Topic: counseling skills
At its root, treatment is primarily a work relationship– with goals that need to be accomplished, and outcomes that must be kept in mind.
Ambivalence isn’t just a matter of figuring out what we want to do. It’s very much about the ability to make good decisions and feel confident about them.
Really resistant clients are already planning to continue using alcohol or drugs throughout treatment, possibly in secret.
Even when the patient has concluded that continued substance use is no longer the best option, he or she still harbors a number of important doubts about the ability to change.
Most addicts and alcoholics wind up in treatment because they’re experiencing difficulties due to substance use– ranging from the pain of withdrawal to troubles with the law, to threatened loss of job or family.
An excellent and comprehensive guide even for very experienced professionals, it also had great value for me in my own experience of recovery.
I realized something: though in her mind we’d played a principal role in her recovery, she’d actually followed none of the directions we’d given her.
The point of the game is to win. You win by knowing the odds and trying to take advantage of them. Even if that means resisting emotional impulses.
With a little leverage and some understanding of effective therapeutic technique, you can increase the chances of successful outcomes with these clients.