Hi Shoshana,
Thank you for sharing. I’m glad you highlighted the focus made on establishing a therapeutic relationship based on a harm reduction approach. You provided a safe space for the client to share his current situation while supporting him in continuing to work towards his long-term goals of work independence. It is because you have invested the time to develop that professional, trusted relationship that you are able to use MI to continue prompting his current stage of change and allow him to make connections on his dependence, negative effects of ETOH based on his current capacity and motivation. As another poster has mentioned, spouting facts about the negative effects of substance/ETOH use rarely achieves effective results because it can feel like a lecture and is not self-determined. The client themselves have to be the primary driver motivated to make changes occur and we can only support them through various means when they are ready.