It involves the brain, hormones, emotions, nerves, muscles and blood vessels. Erectile dysfunction can result from a problem with any of these. Also, stress and mental health concerns can cause erectile dysfunction or make it worse. Unlike a lot of medical conditions, the symptoms of erectile dysfunction are rather straightforward. If you have persistent trouble getting or keeping an erection, you might have erectile dysfunction.

DSM-IV-TR and DSM-5 Diagnostic Criteria

• (See Chapter 6 for information on a developing a change plan.) Some evidence shows that change talk is related to the completion of a change plan (Romano & Peters, 2016).
• The PFI and ASI were not administered at the 10-year follow-up.
• Refraining from acting on the “righting reflex,” the natural impulse to jump into action and direct the client toward a specific change.
• An amplified reflection overstates the client’s point of view, which can nudge the client to take the other side of ambivalence (i.e., change talk).

The way you respond to sustain talk can contribute to the client becoming firmly planted in the status quo or help the client move toward contemplating change. For example, the client’s show of ambivalence about change and your arguments for change can create discord in your therapeutic relationship. Usually, the hardest part of diagnosing erectile dysfunction is overcoming that embarrassment that comes with talking about your ED. But once you talk to your doctor, you’ll find that it’s common, and a diagnosis can happen quickly.

• You intentionally select statements that may have particular meaning for the client and present them in a summary that paints a fuller picture of the client’s experience than simply using reflections (Miller & Rollnick, 2013).
• Notice that this client is already expressing change talk about her alcohol use.
• Your task is to evoke change talk and selectively reinforce it via reflective listening.
• A client is more willing to express concerns when you are empathetic and show genuine curiosity about the client’s perspective.

Health risks of alcohol use

The substance itself likely has detrimental health effects—such as liver or lung damage, for example—but will also affect the person’s relationships and daily life. It can lead to severe mental health effects from both the physical changes to the brain and also the disconnect from meaningful relationships and activities. Put simply, recovery capital can help sustain recovery and reduce the risks of returning to use by increasing a person’s support system.

Chapter 3—Motivational Interviewing as a Counseling Style

Or you might need medicines or other direct treatments. Excessive alcohol use can harm people who https://usamenus.com/how-to-get-rid-of-hot-flashes-after-drinking-2/ drink and those around them. You and your community can take steps to improve everyone’s health and quality of life. Sustained remission signifies more than just the absence of symptoms.

The amount of change talk versus sustain talk alcoholism is linked to client behavior change and positive substance use outcomes (Houck et al., 2018; Lindqvist et al., 2017; Magill et al., 2014). Greater frequency of client sustain talk in sessions is linked to poorer substance use treatment outcomes (Lindqvist, Forsberg, Enebrink, Andersson, & Rosendahl, 2017; Magill et al., 2014; Rodriguez, Walters, Houck, Ortiz, & Taxman, 2017). Counselor empathy is also linked to eliciting client change talk (Pace et al., 2017).

Identifying a change goal

• Emphasizing that people have choices (even if all the choices have a downside) reinforces personal autonomy and opens up the possibility for clients to choose change instead of the status quo.
• Sustain talk consists of client statements that support not changing a health-risk behavior, like substance misuse.
• This process can raise uncomfortable feelings like guilt or shame.
• Reframing acknowledges the client’s experience yet suggests alternative meanings.

Partnership refers to an active collaboration between you and the client. A client is more willing to express concerns when you are empathetic and show genuine curiosity about the client’s perspective. In this partnership, you are influential, but the client drives the conversation. Ambivalence can be resolved by exploring the client’s intrinsic motivations and values.

Alcohol Use and Your Health

Ask clients to pick up to 10 cards from the most important pile; converse about each one. Invite clients to sort the cards into piles by importance; those that are most important are place in one pile, and those that are least important are in another pile. If you try to prove a point, Substance abuse the client predictably takes the opposite side.

If you’re dealing with any of these symptoms, a family doctor or an internist is usually a good place to start. You can lower your health risks from alcohol by drinking less or not drinking at all. Compared with drinking excessively, moderate drinking reduces your risk of negative health effects. Excessive alcohol use is a term used to describe four ways that people drink alcohol that can negatively impact health. “Addiction is a primary, chronic disease of brain reward, motivation, memory and related circuitry.