Client are first encouraged to identify their perception of any problems associated with drug use. The following questions may help as prompts in certain areas which the client may have missed. If answer is yes to any of the questions below, assess the relationship to substance use. You may need to repeat some or all of this assessment following any change in drug use. Withdrawal can sometimes precipitate severe psychological reactions including psychosis, severe anxiety and depression and suicidal ideation.
Alcohol can cause brain damage, particularly if there are heavy bouts or prolonged excessive use.
However, this is difficult to detect while the person is currently drinking. Consider using the Mini-Mental State Examination . It is important for each agency to develop its policy on confidentiality including boundaries of confidentiality. This is particularly important in the context of statutory and safety issues. Generally, information acquired as part of a professional relationship is seen as confidential.