TIP 48: Managing Depressive Symptoms in Substance Abuse Clients During Early Recovery
SAMHSA · 2008 · 163 pages · For addiction counselors and clinical supervisors
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A SAMHSA protocol that shows substance use counselors how to recognize and manage depressive symptoms in clients during the first months of recovery. It covers screening, counseling strategies, and when to refer out, with a separate implementation guide for administrators and a full literature review.
Depressive symptoms are common in early recovery, and this TIP gives addiction counselors a framework that stays inside their scope of practice.
Run it with these materials
Behavioral activation and mood tracking worksheets carry the counseling strategies, and the free PHQ-9 and CES-D cover the screening step the TIP recommends.
This manual is a publication of SAMHSA. Therapy Resource is not affiliated with, or endorsed by, its publisher. The summary above is our own; always follow the manual itself and your clinical judgment. If you are in crisis, contact 988 Suicide & Crisis Lifeline or call 911.