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What should a counselor do if he/she suspects that the consumer has SUD issues and the consumer denies it?

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What should a counselor do if he/she suspects that the consumer has SUD issues and the consumer denies it?

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• It is important that the counselor have an objective rationale that can be discussed with the consumer. This is where the SAVR-S is particularly useful, especially compared to subjective “hunches” that are not supported by evidence. • Denial may represent a consumer/counselor dynamic that needs to be addressed. For example, a consumer who denies alcohol or drug problems despite evidence to the contrary may be exhibiting denial as a symptom of problem use. • Subsequent interaction with the consumer, as well as their compliance with scheduled appointments and rehabilitation recommendations can serve to verify counselor suspicions. • In addition, a consumer with an abuse or dependence problem • may not want to admit that they have a problem; • may recognize their problem internally, but may not feel comfortable allowing others to see this problem and worry about stigma; • may not fully understand how their substance use may impact their life, and may need to gain additional education to

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