Binge Drinking: A Case Study

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Lauren’s alcohol consumption, especially in the form of binge drinking, is a form of substance abuse and is considered a health-risk behaviour (Buultjens & Buultjens, 2015). Therefore, it is important to note that active substance abuse correlates with poor adherence to prescribed treatments in adolescents (Costello et al., 2016). Furthermore, it is observed that adolescents who display one type of risk-taking behavior are more likely to engage in further forms of risk-taking in regard to their health (Bender, 2006). Specifically, this indicates that Lauren has a higher likelihood of deliberate non-adherence to her asthma medication due to a disregard for the health-related consequences of her choices (Ahmad & Sorensen, 2016).

Not only this,
…show more content…
Asking simple, open-ended questions to determine misconceptions or underlying reasons for non-adherence (Divertie, 2002).

Empathising with worries and concerns, real or perceived, and offering reassurance (Goeman et al, 2002).

Coercion

Exploring strategies to build motivation and decrease ambivalence such as motivational interviewing (Buultjens & Buultjens, 2015).

Addressing Lauren in a non-judgemental manner and gently refuting misconceptions with factual information (Divertie, 2002).
Maintaining a trusting practitioner-patient relationship is very important as this has a greater impact on adherence than any other factor (Bender & Milgrom, 1996)

Dictating goals

Offering choices in treatment rather than dictating, e.g. type of inhaler, dosage timing (Divertie, 2002)
Negotiating with Lauren and demonstrating willingness to modify treatments to suit her needs or concerns (Sawyer, 2002)
Sharing decision-making to reach mutually agreeable goals; thus ensuring that Lauren feels like an active participant in planning and perceives goals as meaningful to her (Eakin & Rand,

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