Interviewing Relapsed patient

Treating a relapsed patient takes lots of efforts. They have fixed view towards treatment, Counsellors & therapy structure. Many of them carry a belief that they know the program & that is not helping them.  They feel that relapse is a outcome of treatment failure. Almost all the de-addiction rehabilitation centres introduced 12 step program & relapse patients they feel there is nothing new I am learning in repeated admissions. Here are some important things therapist can keep in mind before interviewing relapse patients.

1.       Understanding his perception towards treatment: Mostly the structure, timetable & sometimes therapeutic program may have similarities with the previous treatment experience for the client, so allowing him to talk about the past good & bad experiences with the treatment centre or self help group is very important. Though sometimes it sounds irrational but gives the clear idea about his beliefs.     

2.       Allow catharsis: Patients has their own analysis of relapse, what triggered them or why they refused help etc, one need to understand that because that is the reality for the patient. Immediate confrontation with the patient may push him to the shell; He will not feel comfortable to talk anything after that. Giving them a chance of catharsis strength the rapport with him.

3.       Making a partnership: Motivating a client to participate in individual & group therapies is very important. It gives them a message that they are responsible for their recovery. Sometimes they feel that doctors will take care of my disease, I need not do anything about it. After detoxification therapist should clearly mention patient’s role & therapist’s role in his recovery. Making a partnership will motivate them to cooperate with treatment.

4.       Tailor-made Program:  Each client has unique & has different issues, one has to address the client’s needs. Same assignments & treatment may not be effective with everyone.