Doctor Uses Motivational Interviewing to Discuss Alcohol Use
Summary
TLDRIn this script, a doctor employs motivational interviewing to discuss a young woman's alcohol consumption, highlighting the risks of alcohol exposure during pregnancy. The conversation explores the patient's typical drinking habits and her openness to considering low-risk drinking guidelines. The doctor identifies the patient's current alcohol use as excessive and gently encourages her to reflect on the benefits of reducing consumption, leading to a willingness to revisit the topic and possibly set up a follow-up appointment.
Takeaways
- 🚑 The doctor uses a motivational interviewing approach to discuss the young woman's alcohol use, which is a sensitive topic.
- 📈 There is evidence that discussing alcohol use with patients can lead to them considering and potentially changing their drinking habits.
- 🤰 The conversation is particularly important for young women to reduce the risk of an alcohol-exposed pregnancy.
- 🍺 The young woman admits to heavy drinking during a pub crawl, which resulted in her spraining her ankle.
- 👠 She mentions wearing stilettos and jumping off a bus, which contributed to her injury.
- 🎉 The script highlights that heavy drinking is considered normal among university students, which might normalize risky behavior.
- 🍻 The young woman describes her typical alcohol consumption, which includes seven or eight drinks when going out and a few beers after a long day.
- 🤔 She expresses uncertainty about whether her drinking habits are a concern, indicating a lack of awareness about the risks.
- 📉 The doctor introduces the concept of low-risk drinking guidelines and safe limits, which the young woman is willing to consider.
- 🔄 The young woman acknowledges that she might be drinking above the recommended limits and shows some concern about her tolerance level.
- 💡 She recognizes the benefits of reducing alcohol consumption, such as feeling more productive without a hangover.
- 🗓️ The doctor suggests setting up an appointment to further explore reducing alcohol use, which the young woman agrees to, indicating a willingness to change.
Q & A
What is the main purpose of the doctor's conversation with Anna in the video?
-The main purpose of the conversation is to address Anna's alcohol use in a non-judgmental way, with a focus on the potential risks associated with alcohol consumption, especially regarding the possibility of an alcohol-exposed pregnancy.
What is motivational interviewing, and how is it used in this context?
-Motivational interviewing is a counseling method that helps people resolve their uncertainties to find the internal motivation they need to change their behavior. In this context, the doctor uses this approach to discuss Anna's alcohol use and encourage her to consider reducing her consumption.
Why is it important to discuss alcohol use with young women, especially regarding pregnancy?
-It is important because research shows that women who drink at risky levels before pregnancy are more likely to continue during pregnancy, which can lead to alcohol-exposed pregnancies and associated health risks for the baby.
What was the situation that led to Anna's sprained ankle?
-Anna sprained her ankle after a night of pub crawling, where she had several drinks and, wearing stilettos, jumped off the stairs of a bus to catch up with her friends.
How does Anna describe her typical alcohol consumption during weekends?
-Anna describes it as quite high, stating she can drink around seven or eight drinks when she goes out hard, which is typical for her during weekends.
What is Anna's initial reaction to the doctor's suggestion to explore her alcohol use?
-Anna is initially open to the idea, agreeing to discuss her alcohol use as long as they don't focus too much on a specific type of drink, indicating she is still feeling the effects of the previous night.
What does the doctor suggest as the safe limit for alcohol consumption for women?
-The doctor suggests that the safe limit for women is 10 drinks per week, which averages to about two drinks per day.
How does Anna feel about the suggested safe drinking limits?
-Anna is surprised by the low number, stating that it seems like not a lot for her and that her tolerance has built up over the years, indicating she usually drinks more than the recommended amount.
What are some of the concerns Anna has about her alcohol use?
-Anna expresses concerns about feeling unwell after heavy drinking and acknowledges that she feels more productive without a hangover, indicating she recognizes some negative impacts of her alcohol consumption.
What is Anna's willingness to discuss her alcohol use further with the doctor?
-Anna is willing to explore her alcohol use further with the doctor, agreeing to come back for an appointment when she is feeling better and not hungover.
What is the potential benefit of reducing alcohol consumption that Anna acknowledges?
-Anna acknowledges that she feels more productive when she doesn't have a hangover, indicating that reducing her alcohol consumption could have positive effects on her daily functioning and well-being.
Outlines
🍻 Doctor's Motivational Interview on Alcohol Use
In this paragraph, a doctor engages with a young woman named Anna about her alcohol consumption using a motivational interviewing approach. The conversation begins with the doctor addressing Anna's sprained ankle, which she injured during a pub crawl. Anna admits to drinking heavily and not feeling well. The doctor then raises the topic of alcohol use, discussing the risks associated with alcohol exposure during pregnancy and the benefits of low-risk drinking. Anna acknowledges her typical alcohol consumption, which is significantly higher than the recommended limits, and expresses some concern about her drinking habits. The doctor suggests exploring these issues further at a later appointment, emphasizing the importance of discussing alcohol use in a non-judgmental manner to encourage healthier choices.
📅 Scheduling a Follow-Up Discussion on Alcohol Use
The second paragraph continues the conversation between the doctor and Anna, focusing on scheduling a follow-up appointment to further discuss Anna's alcohol use. The doctor highlights the potential benefits of reducing alcohol consumption, such as increased productivity and fewer hangovers. Anna shows willingness to explore reducing her alcohol intake within safe limits and agrees to a follow-up meeting, with the understanding that it should not be on a Saturday morning. The paragraph concludes with the doctor emphasizing the importance of discussing alcohol use with women in a non-judgmental way to prevent alcohol-exposed pregnancies, and a musical note indicating the end of the segment.
Mindmap
Keywords
💡Motivational Interviewing
💡Alcohol Use
💡Low-Risk Drinking
💡Alcohol-Exposed Pregnancy
💡Pub Crawl
💡Stiletto
💡University Students
💡Coping Mechanism
💡Tolerance
💡Productivity
💡Appointment
Highlights
Doctor uses motivational interviewing to discuss young woman's alcohol use
Evidence shows discussing low-risk drinking can lead to behavior change
Addressing drinking habits early can prevent alcohol-exposed pregnancies
Young woman sprained ankle after pub crawl and excessive drinking
Patient admits to drinking heavily during weekends and sometimes after school
Patient initially not concerned about alcohol use, considering it normal for university students
Doctor introduces low-risk drinking guidelines for women
Patient realizes she exceeds recommended alcohol limits
Patient acknowledges using alcohol as a coping mechanism for stress
Doctor points out potential health risks of excessive drinking
Patient starts to recognize the benefits of reducing alcohol consumption
Patient agrees to further discuss reducing alcohol use in a follow-up appointment
Importance of non-judgmental conversations about alcohol use with women
Encouraging women to reduce or stop drinking before or during pregnancy to prevent alcohol-exposed pregnancies
Motivational interviewing approach can be effective in addressing alcohol use
Patient's openness to change after recognizing negative impacts of alcohol
Setting up a follow-up appointment to explore reducing alcohol use further
Transcripts
in this video a doctor uses a
motivational interviewing approach to
raise the topic of a young woman's
alcohol use there is evidence that when
a doctor asks about alcohol use and
talks about low-risk drinking patients
consider their drinking and some will
make a change with young women in
particular this conversation can lead to
reducing the risk of an alcohol exposed
pregnancy research confirms that women
who drink at a risky level before
pregnancy are more likely to continue
drinking during pregnancy addressing
their drinking habits early can result
in healthier future babies so Anna we
determined that you sprained your ankle
yesterday and I'm wondering if you can
tell me a little bit about how that
happened that's really stupid I was at a
pub crawl last night and you know how
girls are you have a few drinks and then
I thought it was a really good idea to
catch up with my friends who were yeah
they were in front of me so I just like
jumped off the stairs of the bus and I
was wearing these like stilettos because
it was a 90s theme pub crawl anyway and
I just like fell on my ankle I was
really embarrassed I was like a wild
night yeah yeah but I didn't do Danny
dancing after that no I guess that that
would be the end of your shakin and
movin I know I wonder if you'd be open
to exploring your alcohol use and what
that looks like during the week sure as
long as we don't talk too much about
like vodka X I'm still yeah you're still
feeling the effects yeah wow it was
really rough night it's normal so what
is a typical week for you as far as your
alcohol use well I mean my friends kind
of we party on the weekend and you know
we're all University students and
it's just normal to have a few drinks so
a few drinks is nothing new to you no
and what does a few drinks look like is
that per night is it two drinks huh per
night like if we go out that's a lot
it's like I can drink probably like
seven or eight drinks like if I'm going
hard and then you know like maybe when I
get home from school a long day at the
library have a beer or two so alright do
you have any concerns at all about your
alcohol yes well I don't know it's
normal for university students I feel
okay so at this point you're not too
concerned didn't you think that you know
this is what the other students are
doing you know would you be open to kind
of looking at the low risk drinking
alcohol guidelines yeah sure I don't
know how you're feeling right now but
I'm just wondering if we can take it
just a quick glass of this and what the
safe limits are for women is 10 drinks
for women a week with about two drinks
per day oh really
yeah Wow where do you feel you're all
into that uh I'd say I'm a little over
that okay okay
especially with midterms coming up okay
so it's kind of a way to cope through
stress yeah all right and is that
something that has been you know a way
of coping for a while yeah yeah I guess
okay
does that concern you at all um I mean
the ten drinks seems like not a lot for
like for me and like my tolerance
I guess I've kind of built it up over
the years so that's a little a little
bit concerning I guess to me do you feel
like you have any reasons to kind of
bring your alcohol use down within the
limits uh any reason to uh I guess
health
health reasons tell me more about that
um well I mean clearly I don't feel good
right now
and it's I definitely feel more
productive when I don't have a hangover
so see a benefit so you can see some
advantages to reducing the amount of
drinking yeah that you consume during
the week yeah is this something you'd be
willing to explore with me a little
further at another time maybe when
you're feeling a little bit better this
is something you'd be willing to come
back and talk to me yeah yeah I think
when I'm feeling a little a little
bitter maybe when I haven't gone all out
then the night before and sprained my
ankle I'd love to set up an appointment
for you if you can come in later this
week or early next week to kind of
explore this a little bit further and
maybe some of those advantages of
reducing into the safe limits is that
something that we could do sure yeah
just not on a Saturday morning that's
okay with me okay thank you yeah good
talking with all women about their
alcohol use in a non-judgmental way is
more likely to result in a decision to
reduce or stop drinking before or during
pregnancy this can prevent an alcohol
exposed pregnancy
[Music]
you
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