From: F. Rotgers

I don't expect my MD to be well versed in all treatments, but I do expect him to be aware of the options for treating a whole variety of disorders, or if he isn't to have the good sense to refer me to a specialist who is. In the addictions field neither is the typical case--most practitioners haven't got the foggiest notion of treatment modalities other than the one they use, and they rarely, if ever, refer out to other practitioners. When I have a client who needs a detox, I don't insist that he go to a particular practitioner for it, I suggest several options. When I have a client who says to me "I really think I need to get in touch with my higher power, that's what's gonna work for me" I refer that person to a 12-step counselor. The reverse rarely occurs, in my experience--i.e. 12-step counselors rarely, if ever, refer clients who have trouble with the 12-step concepts to cognitive-behavioral providers--they just keep hammering away at the 12-step, often blaming the client or the "disease" for their lack of success.


Frederick Rotgers, Psy.D., Director
Program for Addictions Consultation and Treatment of the Rutgers Center of Alcohol Studies
950 Hamilton Street
Somerset, NJ 08873