Adherence to prescribed drugs is actively sought through a range of motivational and support methods. Monitoring of side-effects not only reduces discomfort and possible complications, it also improves adherence. The nature of possible interactions with non-prescribed and prescribed substances should be investigated with medical or pharmacy staff and subsequently discussed with the client. Counselling Counselling aims to help the client deal with daily issues, support relationship building, manage anxiety and teach strategies to cope with stress. Behavioural approaches are useful to identify triggers and reinforcements for bizarre or disruptive behaviour and managed through stimulus control and alterations to reinforcement contingencies.
Cognitive approaches are generally inappropriate.
Identification of the functional aspects of drug use and developing positive alternatives as well as dealing with drug use and related problems are all indicated. While abstinence is generally the option of choice, ultimately, it is the client who will make the final decision between controlled use or abstinence. Even if the client chooses abstinence, harm reduction information should be made available in light of the high incidence of relapse. Family Involvement Family members may require support as clients in their own right. They may also play a key role as an extension of the therapy team.