Few people can explain harm reduction therapy better than Patt Denning. She’s a clinical psychologist who has played a pioneering role in developing the field, teaching and training thousands of health professionals. I talked with Patt about her own evolution in embracing harm reduction and how she teaches those who had been committed to 12-step and abstinence-only approaches. I asked her how she deals with people who have lost control of their drug use – and why a therapeutic session sometimes works better if the client has taken drugs just before the session.

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