Welcome to another episode of Cracking Addiction! I'm your host, Dr. Ferghal Armstrong, and the brilliant Dr. Laura Petracek is joining me today.

In this episode, we dive deep into the topic of why some patients feel they don't need to achieve abstinence and believe they can control their substance use or drinking.

We explore the psychological aspects at play, including cognitive distortions and denial. We also discuss the underlying reasons behind this cognitive distortion, such as the enjoyment and positive effects of alcohol and using it to suppress negative emotions.

But how do we approach treatment for patients who are engaged but not acknowledging the need for abstinence?

Dr. Petracek shares her insights on using a harm reduction approach and motivational interviewing to meet the clients where they are. We also touch upon the fear associated with contemplating a life without alcohol and the importance of shifting negative goals to positive ones.

Lastly, we examine the impact of trauma and impulse control disorders on substance use and how to address trauma in this context.

So grab a cup of coffee, sit back, and join us as we unlock the complexities of addiction on Cracking Addiction.

00:00:04 Discuss the patient's reluctance to achieve abstinence.

00:06:15 Tracking alcohol consumption to break denial promotes self-reflection.

00:09:04 Commit to engagement, reduce consumption, and seek support.

00:13:32 Trauma is a key driver for addiction.

00:17:58 Some people can control their drinking.

00:20:43 Consequences of risking sober successes for a thrill.