Substance Use Decision Tree-Explained
I created a quick reference guide to help you determine if someone’s substance use is appropriate for you to work with or if they need a specialist. Today I’ll walk through it and explain how it works.

I created a quick reference guide to help you determine if someone’s substance use is appropriate for you to work with or if they need a specialist. Today I’ll walk through it and explain how it works.
People often hide things they aren’t ready to talk about and that can make it really hard to find out organically if someone is overusing substances. In today’s episode we’ll hear about five real people who had issues with alcohol, but wouldn’t have presented for alcohol treatment alone.
Going into private practice is a big deal with a lot of things to consider. One of the biggest decisions that has to be made is if a therapist will take insurance or not. This can be a controversial topic and I wanted to help shed some light on why some therapists choose to stay away from insurance panels.
Andrea Owen is an author, global keynote speaker, and professional certified life coach who helps high-achieving women maximize unshakeable confidence, and master resilience. She has taught hundreds of thousands of women tools and strategies to be able to empower themselves to live their most kick-ass life through keynote speaking, her books, coaching, and her wildly popular podcast with over 4 million downloads.
We’re therapists, not business people. But the field is changing. Agency work is one choice a therapist can make, but increasingly people are looking to go out on their own. Today we’ll talk about the reality of the nonprofit world and the shift into for-profit business.
Dr. Amber Lyda has been on a journey to create a life of freedom, flexibility, and flow for herself and therapists just like us. I’m so thrilled to have had the chance to talk with Amber about the future of therapy and the role that private practice could play in the treatment of substance use.
The future of mental health may not be with large agencies or community mental health. More and more therapists are leaving agencies to go out on their own. There are a lot of reasons for this and we are taking a side step for a few weeks to talk about this impact on our field.
People change because they want to or because they have to. When neither of those things are true, change isn’t going to happen. For substance use, the “readiness to change” may be the single biggest factor in someone making long-lasting change in their relationship with their substance of choice.
What type of substance use is ok for outpatient therapy? What if it's too much for once-a-week therapy? Good news! There is an excellent tool to help us determine what fits into outpatient therapy. Today, we’ll talk about the criteria set by the American Society of Addiction Medicine.
This is a special resource episode for moms during the holidays. My good friend and colleague is hosting a free event that I wanted to share with the All Things Substance listeners. Sarah is teaching moms how to avoid losing it (and themselves) when they’re at their family holiday events. Learn how to create & protect your inner peace without losing your sanity!
Amy grew up with the ups and downs of living with someone who struggles with alcoholism. There are very good times and bad times. She began struggling with her own relationship with alcohol in high school. Over 15 years the struggle would continue until she hit a point that she knew she needed to change something about how she related to alcohol.
We all want to have a good holiday season. A time filled with happiness and peace with our loved ones (friends and family alike). As therapists we know that not everyone has a happy holiday. Today we’ll talk about the stresses that pop up during the holidays and how we can help our clients navigate through them to have the best outcomes they can.
Charting the Course is the program you need in order to feel competent and confident in addressing your clients’ use of alcohol and drugs. You don’t need to go back to school or refer out. Come join the fall cohort of Charting the Course. Listen to this episode to hear more about it!
A short message today about the free webinar tomorrow! We will be talking about the 5 Steps to confidently ask about your client’s use of drugs or alcohol. You can register at betsybyler.com/steps
You don’t need to be in recovery to do substance use work. The truth is that you are enough, as you are. You do not need to have the exact personal experiences as your clients to do good work and this includes substance use.
Substance use is under the umbrella of mental health therapy, where it belongs. The field just has to choose to acknowledge its place there and begin equipping us to navigate it with our clients. In today’s episode we’ll talk about the possible reasons why substance use was seen as separate for so much of our field’s history.
Stop referring out when substance use comes up. You have the skills you need to help your clients with their substance use issues. You may just need a little more information and perhaps some guidance. But the type of substance use that comes up in outpatient therapy is something that can likely be handled in-house. Today I’ll break this down and tell you how and why.
There’s a myth out there about who can work with substance use. The truth is you don't need to get certified or specialize to do substance use work! In today’s episode I’m going to break down this myth and explain the truth on whether or not substance use is part of our scope.
How can you tell if client substance use is recreational or is becoming problematic? It can be hard to tell where someone’s use lies on this spectrum. Today I’ll tell you some of the things I believe are indicators of problematic use.
It’s National Recovery Month in the United States and today I’m going to be sharing my own recovery story. I have told parts of my story but wanted all of you to get to hear the full story of how I found recovery, my journey of becoming a therapist and eventually bringing this podcast to you.
The love of others, the law, nor the hope of a good future are enough to keep someone sober long term. Today we’ll talk about why that is and what to do about it.
The main skills we use every day in therapy sessions are what you need to start working with client substance use. You already HAVE the skills you need to work with substance use and today, I’m going to tell you how it works.
Treating a medical symptom without looking for the cause is what its like to treat substance use without addressing mental health. Mental health therapists are vital to recovering people. We are needed and wanted in that space. Today we’ll talk about the role of mental health therapists in recovery.
Why it's just not true that people who are using choose their substance over their loved ones. My heart, like yours, has hurt for my clients. I’ve been livid with their family or friends and felt helpless. Listen to this episode to hear how I found compassion.
I first “met” Jean, the person featured in today’s episode, while being a guest on her podcast, The Bubble Hour. Jean has been hosting the Bubble Hour for several seasons and provided space for hundreds of guests to share their recovery stories. Serving as an inspiration to people all over the world. In this episode we get to hear her story.
So what’s behind the client’s choice of substances? Why does one person choose alcohol vs marijuana? Why does one person choose pills instead of cocaine? There are actually specific reasons why people choose one drug or another and it can really be helpful to understand the reason.
So what’s behind the client’s choice of substances? Why does one person choose alcohol vs marijuana? Why does one person choose pills instead of cocaine? There are actually specific reasons why people choose one drug or another and it can really be helpful to understand the reason. Helpful Links https://betsybyler.com/over-the-counter-medications/ https://betsybyler.com/what-are-barbiturates/ https://betsybyler.com/sleep-medications/ https://betsybyler.com/adhd-medications/ https://betsybyler.co...
Even mandated clients can make progress and get sober. It can seem challenging to work with mandated clients. In some respects it can be, but therapy can be far better than people think. Check out this episode to hear my tips on how to have a therapeutic relationship with a mandated client. Helpful Links RACGP - Motivational interviewing techniques – facilitating behaviour change in the general practice setting Understanding Motivational Interviewing | Motivational Interviewing Network of Traine...
We are taking a side step from substance use today to talk about the very real impact of the Roe v Wade ruling. Today is an honest and frank conversation with friend and colleague Dr. Jenny Hughes about how the restriction of our rights impacts us professionally and personally. Helpful Links https://www.abortionfinder.org - Helps you find a verified abortion provider or other safe methods of abortion https://abortioncarenetwork.org - Provides access to independent abortion clinics across the cou...
Treating chronic pain is challenging. Mental health definitely plays a role in people’s recovery and is recommended by the medical community. Check out this week’s episode on Apple Podcasts, Spotify or at betsybyler.com/podcast.