Mastering Sensitive Conversations About Substance Use with Betsy Byler
I don't have any opinions about what you're doing with your drinking. I'm not going to give you any opinions about what you're using and when I just want to understand what's happening, so we can talk about if that's working and if that's something that you even want to talk about.
Ever struggled to bring up substance use with a client? In this episode of 'All Things Substance', therapist Betsy Byler offers a compassionate guide on preparing clients for these tricky conversations. Betsy, with her extensive experience as a licensed therapist and clinical supervisor, knows that talking about substance use can be as daunting as discussing suicidal thoughts. She stresses the need for creating a safe, non-judgmental space where clients feel comfortable opening up.
Betsy shares practical advice on how to ease into the topic, suggesting phrases like, 'I want to ask you about your history, and some of the questions are going to fit and some aren't, but I want to find out which ones fit for you and don't.' This approach helps clients feel more in control and less defensive. She also emphasizes the importance of asking clients if they are comfortable discussing their substance use, ensuring they feel safe and respected.
The episode dives into the impact of trauma on substance use, highlighting how past experiences can shape one's relationship with substances. Betsy underscores the necessity of screening for trauma and helping clients explore these connections in a supportive environment. Her insights are not just theoretical but grounded in real-life applications that therapists can use immediately.
Whether you're a seasoned therapist or new to the field, Betsy's empathetic approach and practical tips will help you navigate these sensitive discussions with greater confidence and care.