How Client Responses Impact the AssessmentHow Client Responses Impact the Assessment
All Things Substance
We can ask all the perfect questions, but sometimes a client’s answers aren’t as clear as we’d hoped. There are lots of reasons for why a client might not want to share about their use of substances. Today we’ll discuss the most common...
30:16•21 Feb 2022
Navigating Client Resistance in Substance Use Assessments with Betsy Byler
“Substance use is common, and making it something that is normal to talk about is going to help people, in the long run, be able to share any struggles they're having.”
Imagine sitting with a client, asking all the right questions about their substance use, but getting vague or defensive answers. It’s a common scenario many therapists face. In this episode of 'All Things Substance', Betsy Byler, a seasoned therapist and clinical supervisor, dives into the tricky waters of client responses during substance use assessments. She breaks down why clients might dodge the truth and offers practical strategies to get past these barriers.
From dealing with defensiveness to understanding the roots of denial, Byler provides a toolkit for creating a non-judgmental space where clients feel safe to open up. She also touches on the powerful roles of shame and fear in addiction and how these emotions can shape a client’s willingness to share. Byler doesn’t just stop at theory; she gives actionable advice on using drug tests as part of the assessment process.
This episode is a must-listen for any therapist looking to enhance their skills and confidently incorporate substance use discussions into their practice. Tune in and equip yourself with the knowledge to make a real difference in your clients' lives.

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