Table 1.

In the last week, how many times would you say you addressed each of the following therapeutic topics directly with your clients? (N=9)

Topics Related to Increasing Well-being (α=.77)			Topics Related to Decreasing Pathology (α=.88)
	Mean	SD		Mean	SD
Providing support and validation	16.3	5.5	Consequences of drug/alcohol use	14.6	6.7
Increasing positive social interactions	12.1	6.4	Relapse prevention	14.3	6.4
Visions for a sober life	9.6	7.6	Psychiatric issues	10.8	5.0
Fun, positive, pleasant activities	9.2	4.9	Cravings and urges	10.5	6.8
Spirituality	8.9	6.1	Relapse	9.4	7.9
Service or kind acts toward others	6.6	6.3	Trauma (history of abuse)	8.1	6.0
Exercise	5.8	4.9	Drink/drug refusal skills	6.5	5.4
Meditation	5.2	5.3	HALT (hungry, angry, lonely, tired)	6.1	6.2
Hobbies	5.2	4.4	Enabling	4.7	3.7
Communication skills	5.1	3.7	Other addictions	3.6	3.5
Gratitude, or making a gratitude list	4.9	3.4	Antibuse, Bupinorphine, other meds	1.8	2.7
Job search or occupational skills	3.2	2.4	Detoxification	1.6	2.3

Note. Figures represent average number of times each topic was raised “last week,” a full-time work week for all counselors. Counts are standardized to represent 25 hours of direct counseling. Topics are listed from most to least frequently addressed.