Mastering Substance Use History: Practical Tips for Therapists
I'm hoping that hearing how I talk about different scenarios and why I find that to be concerning or not concerning, and what would elevate it to a concerning level, I'm hoping that that would be really helpful.
Ever wondered how to effectively assess a client's substance use history? In this episode of 'All Things Substance', Betsy Byler, a seasoned therapist and substance abuse counselor, shares her tried-and-true methods for exploring someone's substance use history. This episode is a treasure trove of practical advice, perfect for therapists looking to expand their skills in this crucial area.
Betsy breaks down the process step-by-step, from initial questions about substance use to delving deeper into specific substances like pills, over-the-counter drugs, and more. She also highlights the importance of not conducting sessions with clients who are under the influence, ensuring a clear and effective assessment. But it doesn't stop there.
Betsy dives into the different types of substance use disorders as classified in the DSM, including the dangers of hallucinogens like PCP and ecstasy, and the troubling rise of inhalant use among homeless youth. She also touches on stimulant use disorders, covering substances like cocaine, crack, and methamphetamine. For those new to substance use assessments, Betsy introduces various screening tools such as the CAGE questionnaire, the DAST, and the AUDIT.
These tools can be invaluable in identifying problem areas, although she notes they might not be suitable for every client. This episode is packed with insights that can help any therapist feel more confident and competent in assessing substance use. Whether you're just starting out or looking to refine your approach, Betsy's expertise offers valuable perspectives that can enhance your practice.