Therapists are often at a loss when their clients present with substance misuse. We have mostly been taught to refer them to a 12-Step based treatment program, or at least refuse to see them if they continue to use. This results in many people going without treatment because they cannot or will not comply with those limited options. This two-part series introduces the reader to an alternative to traditional approaches, a model that can be used with all presenting problems because it includes substance abuse treatment within the container of psychotherapy. Read more: Denning Part 1