapeutic community that turned abusive after he 'broke a rule', causing lasting trauma and dissociation.
That treatment trauma later motivated him to create a more compassionate, empowering alternative.
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Discover a transformative approach to recovery in this episode with Dr Andrew Tatarsky, PhD. Harm Reduction Psychotherapy (HRP) offers a groundbreaking alternative to traditional methods, prioritizing understanding and empathy over immediate abstinence. Driven by personal experiences, Dr. Tatarsky unveils the limitations of abstinence-only treatment.
Explore the depths of addiction with a focus on deciphering intricate motivations and meanings behind behaviors. This therapeutic journey champions collaboration, respecting autonomy, and delving into personal and relational significance. Dive into the art of "urge surfing" and learn how to craft new pathways for self-care, even if total abstinence isn't the initial destination.
Dr Tatarsky is an internationally recognised leader in the treatment of problematic substance use and the developer of Integrative Harm Reduction Psychotherapy.
He has specialized in substance use treatment for over 35 years working as a counselor, psychologist, program director, trainer, advocate and author.
Dr Tatarsky advocates for a psychobiosocial understanding of addiction and an integrative harm reduction approach to treatment.
This conversation provides an accessible introduction to Harm Reduction Psychotherapy, covering things like:
— The limitation of the disease model of addiction and abstinence-only based approaches
— The importance of meeting clients “where they’re at” and gradually empowering their recovery process
— How to use strategies such as “urge surfing” and “18 alternatives” to gradually move beyond addiction
— Why it’s important to have a bio-psycho-social lens on addiction.
And more.
You can learn more about Dr Tatarsky’s work by going to www.andrewtatarsky.com.
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Andrew Tatarsky is an internationally recognized leader in the treatment of problematic substance use and other potentially risky behaviors. He has specialized in the field of substance use treatment for 35 years working as a counselor, psychologist, program director, trainer, advocate and author. He has devoted his career to developing a comprehensive psychobiosocial understanding of the broad spectrum of substance use problems and an integrative harm reduction psychotherapy approach to treating this spectrum. This treatment is described in his book, Harm Reduction Psychotherapy: A New Treatment for Drug and Alcohol Problems, and several professional papers that extend the approach. The book has been released in paperback and Kindle, published in Poland by the Polish Office of Drug Prevention and has been translated into Spanish and is available in a free pdf.
Dr. Tatarsky is Founder and Director of the Center for Optimal Living in NYC, a treatment and professional training center based on Integrative Harm Reduction Therapy (IHRP) for the spectrum of substance misuse and other high-risk behaviors. He earned his doctorate in clinical psychology from the City University of New York and is a graduate of New York University’s Postdoctoral Program in Psychotherapy and Psychoanalysis. He is a member of the medical and clinical advisory panels to the Office of Alcoholism and Substance Abuse Services of New York State. Dr. Tatarsky is a founding member and twice past-president of the Division on Addiction of New York State Psychological Association.
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3 Books Dr Tatarsky Recommends Every Therapist Should Read:
— Practicing Harm Reduction Psychotherapy: An Alternative Approach to Addictions, Second Edition — Patt Denning & Jeannie Little - https://amzn.to/3Q2BxL6
— Over the Influence: The Harm Reduction Guide to Controlling Your Drug and Alcohol Use Second Edition — Patt Denning & Jeannie Little - https://amzn.to/3Ojmr2u
— Harm Reduction Psychotherapy: A New Treatment for Drug and Alcohol Problems — Andrew Tatarsky - https://amzn.to/3O3Ge4G