Alcohol Dependence Counseling
Mary is 27 years old and has had a history of alcohol dependence for several years. Mary has a daughter Kylie, aged 3 years, who displays signs of fetal alcohol syndrome. Social work services have been involved with Mary and Kylie since her birth, culminating in Kylie being looked after by the local authority as a result of Mary arriving to collect Kylie from the local nursery while significantly under the influence of alcohol. Mary has demonstrated ambivalence regarding her ability to control her alcohol use. Mary has referred herself to a local counseling agency as suggested by the social worker and her PCP.
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Alcohol Dependence Counseling
- Discuss how you might use the principles of motivational interviewing with Mary.
- Provide a detailed overview of how the interview may progress. Include each step of motivational interviewing in your discussion.
- Describe how a provider would recognize this patient is ready to change. Use principles of motivational interviewing to support your answer.
- post should be at least 500 words, formatted and cited in current APA style.
- Provide support for your work from at least 2 academic sources less than 5 years old.
Applying Motivational Interviewing Principles
Motivational interviewing (MI) is a client-centered approach that can help Mary explore her ambivalence about alcohol use. The first step is engaging, where the provider builds rapport with Mary through open-ended questions. For example, asking, “Can you tell me about your experiences with alcohol?” can encourage her to share her story. Reflective listening will validate Mary’s feelings and create a safe space for discussion.
The next step is focusing, where the provider helps Mary identify what matters most to her. This could involve exploring her goals for Kylie’s wellbeing. The provider might ask, “How do you feel your drinking affects your relationship with Kylie?” This question connects Mary’s values as a mother to her alcohol use. Affirmations, such as “It’s great that you came to counseling,” help build Mary’s confidence.
The third step is evoking, where the provider elicits Mary’s own motivations for change. This involves exploring the pros and cons of her drinking behavior. Using techniques like decisional balancing, the provider can ask, “What are some good and bad things about your alcohol use?” Eliciting change talk is crucial here. Statements like………….
