Motivational Interviewing - Good Example - Alan Lyme
Summary
TLDRIn the provided transcript, Alan Lime, a social worker, meets with Miss Clark to address her increasing stress and anxiety, which she has been coping with through alcohol. Dr. Seal referred her to Lime due to concerns about her alcohol consumption. The conversation reveals that Miss Clark's drinking may be contributing to her stress levels and potential health risks. Lime discusses the potential for drug interactions and the importance of finding alternative stress management strategies. Miss Clark expresses readiness to cut back on alcohol and is open to behavioral health support, showing commitment to change for the sake of her well-being and responsibilities.
Takeaways
- 😀 Alan Lime is a social worker at the Family Health Center and is meeting with Miss Clark to discuss her stress and anxiety issues.
- 🍷 Miss Clark has been seeing Dr. Seal due to increasing stress and anxiety, and she mentions that her alcohol consumption has been increasing.
- 🏥 Dr. Seal is concerned about Miss Clark's alcohol consumption and its potential impact on her stress levels, hence the referral to Alan Lime.
- 📝 Miss Clark fills out a form indicating her alcohol consumption, which shows she is in an 'at risk' zone based on the scale provided.
- 🚫 The standard drink size is discussed, and it is suggested that Miss Clark might be drinking more than she initially reported.
- 🚶♀️ Miss Clark has previously used exercise to manage stress, but her current schedule makes it difficult to fit in.
- 💰 Miss Clark acknowledges that her increased alcohol consumption is adding to her financial stress, which is counterproductive.
- 🤔 Alan Lime explores Miss Clark's motivations for drinking and her willingness to consider changes, finding that she is quite motivated to address her drinking habits.
- 💊 Miss Clark is open to the possibility of reducing or stopping her alcohol consumption if it means she can receive medication for her anxiety from Dr. Seal.
- 🏋️♀️ Alan Lime suggests that Miss Clark could benefit from talking to a Behavioral Health Specialist and offers to set up an appointment for her.
- 📚 Alan Lime provides Miss Clark with information on alcohol and its interaction with medications, which could be crucial for her decision-making.
Q & A
Why was Alan Lime referred to Miss Clark by Dr. Seal?
-Alan Lime was referred to Miss Clark by Dr. Seal due to increasing stress and anxiety that was affecting his life, and a concern that his alcohol consumption might be contributing to the problem.
What is the initial concern that Dr. Seal has regarding Alan's alcohol consumption?
-Dr. Seal is concerned that Alan's alcohol consumption may be increasing as a response to stress, which could potentially lead to health issues and complicate any treatment he might prescribe.
What is the significance of the 'pink sheet' that Alan filled out?
-The 'pink sheet' is a form that Alan filled out to assess his alcohol consumption. It helps Miss Clark understand the frequency and quantity of his drinking, which is part of the evaluation process for potential health risks.
What does the scale on the 'pink sheet' measure and what does Alan's score indicate?
-The scale on the 'pink sheet' measures the risk associated with alcohol consumption, ranging from 0 to 40. Alan's score of six places him in an 'at risk' zone, which is not high risk but could potentially lead to increased stress and health issues.
What is the standard drink size that Miss Clark refers to and how does it compare to Alan's usual consumption?
-The standard drink size Miss Clark refers to is typically less than what Alan fills his glass with, indicating that he might be consuming more alcohol than he realizes, which could affect his health and stress levels.
What are the recommended limits for alcohol consumption for healthy women Alan's age according to Miss Clark?
-For healthy women Alan's age, it is recommended to have no more than three drinks in one setting and no more than seven drinks in one week to be considered lower or no risk.
What are some of the negative effects of Alan's current drinking habits mentioned in the script?
-The negative effects of Alan's drinking habits include increased financial burden due to his preference for expensive wine, waking up feeling unwell after drinking more than he should, and the potential for increased stress rather than reduced stress.
What does Alan consider as the positive aspects of drinking alcohol for him?
-Alan considers the taste of good wine and its temporary stress-relieving effects as the positive aspects of drinking alcohol.
What alternatives to alcohol does Alan consider to help manage his stress?
-Alan has considered exercise as an alternative to help manage his stress, but he acknowledges that his current schedule makes it difficult to fit in regular physical activity.
What is Alan's level of confidence in his ability to change his drinking habits?
-Alan expresses a high level of confidence, rating it a seven or eight out of ten, in his ability to change his drinking habits if it means reducing his stress and improving his overall health.
What is the potential next step for Alan in terms of seeking help for his stress and alcohol consumption?
-The potential next step for Alan is to talk to a Behavioral Health Specialist, who may be able to help him explore ways to manage his stress and consider changes to his drinking habits.
Outlines
🤔 Initial Consultation and Alcohol Consumption Concerns
In this paragraph, Alan Lime, a social worker, meets with Miss Clark to discuss her increasing stress and anxiety. Miss Clark reveals that her alcohol consumption has been escalating, which Dr. Seal has noted as a potential concern. Alan assesses her situation using a scale that indicates she is in an 'at-risk' zone for alcohol-related issues. The conversation highlights the negative impact of her drinking on her health and finances, and Miss Clark acknowledges the need to address this issue, despite her initial belief that moderate wine consumption was healthy.
🔄 Exploring the Impact of Alcohol and Considerations for Medication
This paragraph delves into the potential risks associated with Miss Clark's alcohol consumption, especially in relation to the possibility of medication prescribed by Dr. Seal. Alan discusses the importance of managing her drinking to avoid stress and potential drug interactions. Miss Clark expresses her willingness to either cut back or abstain from alcohol if it means she can receive help for her anxiety. The conversation underscores her motivation to make changes for the sake of her family and personal well-being, and Alan offers resources and the possibility of further support from a Behavioral Health Specialist.
Mindmap
Keywords
💡Social Worker
💡Stress and Anxiety
💡Alcohol Consumption
💡At-Risk Zone
💡Standard Drink Size
💡Health Risks
💡Financial Burden
💡Behavior Change
💡Medication Interaction
💡Motivation
💡Behavioral Health Specialist
Highlights
Alan Lime, a social worker, meets with Miss Clark to discuss her stress and anxiety issues.
Miss Clark's stress and anxiety have increased, prompting her visit to Dr. Seal.
Dr. Seal is concerned about Miss Clark's alcohol consumption and its relation to her stress.
Miss Clark admits to an increase in alcohol consumption, with more frequent drinking.
A 'pink sheet' is used to assess Miss Clark's alcohol intake and its potential risks.
Miss Clark scores six points on the scale, indicating she is in an 'at risk' zone for alcohol consumption.
The standard drink size is discussed, and Miss Clark may be consuming more than she realizes.
Health guidelines for alcohol consumption are shared, with specific limits for women Miss Clark's age.
Miss Clark acknowledges that her drinking may be contributing to her financial stress.
The temporary relief alcohol provides is contrasted with the increased stress it causes.
Miss Clark expresses a willingness to consider reducing her alcohol intake.
The importance of addressing Miss Clark's drinking is rated as a seven out of ten on a scale of importance.
Miss Clark is confident about her ability to make changes regarding her drinking habits.
The potential interaction between prescribed medication and alcohol is a concern for Dr. Seal.
Miss Clark is open to the idea of completely abstaining from alcohol if required for medication.
Miss Clark's readiness to make changes regarding her drinking is rated as an eight out of ten.
Alan Lime offers Miss Clark the opportunity to speak with a Behavioral Health Specialist for support.
Informational pamphlets on alcohol and medication interactions are provided to Miss Clark.
A follow-up with Dr. Seal is planned to monitor Miss Clark's progress with her changes.
Transcripts
well hi Miss Clark my name is Alan lime
I'm a social worker here at the Family
Health Center um Dr seal asked me if I
would spend some time with you today I'm
really glad that you're here I'm just
curious as to why he would send you to
me well I came to see Dr seal last week
because of increasing Stress and Anxiety
that's kind of getting the best of me
and in the course of um my appointment
with him um he was asking how I was
dealing with that stress and I mentioned
that my one or two glasses of wine a few
nights a week is turning into more
frequent in maybe three or four on some
nights and um he had some concerns about
that and and felt like maybe you could
help me with stress or something yeah so
so he um he also to see me because you
went to him for increased stress and
he's concerned that your alcohol
consumption may be a part of that
increase and prior to prescribing you
anything he wanted to make sure that you
at least had someone to talk to about
that I suppose okay I saw that you
filled in one of the pink sheets may I
take a look at that yeah he told me to
fill that out and bring it with me okay
thank you um so um you say here that you
have four or more drinks in one week um
you mentioned that you may be increasing
that a little bit as well um and that
you have one or two drinks in one
setting typically yeah and that maybe um
monthly you have have more than that um
what what's what kind of drinks do you
have what do you drink when you
typically drink um wine with my meals um
you know again one or two typically
and more frequently um three or four
since my stress is increased so it's
starting to increase you're starting to
drink a little more okay well based on
what you put here you it gives you six
points on this scale um scale ranges
from 0 to 40 so six points will put you
in what we would consider an at risk
Zone um so if it's okay with you I talk
a little bit about that okay okay
um so the at risk Zone say it run 0 to
40 uh it's not it's not a super high
risk but it certainly could be a risk
for maybe increasing stress maybe some
physical elements um related to alcohol
as well uh could could start to show up
if you were to increase your drinking
from there or even stay there um this is
a typical standard drink size over here
I'm not sure whether that fits your
description of a glass of wine or not I
fill the glass up so maybe a little more
than that yeah maybe than a little space
at the top so perhaps a drink drink and
a half each one so that also increase a
little bit more so perhaps maybe
drinking more than you indicated on here
and for woman healthy women your age um
no more than three drinks in one setting
is considered to be lower or no risk and
no more than seven in one week seven
total in one seven total in one week and
what you say here is that even on this
sheet you perhaps already drinking more
than that so what do you make of all
that um that it's news to me you know I
thought red wine with your meals is
supposed to be healthy and you know no
more than seven in a week that seems
kind of prohibitive yeah yeah it seems
seems a little less than perhaps you've
been drinking or the what you consider
to be healthy drinking and certainly
there's there conflicting information
out there about what's healthy and
what's not
healthy Imagine The increased stress is
what what concerned Dr seal um as your
stress increases and if he were to
prescribe you anything maybe some
interaction between the two that that
would also be a concern for him I I
would think um so if you would what is
it that you like about alcohol well you
know it it does at least in the moment
temporarily reduce my stress um and I
you know like a good glass of wine I
don't don't drink the cheap stuff I like
the expensive right so you like the
taste of it and it does help to lower
the stress even which is for that that
time you're drinking what are LS of good
things about alcohol for you um well you
know the nights that maybe I have a
couple more glasses than I should I wake
up feeling kind of yuck and um of course
part of my stress is finances and I
mentioned I like the good stuff and so
if I'm drinking more then I'm increasing
my financial burden yeah so so your
financial stress may be increased by the
fact that you're drinking yeah kind of
um defeating the purpose there 22 the
drinking to stress and increasing stress
at the same time so on the one hand it
lowers it and on the other hand it's
increasing it kind a sea TI effect there
um what do you make of of that given
that on one hand it lowers and the other
hand it increases and and now it's
increasing even more and maybe I need to
find some other way to deal with my
stress mhm yeah and have imagine you've
had some thoughts of that what have you
thought of
trying well I've exercised in the past
and that helps um right now my schedule
is kind of out of whack and um I just
really don't know what to do that's why
I came to see Dr seal I thought maybe he
could prescribe me something that would
to help me you know when I'm feeling
overwhelmed and he may be able to I'm
not saying that he cannot I'm just
imagine that he's concerned that if you
if you continue to drink on the level
that you are drinking whatever he
prescribes you there may be an
interaction with the two um I imagine
that's his concern I'm I'm not
completely sure um so you've had some
success in the past with change in
behaviors and if you were to decide to
to make any changes here it sounds like
you could draw on that to make those
changes how important would it be for
you um on a scale of 0 through 10 I have
a little kind of visual here with that
um if zero is is not important 10 is is
very important to do something about
your drinking right now mhm well I mean
if if it means that it's increasing my
stress and or he's not going to
prescribe me anything because of my
drinking then it's fairly important
maybe about a seven that's that's pretty
up there um why did you choose a seven
not a five or a
four well again I've got to get things
under control you know my kids are
dependent on me and um I've got to go to
work to help ease this financial stress
and so you know all those
responsibilities so there's a lot a lot
writing on your decision here on what to
do with this what if anything will bring
it up to an eight or nine on that
scale
um well the you know the risk that you
mentioned um about the drug interaction
I certainly can't afford to
you know have any more stress
so yeah so so you you choose to lower
your stress rather than increase it and
if lowering your drinking would would
have that effect there something you be
willing to do right how confident are
you that you could do something about
your
drinking um pretty confident you know
probably about a seven or an eight okay
so it's pretty H up there again and what
if what if anything would you choose to
do would it be to cut down would it be
to quit I'm just curious about well I
you know I like I said like a good glass
of wine I don't want to quit altogether
um I'd be willing to try cutting back
but now if it's going to if Dr seal
would agree to prescribe me something
for the anxiety and it meant that I had
to not drink at all I'd be willing to do
that at least for a period of time so
you'd be willing to to stop all together
that's what was indicated by The
Physician okay um so so based on that
how ready are you to do anything right
now whether it's to cut back whether
it's to quit well again you know if if I
can get something to help me manage if
maybe I can find some other way to deal
with the stress then then you know I I'd
be pretty ready i' again maybe about an
on that scale maybe an eight okay so
that's that's pretty high up there as
well um it sounds as though you're
pretty motivated to do something about
this right now giv your responsibilities
giv your children relying on you at this
point and just on on lowering your
anxiety in general it sounds that that's
one of your goals as well well I'm
confident that once you decide to do
whatever it is you decide to do you'll
be able to follow through that based on
your experience in the past of of making
Behavior changes I imagine there some
things that you can draw upon um what's
one thing that you could do I imagine
you thought of some things might help to
low your stress well I you know the the
exercise but again that that's kind of
difficult to fit in right now um hoping
that Dr seal will prescribe something
for me to take when I'm feeling
particularly overwhelmed
and um maybe just having somebody to
talk to to bounc some things off of one
of the things we can offer here is for
you to come in and talk to one of our
Behavioral Health Specialists may be
able to help you talk talk through this
this area of your life this area of
increased stress and sound like
responsibility there and we can make an
appointment for you if you like um
before you leave today to talk to
somebody that' be nice great they also
have some information here if you're
interested um some pamphlet on alcohol
and and how what healthy limits are and
how it may be affected by medications
that you take as well um and I I wish
you lots of luck it sounds as though
you're really committed to making this
shift and this change um and I imagine
Dr SE want to follow up with you and see
how you do with your with your change um
within a few weeks okay um and again I I
look forward to speaking to you in the
future all right thank you very much
you're very welcome
Посмотреть больше похожих видео
Poor Interview Skills
3 Motivational interviewing Core Skills in Action
The Upside of Stress: Why Stress is Good for You, and How to Get Good at It
The Clinical Assessment of Substance Use Disorders - role-modeling the initial visit
Call Center Job Interview Simulation | No Call Center Experience
September 1, 2024
5.0 / 5 (0 votes)