You're working with a client who has a history of substance abuse. What can you do to help them?

First, let's use the correct term: : Substance Use Disorder. As a clinician I would do a complete clinical evaluation..exploring if the substance use is a form of self medication. Many patients had onset to decrease : stress" "to calm me down".Then they become addicted Sometimes we have missed some disorders and focussed on the Substance Use alone. Establishing all the underlying issues in a treatment plan will increase the chances of patient being succesful in rehabilitaion. I have a discussion with my patient to convince them that we will target the underlying medical problems and will reassess. Many want to quit but not risk the scary reasons that got them there in the first place.

💪 First, establishing a relationship based on trust and understanding is crucial, ensuring they feel seen and heard. Integrating evidence-based practices, such as cognitive-behavioral therapy and motivational interviewing, empowers them to identify triggers and develop coping strategies. A pivotal strategy has been facilitating their connection with peer support groups, offering a sense of community and shared resilience. By personalizing the recovery journey, acknowledging their progress, and adjusting strategies as needed, we foster a path toward healing and self-discovery, proving that with the right support, transformation is possible. 🛤️

I learned very early on in my Social Work career that if you don’t have personal experience never say you understand. It’s best to be honest and genuine. Substance use is an ugly disease and when people overcome it there are so many gaps left in their life. Research suggests, people’s brain stop developing at the time of first use so having that understanding is helpful. Being patient and constant validation can keep them motivated. Reminding them it’ll be difficult to readjust living a sober life. Provide resources on how to get involved in the community and create new hobbies. Boredom is a main factor in relapse. Always remind people they are resilient and if they can win addiction they can overcome all adversities.

I'd find out what they are talking to me for. How'd they get to me? What are their hopes and dreams for the next day, next week if they can see that far? I'm more interested in finding their 'why' we are having a conversation, than in prescribing their route out. Their route out will require a very compelling why. The how follows, and the how is within them.

When I decided it was time for me to get off the drugs and later the booze, I had some dignity I could hang onto. My family still thought something of me, although I didn't think much of myself. I was depressed most of the time and really was surprised another believed I could be of help. What do you have as far as people? Do you think someone needs to be in worse condition than you to help them or is there another way you could look at recovery ... for you?

ISubstance abuse is a pattern of using any substance for changing mood by using drug in amounts that harmful and It’s kind of illness that affects on brain and behavior, and effects on engaging duties and responsibilities,disabilities, impaired control, social issues,distortion of insights and much more Sid effect,working with client who has history of substance abuse dependent on kind of drug they used because effectiveness each of them vary and dealing need specific strategies,show respect, dignity and rapport , seeking help from other professionals specially clinicians, physicians, encourage to rebuild their collaboration with society,

In my experience, there is usually some huge trauma associated with substance abuse and addictions. You can do all of the above but sometimes it’s just listening and empowering the individual to make a healthier choice for themselves. I always say you can lead a horse to water but you can’t force them to drink. Just sit with them and listen. Let them lead their path after all it is their life and they have to choose to take the next step. Walk with them. I find if you try to force someone it can push them deeper into the addiction.

Seeking help is the ultimate for this person. Hiding or being in denial would cause more damages. Secondly, there's a lot that family and friends could do to show love, care and support for this person. Thirdly, this person's job should be secured, laying people off because they're using drugs is inhuman. It is against the human rights of the person. Good luck.