Counseling

What Brad Pitt's Return to Drinking Actually Teaches Us About Sustained Remission Post

Scott Spiers

Published on: 14/08/2026

Brad Pitt relapsed. What's his diagnosis now? In this post, I take a look at the clinical rationale for a severe use disorder in sustained remission.

Brad PittBrad Pitt RelapseDSM-5 DiagnosisSustained RemissionIC&RC exam prep

I'm Suspicious of Practice Exams. I Built One Anyway

Scott Spiers

Published on: 26/07/2026

Most practice exams do more harm than good. This one is a study tool: 150 questions, every answer explained, difficulty that ramps as you go, and free updates for life. Fuck

IC&RC exam prepIC&RC Practice Exam

The CAKE Model: How Being Wrong About Everything Made Me a Better Counselor

Scott Spiers

Published on: 16/06/2026

After 19 years as an addiction counselor and 33 years in recovery, I've stopped being right about everything. Here's what I learned — and why Consider All Known Explanations changed my practice.

CAKE model addiction treatmentaddiction counseling modelsharm reduction12-step facilitation

The Long Good-Bye: 19 Years of Addiction Counseling

Scott Spiers

Published on: 22/09/2025

I've been an Addiction Counselor for 19 years, and 19 years is an awfully long time for me to do anything. This is the beginning of saying farewell.

Addiction CounselingRecoveryAddiction Theory