, Fifth Edition
FOUNDATIONS OF
ADDICTIONS COUNSELING
David Capuzzi
Professor Emeritus, Portland State University
Faculty Emeritus, Walden University
Mark D. Stauffer
Walden University
,Content Development: Katie Blackburn
Content Production: Neha Sharma
Product Management: Rebecca Fox-Gieg
Product Marketing: Krista Clark
Rights and Permissions: Jenell Forschler
Please contact www.AskPearsonSupport.com with any queries on this content.
Please contact us with concerns about any potential bias at https://www.pearson.com/report-bias.html
You can learn more about Pearson’s commitment to accessibility at https://www.pearson.com/us/accessibility.html
Cover Image: Morgan Somers/E+/Getty images
Copyright © 2025, 2020, 2016 by Pearson Education, Inc. or its affiliates, 221 River Street, Hoboken, NJ 07030. All
Rights Reserved. Manufactured in the United States of America. This publication is protected by copyright, and
permission should be obtained from the publisher prior to any prohibited reproduction, storage in a retrieval system,
or transmission in any form or by any means, electronic, mechanical, photocopying, recording, or otherwise. For
information regarding permissions, request forms, and the appropriate contacts within the Pearson Education Global
Rights and Permissions department, please visit www.pearsoned.com/permissions/.
Acknowledgments of third-party content appear on the appropriate page within the text, which constitutes an
extension of this copyright page.
PEARSON is an exclusive trademark owned by Pearson Education, Inc. or its affiliates in the U.S. and/or other
countries.
Unless otherwise indicated herein, any third-party trademarks, logos, or icons that may appear in this work are the
property of their respective owners, and any references to third-party trademarks, logos, icons, or other trade dress
are for demonstrative or descriptive purposes only. Such references are not intended to imply any sponsorship,
endorsement, authorization, or promotion of Pearson’s products by the owners of such marks, or any relationship
between the owner and Pearson Education, Inc., or its affiliates, authors, licensees, or distributors.
Library of Congress Cataloging-in-Publication Data
Names: Capuzzi, David | Stauffer, Mark D.
Title: Foundations of Addictions Counseling / [edited by] David Capuzzi,
Faculty Emeritus, Walden University, Professor Emeritus, Portland State
University, Mark D. Stauffer, Walden University.
Description: Fifth edition. | Hoboken, NJ : Pearson, [2025] | Includes index.
Identifiers: LCCN 2023033875 (print) | LCCN 2023033876 (ebook) | ISBN
9780138233440 (paperback) | ISBN 9780138233266 (ebook) | ISBN
9780138233310 (ebook) | ISBN 9780138233419 (ebook)
Subjects: LCSH: Drug abuse counseling.
Classification: LCC RC564 .F69 2025 (print) | LCC RC564 (ebook) | DDC
362.29/186—dc23/eng/20230921
LC record available at https://lccn.loc.gov/2023033875
LC ebook record available at https://lccn.loc.gov/2023033876
$PrintCode
ISBN 10: 0-13-823344-6
ISBN 13: 978-0-13-823344-0
, PREFACE
Whether you are entering the field of addictions counseling or are a counselor who wants to be
prepared for the screening, assessment, and treatment of addiction in your practice, this text pro-
vides a foundational basis. Foundations of Addictions Counseling addresses real-life clinical concerns
while providing the necessary information to keep up to date with trends. It also addresses the
evolving standards of professional organizations, accrediting bodies, licensure boards, and grad-
uate programs and departments. Counselors in school, mental health, rehabilitation, hospital,
private practice, and a variety of other settings must be thoroughly prepared to support clients in
their quest to be healthy and unimpaired. As the profession of counseling has matured, more and
more emphasis has been placed on the importance of preparing counselors to work holistically
and synthesize knowledge domains from mental health, developmental, and addiction perspec-
tives. The authors provide this knowledge in support of counselors’ work on behalf of various
clients and diverse communities.
Counselors can expect some of their clients to want to address concerns connected with
the use and misuse of substances and the development of addictive behavior. This book draws
on the specialized knowledge of the writers of each contributed chapter. It is written for use
in graduate-level preparation programs for counselors. Because of the clarity of the writing
and the use of case studies, it may also be adopted in some undergraduate and community
college courses. Requirements of the Council for the Accreditation of Counseling and Related
Educational Programs (CACREP) and other certification associations have led most university
programs in counselor education to require an addictions course for all students, regardless of
specialization (school, community, rehabilitation, couples, marriage and family, student person-
nel, etc.). Addictions counseling is also being offered for CADC I and II certifications, which
require undergraduate coursework related to addictions counseling.
UNIQUE TO THIS EDITION
• Major revisions of all the chapters so that each topic is even more comprehensively
addressed in this edition.
• Additional case studies to further illustrate points and enliven class discussion.
• Additional informational sidebars to encourage the visual learner and precipitate reader
contemplation.
• More emphasis on issues connected with diversity, equity, and inclusion.
• Integration of updated and current research from the field’s peer-reviewed journals.
• Clearly stated objectives for each chapter.
It is our hope that this fifth edition of Foundations of Addictions Counseling will provide the emerg-
ing student counselor with the foundations needed for follow-up courses and supervised prac-
tice in the arena of addictions counseling.
Although the text addresses the history, theories, and research related to addictions coun-
seling, at least half of the book’s emphasis is on techniques and skills needed by the practitioner.
In addition, guidelines for addictions counseling in family, rehabilitation, and school settings are
iii
FOUNDATIONS OF
ADDICTIONS COUNSELING
David Capuzzi
Professor Emeritus, Portland State University
Faculty Emeritus, Walden University
Mark D. Stauffer
Walden University
,Content Development: Katie Blackburn
Content Production: Neha Sharma
Product Management: Rebecca Fox-Gieg
Product Marketing: Krista Clark
Rights and Permissions: Jenell Forschler
Please contact www.AskPearsonSupport.com with any queries on this content.
Please contact us with concerns about any potential bias at https://www.pearson.com/report-bias.html
You can learn more about Pearson’s commitment to accessibility at https://www.pearson.com/us/accessibility.html
Cover Image: Morgan Somers/E+/Getty images
Copyright © 2025, 2020, 2016 by Pearson Education, Inc. or its affiliates, 221 River Street, Hoboken, NJ 07030. All
Rights Reserved. Manufactured in the United States of America. This publication is protected by copyright, and
permission should be obtained from the publisher prior to any prohibited reproduction, storage in a retrieval system,
or transmission in any form or by any means, electronic, mechanical, photocopying, recording, or otherwise. For
information regarding permissions, request forms, and the appropriate contacts within the Pearson Education Global
Rights and Permissions department, please visit www.pearsoned.com/permissions/.
Acknowledgments of third-party content appear on the appropriate page within the text, which constitutes an
extension of this copyright page.
PEARSON is an exclusive trademark owned by Pearson Education, Inc. or its affiliates in the U.S. and/or other
countries.
Unless otherwise indicated herein, any third-party trademarks, logos, or icons that may appear in this work are the
property of their respective owners, and any references to third-party trademarks, logos, icons, or other trade dress
are for demonstrative or descriptive purposes only. Such references are not intended to imply any sponsorship,
endorsement, authorization, or promotion of Pearson’s products by the owners of such marks, or any relationship
between the owner and Pearson Education, Inc., or its affiliates, authors, licensees, or distributors.
Library of Congress Cataloging-in-Publication Data
Names: Capuzzi, David | Stauffer, Mark D.
Title: Foundations of Addictions Counseling / [edited by] David Capuzzi,
Faculty Emeritus, Walden University, Professor Emeritus, Portland State
University, Mark D. Stauffer, Walden University.
Description: Fifth edition. | Hoboken, NJ : Pearson, [2025] | Includes index.
Identifiers: LCCN 2023033875 (print) | LCCN 2023033876 (ebook) | ISBN
9780138233440 (paperback) | ISBN 9780138233266 (ebook) | ISBN
9780138233310 (ebook) | ISBN 9780138233419 (ebook)
Subjects: LCSH: Drug abuse counseling.
Classification: LCC RC564 .F69 2025 (print) | LCC RC564 (ebook) | DDC
362.29/186—dc23/eng/20230921
LC record available at https://lccn.loc.gov/2023033875
LC ebook record available at https://lccn.loc.gov/2023033876
$PrintCode
ISBN 10: 0-13-823344-6
ISBN 13: 978-0-13-823344-0
, PREFACE
Whether you are entering the field of addictions counseling or are a counselor who wants to be
prepared for the screening, assessment, and treatment of addiction in your practice, this text pro-
vides a foundational basis. Foundations of Addictions Counseling addresses real-life clinical concerns
while providing the necessary information to keep up to date with trends. It also addresses the
evolving standards of professional organizations, accrediting bodies, licensure boards, and grad-
uate programs and departments. Counselors in school, mental health, rehabilitation, hospital,
private practice, and a variety of other settings must be thoroughly prepared to support clients in
their quest to be healthy and unimpaired. As the profession of counseling has matured, more and
more emphasis has been placed on the importance of preparing counselors to work holistically
and synthesize knowledge domains from mental health, developmental, and addiction perspec-
tives. The authors provide this knowledge in support of counselors’ work on behalf of various
clients and diverse communities.
Counselors can expect some of their clients to want to address concerns connected with
the use and misuse of substances and the development of addictive behavior. This book draws
on the specialized knowledge of the writers of each contributed chapter. It is written for use
in graduate-level preparation programs for counselors. Because of the clarity of the writing
and the use of case studies, it may also be adopted in some undergraduate and community
college courses. Requirements of the Council for the Accreditation of Counseling and Related
Educational Programs (CACREP) and other certification associations have led most university
programs in counselor education to require an addictions course for all students, regardless of
specialization (school, community, rehabilitation, couples, marriage and family, student person-
nel, etc.). Addictions counseling is also being offered for CADC I and II certifications, which
require undergraduate coursework related to addictions counseling.
UNIQUE TO THIS EDITION
• Major revisions of all the chapters so that each topic is even more comprehensively
addressed in this edition.
• Additional case studies to further illustrate points and enliven class discussion.
• Additional informational sidebars to encourage the visual learner and precipitate reader
contemplation.
• More emphasis on issues connected with diversity, equity, and inclusion.
• Integration of updated and current research from the field’s peer-reviewed journals.
• Clearly stated objectives for each chapter.
It is our hope that this fifth edition of Foundations of Addictions Counseling will provide the emerg-
ing student counselor with the foundations needed for follow-up courses and supervised prac-
tice in the arena of addictions counseling.
Although the text addresses the history, theories, and research related to addictions coun-
seling, at least half of the book’s emphasis is on techniques and skills needed by the practitioner.
In addition, guidelines for addictions counseling in family, rehabilitation, and school settings are
iii
