Читать книгу Low-intensity CBT Skills and Interventions - Группа авторов - Страница 81

Misuse of alcohol or substances can have a significant negative impact on a patient's functioning and adversely impact their ability to engage with treatment. It is therefore worthwhile to ask about any substances the patient is currently taking and the way they believe these may impact on their ability to engage with LICBT. It is important to remember that caffeine is a strong, long-lasting and highly consumed stimulant so should also be specifically asked about, funnelling down to enquire about a potential impact on the patient's ability to sleep (Chapter 17). Arguably, it is unlikely that on first meeting, a person will divulge illicit drug use or overuse of alcohol but it is still worth enquiring about and checking in subsequent sessions.