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

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.

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

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

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

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.

Counseling
The Long Good-Bye: 19 Years of Addiction Counseling

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.

Counseling