Emphasize client strengths, past successes, and efforts to take steps, however small, to accomplish change Alcoholics Anonymous goals. These core skills are consistent with the principles of person-centered counseling and can be used throughout your work with clients. If you use these skills, you will more likely have greater success in engaging clients and less incidence of discord within the counselor-client relationship.
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When clients recognize discrepancies in their values, goals, and hopes for the future, their motivation to change increases. Acknowledge sustain talk with a simple https://prostate.chicdz.com/beer-allergy-symptoms-causes-and-treatment-2/ reflective listening response. This validates what the client has said and sometimes elicits change talk. Give the client an opportunity to respond before moving on. “In MI, your main goal is to evoke change talk and minimize evoking or reinforcing sustain talk in counseling sessions.
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Simple refections engage clients and let them know that you’re genuinely interested in understanding their perspective. Complex refections invite clients to deepen their self-exploration (Miller & Rollnick, 2013). In MI, there are special complex reflections that you can use in specific counseling situations, like using a double-sided reflection when clients are expressing ambivalence about changing a alcoholism substance use behavior. Exhibit 3.6 provides examples of simple and complex reflective listening responses to client statements about substance use. Your task is to evoke change talk and selectively reinforce it via reflective listening.
Moderate drinking
- At this point, the client may have identified a change goal.
- These findings support the clinical validity of the recovery profiles and reaffirm the importance of considering indicators of psychological functioning, and not simply alcohol consumption levels, when defining long-term recovery from AUD.
- These differences influence how both you and the client interpret verbal and nonverbal communications.
- Client experience of discrepancy between values and substance use behavior is related to better client outcomes (Apodaca & Longabaugh, 2009).
Dysfunction in these circuits leads to characteristic biological, psychological, social and spiritual manifestations. This is reflected in an individual pathologically pursuing reward and/or relief by substance use and other behaviors. Non-abstinent AUD recovery is possible and is sustainable for up to 10 years following treatment. The current findings align with recent proposals to move beyond relying on alcohol consumption as a central defining feature of AUD recovery. While sustained remission is a remarkable achievement, it’s not synonymous with being “cured.” Addiction is a chronic condition, meaning that vigilance is necessary even during remission.