PDMT-eCover (260 x 330)

The Paradigm Developmental Model Of Treatment incorporates themes from the twelve-steps of Alcoholics Anonymous.  These themes provide clinical goals for the counselor to guide clients in the treatment process.

For those clients that attend AA/NA, this model will strengthen their program.  For those clients that cannot relate to the spiritual aspects of the Twelve-Steps it provides an alternative perspective that is cognitive-behavioral in nature.

This model utilizes motivational interviewing techniques and cognitive-behavioral interventions.  Both MI and CBT are considered evidenced-based therapies and are utilized widely for chemical dependency treatment.

This model provides an assessment scale that pinpoints where a client is in regards to their thinking about their alcohol and drug use and which interventions will be most useful and appropriate given this information. This model is very useful for supervisors to collaborate and provide guidance to their counseling staff.

It is very exciting to share this new model with our professional community.  It has been featured in both Alcoholism Treatment Quarterly Journal and Counselor Magazine.

15 CEU units available through the NASW California Chapter

It is considered a self-study course and registrants pay $25.00 to NASW for the certificate of completion plus the cost of the book if you have not purchased one already. Interested? Click here.

About the authors:
Georgi DiStefano, LCSW and Melinda Hohman, Ph.D


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What the treatment community is saying:

“At once brilliant and practical, this book will be an invaluable resource for novices, experienced clinicians and for the mentors who supervise them.  To engage each client as they come, we have to respect their personal paradigm, AKA their set of assumptions, concepts, values, and practices that constitute their way of viewing reality.  PDMT provides a logical system to understand where our clients are coming from and a guide for healing and transformation to what they could become.”

Clark Smith, MD, DFAPA
Medical Director, Sharp Vista Pacifica
Chemical Dependency Recovery Hospital
San Diego, California


“This book is excellent. It provides a great framework for therapists to use when evaluating and working with substance abusers. The PDMT scale is also a valuable tool for EAP providers to utilize for early detection and motivation during pre-treatment. I highly recommend this model to treatment providers of all disciplines.”

Stephen H. Heidel M.D, MBA
Heidel and Associates, La Jolla, CA
1979-2003 Founder, CEO Integrated Insights
A licensed behavioral health plan including substance abuse and employee assistance programs.


“This book is a superb combination of theory and practice in treating addiction.  It provides a long-needed bridge between psychological and 12-Step program approaches to treatment. This paradigm shift is an important step forward in assessing and treating chemically dependent clients.  It provides excellent guidance for treatment professionals and clinical supervisors in working with addicted clients.  While the major emphasis is on chemical dependency the principles and techniques are also relevant to the treatment of behavioral addictions such as gambling, sexual compulsivity, and eating disorders.”

Jan Parker, PhD
Professor, National University, San Diego, CA
Co-author of The Clinician’s Guide to 12-Step Programs: How, When, and Why to Refer a Client


“It is certainly known that recovery from addictive disorders requires a paradigm shift. In her new book Georgi DiStefano, LCSW demonstrates her understanding and provides with her co-author a well researched, well validated clinical guide for those who wish to serve in this field.”

John E. Milner, MD, Medical Director
Rancho L’Abri Residential Treatment Program
Psychiatry/Addictive Disorders
San Diego, California


This is a must read for all professionals who want to provide effective recovery counseling.”

Annette R. Smith, LCSW, Ph.D.
Author of “The Social World of Alcoholics Anonymous”


“This book is a solid addition to treatment literature. Georgi DiStefano, LCSW has succeeded in putting her extensive clinical experience and expertise in to a manualized CBT Chemical Dependency Book. The authors outline the recovery process based on clinical themes extracted from the twelve steps of AA. There are specific goals and interventions complemented by CBT exercises to help clients achieve their goals. This is a unique and must-read book for all those in the chemical dependency field. Bravo!”

Raymond Fidaleo, MD
Clinical Director of
Sharp Mesa Vista
Cognitive Programs
San Diego, California



“Ms. DiStefano has put together a unique model for helping the practitioner facilitate clients through different stages of recovery. The Paradigm model parallels the steps of AA and translates them into language which anyone can accept. As such, the authors make a major contribution to the field of chemical dependency treatment.”

Alice Fishandler, LCSW
Clinical Social Worker
Addiction Medicine
Kaiser Permanente
San Diego, California



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What our SDSU DUI Program counseling staff is saying:

“There have been countless books and theories on how to work with clients, but at long last, the authors in this book have seriously looked at how to integrate the 12-Steps of AA into a clinical practice. The authors have provided the clinician with a model that utilizes evidence based practices and cognitive behavioral tools to help any client; from the most challenging client population with the most serious mental health issues, to those anticipating change, and for those clients who want to continue their recovery. This book offers clinical interventions and exercises to help clients with problem recognition, self-examination, taking responsibility, and self-regulation. This book is a noteworthy contribution in our field and a must for anyone seeking to make a difference. This book will make a difference in your clinical practice.”

Elsa Torres, MSW
Former Psychiatric Social Worker
Metropolitan State Hospital
Richard J. Donovan Correctional Facility
SDSU DUI Program Counselor


“I was the lead counselor in the initial research project at SDSU DUI Program. Using the scale and knowing the client’s motivators and goals has been extremely beneficial in building trust with the resistive client; putting a contemplative client into action, and guiding a newly sober client. I continue to use the model and the interventions because I feel they make me a better, more effective counselor.”

Gail Donner, CAS
SDSU DUI Program Counselor


“The Paradigm model can be used across all treatment modalities including case management. The exercises included in the book are a valuable resource designed to assist clients through each step of the change process. The Paradigm model creates a comprehensive guide for any counselor, regardless of their level of experience.”

Sandee Richardson, MFTI, RAS
SDSU DUI Program Counselor


“This is an excellent, clear, well organized and comprehensive book for AOD counselors as well as counselors working with co-occurring disorders. The exercises and interventions in paradigm 1, 2, and 3 provide the counselor with a step by step treatment approach that is compatible with a client’s state of readiness. The format is straight forward, easy to apply and provides many options to fit the client’s needs. I have found several interventions that are excellent tools for working with co-occurring disorders.  As a former mental health worker at Bellevue Hospital New York, theses exercises and interventions would have been great tools and time-savers for that setting.”

Cordelia Woodhouse, CAADE
SDSU DUI Program Counselor


“This is a truly unique and insightful new approach to looking at the age old 12-step process.  This book offers a new paradigm treatment model and provides the opportunity to reach any and all clients where they are in their quest for self awareness.  The language of the model will provide an alternative for the most resistant of clients.”

Denice Gansereit, CADDTP
SDSU DUI Program Counselor


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SDSU Driving Under The Influence Program