Week 7 and week 9

WAL_COUN6202_se3_programtranscript_EN.pdf

The Case Study of Marge: Session 3

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The Case Study of Marge: Session 3 Program Transcript INSTRUCTIONS: Welcome to Marge’s third counseling session, where you will ask questions to determine if there are any codependent or family issues related to her addiction. Before you begin, please carefully read through the paperwork that contains information obtained from team members. After reviewing this information, click the “Next” button to begin Marge’s third counseling session. Select the buttons “A” and “B” to review your question options. Use the “Select” button for what you think is the best question to ask Marge out of the two options offered. If you ask an effective counseling question, you will receive more relevant information from Marge. If you ask an ineffective question, you will receive an equally unhelpful response. Choose wisely because the better you counsel Marge, the better her treatment experience. Please keep in mind that the video has been made in a way that gives you a realistic vantage point from where you would sit and counsel your client in real life. A close-up view of the individual has not been added because you, as a counselor, will not have varying angles of your client to work with. PAPERWORK: Marge C. 15th day out of 30 days of treatment Family sessions are scheduled for today. Her husband was interviewed individually earlier today, and the children will be interviewed later this afternoon. Patient is showing signs of improvement. Withdrawal symptoms have disappeared, and patient no longer takes a sedative. Patient continues to exhibit signs of depression. Click the buttons “A” and “B” to review your question options. Use the “Select” button for what you think is the best question to ask Marge out of the two options offered.

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QUESTION #1: Option A: I’d like to ask you both to face each other in today’s session and talk to each other. Ken, you expressed a lot of guilt the day Marge came here. You said that you enabled her to continue drinking. Talk about that, both of you. CLICK HERE TO CHOOSE OPTION A FOR QUESTION #1. Option B: Ken, you expressed a lot of guilt the day Marge came here; you said that you enabled her to continue drinking. Tell me more about that, Ken. CLICK HERE TO CHOOSE OPTION B FOR QUESTION #1.

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QUESTION 1, OPTION A – FEEDBACK Marge: You did the best you could, Ken. Ken: I did do the best I could. For years, I just turned my back on your drinking, probably thinking it would go away if I ignored it. It didn’t. I always made excuses for you, telling people you were ill or calling the school when you were too hungover to go. I’ve been telling the kids that their mom acts the way she does because she’s sick. We never talk about it, and if they ever try to bring your drinking up I quickly change the subject. I worry about what your drinking has done to them. Feedback: Well done. Click the “Next” button to continue. CLICK HERE TO TRY QUESTION 2. QUESTION 1, OPTION B – FEEDBACK Ken: (facing and talking to counselor/camera. Marge and her reactions can also been seen while he talks). I did do the best I could. For years, I just turned my back on her drinking, probably thinking it would go away if I ignored it. It didn’t. I always made excuses for her, telling people she was ill or calling the school when she was too hungover to go. I’ve been telling the kids that their mom acts the way she does because she’s sick. I worry about what her drinking has done to them. Marge: He tells you that, but he never would say that to me. I guess that’s what he’s been telling everybody else behind my back. Why can’t you look at me and say that? Feedback: That wasn’t the best approach. Please select the alternate button. CLICK HERE TO TRY QUESTION 1 AGAIN.

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QUESTION #2: Option A: Ken, by the tone of your voice you seem to be pretty calm when you talk about Marge’s drinking. That’s good; you must be a pretty strong and accepting person. Am I right? CLICK HERE TO CHOOSE OPTION A FOR QUESTION #2. Option B: Ken, notice your fists; they’re clenched. To me that says you’re angry and holding it in. Look at Marge and tell her if you agree with what I just said?” CLICK HERE TO CHOOSE OPTION B FOR QUESTION #2.

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QUESTION 2, OPTION A – FEEDBACK Ken: I never thought about it like that. But now that you say it. Yeah, I guess I have held together okay in spite of Marge. Feedback: That wasn’t the best approach. Please select the alternate button. CLICK HERE TO TRY QUESTION 2 AGAIN. QUESTION 2, OPTION B – FEEDBACK Ken: Yeah, you’re darn right I’m angry. Marge: You have a right to be angry at me. Ken: Not just at you Marge, at myself too. Nothing I did would change you. I tried everything I could think of, and you and your bottle just went on your merry way. I feel like a fool and like I’m not important in your life, and I'm angry at myself because I just kept on doing what I was doing. I haven’t let myself be angry before now, but it’s time I let it out. I’ve had to work hard to pay the bills, take care of the children, and try to be both father and mother. And like I said, look at how this has affected our children, Marge. Marge: You’re right Ken. Feedback: Well done. Click the “Next” button to continue. CLICK HERE TO TRY QUESTION 3.

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QUESTION #3: Option A: Ken, you say you worry about what Marge’s drinking has done to the children. Tell Marge about your worries. CLICK HERE TO CHOOSE OPTION A FOR QUESTION #3. Option B: Ken, tell me, has Marge’s drinking affected your children? CLICK HERE TO CHOOSE OPTION B FOR QUESTION #3.

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QUESTION 3, OPTION A – FEEDBACK Ken: Marge, I think Roger, that’s our 12-year-old son, acts out like he does, getting in all that trouble at school, to get our attention. When you’re under the influence, you’re really not there emotionally for him, and I'm at work most of his waking hours trying to pay our bills. Carla, our 16-year-old daughter, does most of the parenting for Roger, not us. The only time he ever gets the attention of both of us is at all those teacher conferences for his bad behavior or failing grades. And Carla is the complete opposite of him; I know you agree, Marge. Good grades, sports, popular, and she is more of a father and mother to her two younger brothers than you and I. She’s the one who gets them up in the morning and off to school and puts them to bed at night. I think she feels an obligation to the boys to make up for our absence. And cute little Scotty, our youngest. I don’t know, maybe he hasn’t been affected yet, he’s only 10. He’s our only source of laughter in the family anymore. Marge: You’re right Ken, except for Scotty. I think my drinking affects him as much as Roger and Carla. You ever notice how he clowns around and makes us laugh when the rest of us are uptight? You think he thinks it’s his job to do that? To make us stop arguing and worrying all the time? If so, that’s a big responsibility for such a little boy. Ken: Yeah, I know it hurts you too, Marge. Maybe if I hadn’t ignored your problem, if I hadn’t been a weak fool, I could have changed you and things wouldn’t have gone this far. Feedback: Well done. Click the “Next” button to continue. CLICK HERE TO TRY QUESTION 4. QUESTION 3, OPTION B – FEEDBACK Ken: Yes, I think it has, and it hurts me to see them exposed to her behavior sometimes. Feedback: That wasn’t the best approach. Please select the alternate button. CLICK HERE TO TRY QUESTION 3 AGAIN.

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QUESTION #4: Option A: Marge, what are your reactions to what Ken’s been saying? Can you look at Ken when you say this? CLICK HERE TO CHOOSE OPTION A FOR QUESTION #4. Option B: Marge, we haven’t really heard the reactions we need to hear from you today. Is there anything else you’d like to tell me? CLICK HERE TO CHOOSE OPTION B FOR QUESTION #4.

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QUESTION 4, OPTION A – FEEDBACK Marge: I'm hurt and ashamed because you’re telling the truth about me, but not about yourself. You’ve enabled me a lot, yes, but you did it not because you’re a fool. You are important to me. You did it out of love for me and the children and because you didn’t know what else to do. And you couldn’t have changed me, Ken; you didn’t make me an alcoholic, and you can’t unmake me one. Only I can do that. Feedback: Well done. Click the “Next” button to continue. CLICK HERE TO TRY QUESTION 5. QUESTION 4, OPTION B – FEEDBACK Marge: Well, I didn’t think I was supposed to say anything in particular. I thought this was Ken’s turn to do the talking so he could let all his feelings about me out. Feedback: That wasn’t the best approach. Please select the alternate button. CLICK HERE TO TRY QUESTION 4 AGAIN.

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QUESTION #5: Option A: Marge and Ken, I think we’ve had a productive session today. We’ve identified some of your family’s problems and talked about some actions you can take to address them. Before we end, I’d like you to tell each other where you want to start to address these problems. CLICK HERE TO CHOOSE OPTION A FOR QUESTION #5. Option B: Ken and Marge, let’s not dwell on all your family’s problems; that won’t help a thing. Put them behind you so you can move on. Can you both do that? CLICK HERE TO CHOOSE OPTION B FOR QUESTION #5.

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QUESTION 5, OPTION A – FEEDBACK Marge: I want to complete treatment here and return home. I will go to AA and do whatever else I need to do to stay sober. Without that, we can’t do anything. I see that my drinking is the source of all the issues in our family, and it’s up to me to make changes to help get our family back on track. Ken: You aren’t the only one who needs to make changes, Marge. I plan to find an Al- Anon group to go to, and maybe all of us, children included, can start family counseling somewhere. You may feel alone, but Marge you aren’t. We just haven’t known how to help in the right way until now. Feedback: Congratulations. You have now completed your counseling session with Marge. CLICK HERE TO START EXERCISE OVER. QUESTION 5, OPTION B – FEEDBACK Marge and Ken: Yes. Feedback: That wasn’t the best approach. Please select the alternate button. CLICK HERE TO TRY QUESTION 5 AGAIN.

WAL_COUN6202_se1_programtranscript_EN.pdf

The Case Study of Marge: Session 1

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The Case Study of Marge: Session 1 Program Transcript INSTRUCTIONS: Welcome to the first day of counseling for Marge, a patient struggling with alcoholism who has just been admitted to the addictions facility. Please carefully read the paperwork developed by a support staff member during Marge’s intake process earlier today. Marge’s husband, Ken, was also briefly interviewed during this time. After reviewing this information, click the “Next” button to begin Marge’s first counseling session. Click the buttons “A” and “B” to review your question options. Use the “Select” button for what you think is the best question to ask Marge out of the two options offered.

If you ask an effective counseling question, you will receive more relevant information from Marge. If you ask an ineffective question, you will receive an equally unhelpful response. Choose wisely because the better you counsel Marge, the better her treatment experience. PAPERWORK: Marge C. 41-year-old female Married Husband, Ken, works two jobs to make ends meet, so he is not home much. Husband noted that he didn’t know what else to do about his wife’s drinking, and that he had brought her to the facility out of desperation. Patient has three children, ages 10, 12, and 16. Patient was a teacher, but she lost job for alcohol-related reasons. Patient had a one-car, alcohol-related accident 3 days earlier. She received minor injuries and was issued a ticket for DUI. Husband, family members, and friends determined that they needed to intervene to prevent Marge from harming herself and/or others. An intervention occurred earlier today, culminating in her being brought for treatment. Patient will go through a week of detoxification during her first week in treatment to address the physical withdrawal from alcohol. Click the buttons “A” and “B” to review your question options. Use the “Select” button for what you think is the best question to ask Marge out of the two options offered.

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QUESTION #1: Option A: Marge, I will be your counselor. I want you to know I’m glad you’re here. I imagine this has been a hard day for you. Right now, I just want us to begin get to know each other better. I also want to know more about your drinking so we can begin to plan your treatment. It’s natural to be anxious and upset right now. You look like you feel like that now. Are you? CLICK HERE TO CHOOSE OPTION A FOR QUESTION #1. Option B: Hello, Marge. I will be your counselor. I want you to know I’m glad you’re here, and I want to help you in any way I can. I imagine this has been a hard day for you, and I know that you and your husband have already answered many questions during your admission process. Right now, I just want us to begin get to know each other better. I also want to know more about your drinking so we can begin to plan your treatment. It’s natural to be anxious and upset right now. Tell me your thoughts and feelings right now. CLICK HERE TO CHOOSE OPTION B FOR QUESTION #1.

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QUESTION 1, OPTION A – FEEDBACK Marge: Yes, of course I am! And furthermore, I don’t want to be here; I don’t need help. Feedback: That wasn’t the best approach. Please select the alternate button. CLICK HERE TO TRY QUESTION 1 AGAIN. QUESTION 1, OPTION B – FEEDBACK Marge: You’re right, I am anxious, and I’m more than that right now! I’m hurt, I’m scared, and I’m furious at my husband Ken for dragging me to this place. I want you to know right now I am not here on my own; I am here only because he and my so-called friends threatened to have me committed involuntarily for “my own safety,” as they say, if I didn’t agree to do it myself. I know I drink too much, but I can handle it myself. I don’t need to be put in this rehab and hid away from the rest of the world to do it. I’m not like the other people you have here; they might need help, but I can do it on my own. I don’t need help. Feedback: Well done. Click the “Next” button to continue. CLICK HERE TO TRY QUESTION 2.

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QUESTION #2: Option A: You “don’t need help”? CLICK HERE TO CHOOSE OPTION A FOR QUESTION #2. Option B: I think you’re wrong; I think you do need help, and I want to help you see that. CLICK HERE TO CHOOSE OPTION B FOR QUESTION #2.

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QUESTION 2, OPTION A – FEEDBACK Marge: No. I’m strong willed. I know I drink too much, but I have to because of all the stress. Raising a family, and then when I was teaching it was double hard. I have diabetes on top of it all, and I’m unemployed and this damn DUI hangs over my head. Then, if that’s not enough, there’s Roger, my 12-year-old son. He’s always getting in trouble at home and school. It’s never ending. I could go on and on. Yeah, I admit. I drink too much, but I do it to deal with all my problems and my constant depression. You would too if you were me. No one understands that. But I can go to AA and back to that counselor at the community mental health clinic and stop without all this ridiculous fuss of coming here. I’ve tried it before; I just didn’t give it all I had. Feedback: Well done. Click the “Next” button to continue. CLICK HERE TO TRY QUESTION 3. QUESTION 2, OPTION B – FEEDBACK Marge: No, I don’t; you’re just like them. No one wants to listen to me; they just jump to their own conclusions about my life. I’ve tried to stop on my own before; I just didn’t give it all I had. Now, I’ll tell you again for the umpteenth time, I DON’T NEED HELP! Feedback: That wasn’t the best approach. Please select the alternate button. CLICK HERE TO TRY QUESTION 2 AGAIN.

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QUESTION #3: Option A: You say you’ve tried to stop drinking before, Marge. Please tell me more about that. CLICK HERE TO CHOOSE OPTION A FOR QUESTION #3. Option B: You said earlier that you’ve tried to stop drinking before but were not successful. That tells me you need help. Don’t you agree? CLICK HERE TO CHOOSE OPTION B FOR QUESTION #3.

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QUESTION 3, OPTION A – FEEDBACK Marge: I could do it for a while. I went to AA and that counselor, like I said, and I went a month or two once. But always things would start piling up, and I’d take a drink just in the afternoon after 5 like I used to, and then before I knew it I’d be drinking all day again. I just didn’t try hard enough. I will now; I know I can do it. I feel guilty because I’ve been too weak and just never tried hard enough. I know what alcoholism is, believe me, my father was one, so was my uncle—they went to their graves drinking. I just need to get strong and build up my willpower to make my mind up to stop. I need to stop being such a weakling and an irresponsible mother and wife. It’s almost immoral the way I’ve been doing, but I can do it now. I just need a change. I need to go home. Feedback: Well done. Click the “Next” button to continue. CLICK HERE TO TRY QUESTION 4. QUESTION 3, OPTION B – FEEDBACK Marge: No. Feedback: That wasn’t the best approach. Please select the alternate button. CLICK HERE TO TRY QUESTION 3 AGAIN.

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QUESTION #4: Option A: Marge, let me share something with you that you may not know. We look at alcoholism and other addictions as a disease. Some people have a genetic predisposition for it. It’s not a moral issue, Marge, or a matter of lack of will power. That puts a different light on your situation, doesn’t it, Marge? CLICK HERE TO CHOOSE OPTION A FOR QUESTION #4. Option B: Marge, I think I hear what you’re saying. You admit you drink too much, and you seem to think you can stop on your own without coming here for 30 days. You think you just haven’t tried hard enough, and you feel that you’re a weak and immoral person for that. Let me share something with you that you may not know. We look at alcoholism and other addictions as a disease. Some people have a genetic predisposition for it. People who are genetically predisposed to the disease when faced with the right combination of conditions can’t handle alcohol. They may start just drinking socially in a controlled way and then drink to deal with stress or other problems. Because of their genes, they need more and more and eventually need to drink just to keep from going into withdrawal. It’s not a moral issue, Marge, or a matter of lack of willpower. What are your thoughts about what I just said? CLICK HERE TO CHOOSE OPTION B FOR QUESTION #4.

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QUESTION 4, OPTION A – FEEDBACK Marge: No. Feedback: That wasn’t the best approach. Please select the alternate button. CLICK HERE TO TRY QUESTION 4 AGAIN. QUESTION 4, OPTION B – FEEDBACK Marge: I never thought of it that way. Well, I guess I have, but I can see how that could be. A disease maybe? It could explain why even though I don’t really want to be like this I am and that I though I’ve really tried to stop I just haven’t known how. When we first got married and began to have our children, I would have glass of wine several times a week with dinner, or maybe even with Ken when we both got home after a long day at work and the children had gone to bed. Then it was every day, then in the morning, and then I was hiding my drinking habits and drinking just to feel normal. I was teaching, and it got to where I would drink vodka before I went to school. I thought no one would smell vodka, but it didn’t work. I was fired. My life has spiraled since then, my children, my marriage, my health, everything. If I don’t drink now I get horribly ill; you can’t imagine how ill. I start feeling things on my skin or seeing things; it’s bad. I get crazy, just like my father and uncle used to get. I know Ken has tried to protect me all these years. He means well. He would call the school when I was too drunk to go and tell them I was sick. That’s what he’s always told the children, “Your mother’s ill, she can’t help it.” Oh help me, please. Feedback: Well done. Click the “Next” button to continue. CLICK HERE TO TRY QUESTION 5.

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QUESTION #5: Option A: Marge, you just turned the corner, and I’m proud of you. You’ve just made a giant step today, and you’ve just started on your road to recovery. What are your thoughts and feelings now as we conclude our first session? CLICK HERE TO CHOOSE OPTION A FOR QUESTION #5. Option B: Marge, I know this is hard, but until you admit you have a problem, your drinking will only continue to get worse and cause you and your family more problems. I want you to think about that before we meet again, OK? CLICK HERE TO CHOOSE OPTION B FOR QUESTION #5.

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QUESTION 5, OPTION A – FEEDBACK Marge: I guess I just feel grateful that someone is listening to me and understands. I feel so embarrassed. My husband has put up with so much, and I know the kids have needed me and I haven’t been around. I just wanted to take care of it by myself, do at least one thing without having to rely on someone else for help, you know? I should at least do that, since I’ve messed up so much already. I don’t want to leave the kids alone for 30 days, but I guess I’ve left them alone anyway. I’m scared, but I am willing to try. If you really think you can help me, I promise I’ll do my best. I have to make it work for my kids and for Ken. Feedback: Congratulations. You have now completed your counseling session with Marge. CLICK HERE TO START EXERCISE OVER. QUESTION 5, OPTION B – FEEDBACK Marge: Yes, I will. Listen, I know you mean well. But, I just don’t think you or anyone else in my life hears me. Feedback: That wasn’t the best approach. Please select the alternate button. CLICK HERE TO TRY QUESTION 5 AGAIN.

WAL_COUN6202_se3_programtranscript_EN.pdf

The Case Study of Marge: Session 3

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The Case Study of Marge: Session 3 Program Transcript INSTRUCTIONS: Welcome to Marge’s third counseling session, where you will ask questions to determine if there are any codependent or family issues related to her addiction. Before you begin, please carefully read through the paperwork that contains information obtained from team members. After reviewing this information, click the “Next” button to begin Marge’s third counseling session. Select the buttons “A” and “B” to review your question options. Use the “Select” button for what you think is the best question to ask Marge out of the two options offered. If you ask an effective counseling question, you will receive more relevant information from Marge. If you ask an ineffective question, you will receive an equally unhelpful response. Choose wisely because the better you counsel Marge, the better her treatment experience. Please keep in mind that the video has been made in a way that gives you a realistic vantage point from where you would sit and counsel your client in real life. A close-up view of the individual has not been added because you, as a counselor, will not have varying angles of your client to work with. PAPERWORK: Marge C. 15th day out of 30 days of treatment Family sessions are scheduled for today. Her husband was interviewed individually earlier today, and the children will be interviewed later this afternoon. Patient is showing signs of improvement. Withdrawal symptoms have disappeared, and patient no longer takes a sedative. Patient continues to exhibit signs of depression. Click the buttons “A” and “B” to review your question options. Use the “Select” button for what you think is the best question to ask Marge out of the two options offered.

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QUESTION #1: Option A: I’d like to ask you both to face each other in today’s session and talk to each other. Ken, you expressed a lot of guilt the day Marge came here. You said that you enabled her to continue drinking. Talk about that, both of you. CLICK HERE TO CHOOSE OPTION A FOR QUESTION #1. Option B: Ken, you expressed a lot of guilt the day Marge came here; you said that you enabled her to continue drinking. Tell me more about that, Ken. CLICK HERE TO CHOOSE OPTION B FOR QUESTION #1.

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QUESTION 1, OPTION A – FEEDBACK Marge: You did the best you could, Ken. Ken: I did do the best I could. For years, I just turned my back on your drinking, probably thinking it would go away if I ignored it. It didn’t. I always made excuses for you, telling people you were ill or calling the school when you were too hungover to go. I’ve been telling the kids that their mom acts the way she does because she’s sick. We never talk about it, and if they ever try to bring your drinking up I quickly change the subject. I worry about what your drinking has done to them. Feedback: Well done. Click the “Next” button to continue. CLICK HERE TO TRY QUESTION 2. QUESTION 1, OPTION B – FEEDBACK Ken: (facing and talking to counselor/camera. Marge and her reactions can also been seen while he talks). I did do the best I could. For years, I just turned my back on her drinking, probably thinking it would go away if I ignored it. It didn’t. I always made excuses for her, telling people she was ill or calling the school when she was too hungover to go. I’ve been telling the kids that their mom acts the way she does because she’s sick. I worry about what her drinking has done to them. Marge: He tells you that, but he never would say that to me. I guess that’s what he’s been telling everybody else behind my back. Why can’t you look at me and say that? Feedback: That wasn’t the best approach. Please select the alternate button. CLICK HERE TO TRY QUESTION 1 AGAIN.

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QUESTION #2: Option A: Ken, by the tone of your voice you seem to be pretty calm when you talk about Marge’s drinking. That’s good; you must be a pretty strong and accepting person. Am I right? CLICK HERE TO CHOOSE OPTION A FOR QUESTION #2. Option B: Ken, notice your fists; they’re clenched. To me that says you’re angry and holding it in. Look at Marge and tell her if you agree with what I just said?” CLICK HERE TO CHOOSE OPTION B FOR QUESTION #2.

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QUESTION 2, OPTION A – FEEDBACK Ken: I never thought about it like that. But now that you say it. Yeah, I guess I have held together okay in spite of Marge. Feedback: That wasn’t the best approach. Please select the alternate button. CLICK HERE TO TRY QUESTION 2 AGAIN. QUESTION 2, OPTION B – FEEDBACK Ken: Yeah, you’re darn right I’m angry. Marge: You have a right to be angry at me. Ken: Not just at you Marge, at myself too. Nothing I did would change you. I tried everything I could think of, and you and your bottle just went on your merry way. I feel like a fool and like I’m not important in your life, and I'm angry at myself because I just kept on doing what I was doing. I haven’t let myself be angry before now, but it’s time I let it out. I’ve had to work hard to pay the bills, take care of the children, and try to be both father and mother. And like I said, look at how this has affected our children, Marge. Marge: You’re right Ken. Feedback: Well done. Click the “Next” button to continue. CLICK HERE TO TRY QUESTION 3.

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QUESTION #3: Option A: Ken, you say you worry about what Marge’s drinking has done to the children. Tell Marge about your worries. CLICK HERE TO CHOOSE OPTION A FOR QUESTION #3. Option B: Ken, tell me, has Marge’s drinking affected your children? CLICK HERE TO CHOOSE OPTION B FOR QUESTION #3.

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QUESTION 3, OPTION A – FEEDBACK Ken: Marge, I think Roger, that’s our 12-year-old son, acts out like he does, getting in all that trouble at school, to get our attention. When you’re under the influence, you’re really not there emotionally for him, and I'm at work most of his waking hours trying to pay our bills. Carla, our 16-year-old daughter, does most of the parenting for Roger, not us. The only time he ever gets the attention of both of us is at all those teacher conferences for his bad behavior or failing grades. And Carla is the complete opposite of him; I know you agree, Marge. Good grades, sports, popular, and she is more of a father and mother to her two younger brothers than you and I. She’s the one who gets them up in the morning and off to school and puts them to bed at night. I think she feels an obligation to the boys to make up for our absence. And cute little Scotty, our youngest. I don’t know, maybe he hasn’t been affected yet, he’s only 10. He’s our only source of laughter in the family anymore. Marge: You’re right Ken, except for Scotty. I think my drinking affects him as much as Roger and Carla. You ever notice how he clowns around and makes us laugh when the rest of us are uptight? You think he thinks it’s his job to do that? To make us stop arguing and worrying all the time? If so, that’s a big responsibility for such a little boy. Ken: Yeah, I know it hurts you too, Marge. Maybe if I hadn’t ignored your problem, if I hadn’t been a weak fool, I could have changed you and things wouldn’t have gone this far. Feedback: Well done. Click the “Next” button to continue. CLICK HERE TO TRY QUESTION 4. QUESTION 3, OPTION B – FEEDBACK Ken: Yes, I think it has, and it hurts me to see them exposed to her behavior sometimes. Feedback: That wasn’t the best approach. Please select the alternate button. CLICK HERE TO TRY QUESTION 3 AGAIN.

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QUESTION #4: Option A: Marge, what are your reactions to what Ken’s been saying? Can you look at Ken when you say this? CLICK HERE TO CHOOSE OPTION A FOR QUESTION #4. Option B: Marge, we haven’t really heard the reactions we need to hear from you today. Is there anything else you’d like to tell me? CLICK HERE TO CHOOSE OPTION B FOR QUESTION #4.

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QUESTION 4, OPTION A – FEEDBACK Marge: I'm hurt and ashamed because you’re telling the truth about me, but not about yourself. You’ve enabled me a lot, yes, but you did it not because you’re a fool. You are important to me. You did it out of love for me and the children and because you didn’t know what else to do. And you couldn’t have changed me, Ken; you didn’t make me an alcoholic, and you can’t unmake me one. Only I can do that. Feedback: Well done. Click the “Next” button to continue. CLICK HERE TO TRY QUESTION 5. QUESTION 4, OPTION B – FEEDBACK Marge: Well, I didn’t think I was supposed to say anything in particular. I thought this was Ken’s turn to do the talking so he could let all his feelings about me out. Feedback: That wasn’t the best approach. Please select the alternate button. CLICK HERE TO TRY QUESTION 4 AGAIN.

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QUESTION #5: Option A: Marge and Ken, I think we’ve had a productive session today. We’ve identified some of your family’s problems and talked about some actions you can take to address them. Before we end, I’d like you to tell each other where you want to start to address these problems. CLICK HERE TO CHOOSE OPTION A FOR QUESTION #5. Option B: Ken and Marge, let’s not dwell on all your family’s problems; that won’t help a thing. Put them behind you so you can move on. Can you both do that? CLICK HERE TO CHOOSE OPTION B FOR QUESTION #5.

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QUESTION 5, OPTION A – FEEDBACK Marge: I want to complete treatment here and return home. I will go to AA and do whatever else I need to do to stay sober. Without that, we can’t do anything. I see that my drinking is the source of all the issues in our family, and it’s up to me to make changes to help get our family back on track. Ken: You aren’t the only one who needs to make changes, Marge. I plan to find an Al- Anon group to go to, and maybe all of us, children included, can start family counseling somewhere. You may feel alone, but Marge you aren’t. We just haven’t known how to help in the right way until now. Feedback: Congratulations. You have now completed your counseling session with Marge. CLICK HERE TO START EXERCISE OVER. QUESTION 5, OPTION B – FEEDBACK Marge and Ken: Yes. Feedback: That wasn’t the best approach. Please select the alternate button. CLICK HERE TO TRY QUESTION 5 AGAIN.

WAL_COUN6202_se1_programtranscript_EN.pdf

The Case Study of Marge: Session 1

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The Case Study of Marge: Session 1 Program Transcript INSTRUCTIONS: Welcome to the first day of counseling for Marge, a patient struggling with alcoholism who has just been admitted to the addictions facility. Please carefully read the paperwork developed by a support staff member during Marge’s intake process earlier today. Marge’s husband, Ken, was also briefly interviewed during this time. After reviewing this information, click the “Next” button to begin Marge’s first counseling session. Click the buttons “A” and “B” to review your question options. Use the “Select” button for what you think is the best question to ask Marge out of the two options offered.

If you ask an effective counseling question, you will receive more relevant information from Marge. If you ask an ineffective question, you will receive an equally unhelpful response. Choose wisely because the better you counsel Marge, the better her treatment experience. PAPERWORK: Marge C. 41-year-old female Married Husband, Ken, works two jobs to make ends meet, so he is not home much. Husband noted that he didn’t know what else to do about his wife’s drinking, and that he had brought her to the facility out of desperation. Patient has three children, ages 10, 12, and 16. Patient was a teacher, but she lost job for alcohol-related reasons. Patient had a one-car, alcohol-related accident 3 days earlier. She received minor injuries and was issued a ticket for DUI. Husband, family members, and friends determined that they needed to intervene to prevent Marge from harming herself and/or others. An intervention occurred earlier today, culminating in her being brought for treatment. Patient will go through a week of detoxification during her first week in treatment to address the physical withdrawal from alcohol. Click the buttons “A” and “B” to review your question options. Use the “Select” button for what you think is the best question to ask Marge out of the two options offered.

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QUESTION #1: Option A: Marge, I will be your counselor. I want you to know I’m glad you’re here. I imagine this has been a hard day for you. Right now, I just want us to begin get to know each other better. I also want to know more about your drinking so we can begin to plan your treatment. It’s natural to be anxious and upset right now. You look like you feel like that now. Are you? CLICK HERE TO CHOOSE OPTION A FOR QUESTION #1. Option B: Hello, Marge. I will be your counselor. I want you to know I’m glad you’re here, and I want to help you in any way I can. I imagine this has been a hard day for you, and I know that you and your husband have already answered many questions during your admission process. Right now, I just want us to begin get to know each other better. I also want to know more about your drinking so we can begin to plan your treatment. It’s natural to be anxious and upset right now. Tell me your thoughts and feelings right now. CLICK HERE TO CHOOSE OPTION B FOR QUESTION #1.

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QUESTION 1, OPTION A – FEEDBACK Marge: Yes, of course I am! And furthermore, I don’t want to be here; I don’t need help. Feedback: That wasn’t the best approach. Please select the alternate button. CLICK HERE TO TRY QUESTION 1 AGAIN. QUESTION 1, OPTION B – FEEDBACK Marge: You’re right, I am anxious, and I’m more than that right now! I’m hurt, I’m scared, and I’m furious at my husband Ken for dragging me to this place. I want you to know right now I am not here on my own; I am here only because he and my so-called friends threatened to have me committed involuntarily for “my own safety,” as they say, if I didn’t agree to do it myself. I know I drink too much, but I can handle it myself. I don’t need to be put in this rehab and hid away from the rest of the world to do it. I’m not like the other people you have here; they might need help, but I can do it on my own. I don’t need help. Feedback: Well done. Click the “Next” button to continue. CLICK HERE TO TRY QUESTION 2.

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QUESTION #2: Option A: You “don’t need help”? CLICK HERE TO CHOOSE OPTION A FOR QUESTION #2. Option B: I think you’re wrong; I think you do need help, and I want to help you see that. CLICK HERE TO CHOOSE OPTION B FOR QUESTION #2.

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QUESTION 2, OPTION A – FEEDBACK Marge: No. I’m strong willed. I know I drink too much, but I have to because of all the stress. Raising a family, and then when I was teaching it was double hard. I have diabetes on top of it all, and I’m unemployed and this damn DUI hangs over my head. Then, if that’s not enough, there’s Roger, my 12-year-old son. He’s always getting in trouble at home and school. It’s never ending. I could go on and on. Yeah, I admit. I drink too much, but I do it to deal with all my problems and my constant depression. You would too if you were me. No one understands that. But I can go to AA and back to that counselor at the community mental health clinic and stop without all this ridiculous fuss of coming here. I’ve tried it before; I just didn’t give it all I had. Feedback: Well done. Click the “Next” button to continue. CLICK HERE TO TRY QUESTION 3. QUESTION 2, OPTION B – FEEDBACK Marge: No, I don’t; you’re just like them. No one wants to listen to me; they just jump to their own conclusions about my life. I’ve tried to stop on my own before; I just didn’t give it all I had. Now, I’ll tell you again for the umpteenth time, I DON’T NEED HELP! Feedback: That wasn’t the best approach. Please select the alternate button. CLICK HERE TO TRY QUESTION 2 AGAIN.

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QUESTION #3: Option A: You say you’ve tried to stop drinking before, Marge. Please tell me more about that. CLICK HERE TO CHOOSE OPTION A FOR QUESTION #3. Option B: You said earlier that you’ve tried to stop drinking before but were not successful. That tells me you need help. Don’t you agree? CLICK HERE TO CHOOSE OPTION B FOR QUESTION #3.

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QUESTION 3, OPTION A – FEEDBACK Marge: I could do it for a while. I went to AA and that counselor, like I said, and I went a month or two once. But always things would start piling up, and I’d take a drink just in the afternoon after 5 like I used to, and then before I knew it I’d be drinking all day again. I just didn’t try hard enough. I will now; I know I can do it. I feel guilty because I’ve been too weak and just never tried hard enough. I know what alcoholism is, believe me, my father was one, so was my uncle—they went to their graves drinking. I just need to get strong and build up my willpower to make my mind up to stop. I need to stop being such a weakling and an irresponsible mother and wife. It’s almost immoral the way I’ve been doing, but I can do it now. I just need a change. I need to go home. Feedback: Well done. Click the “Next” button to continue. CLICK HERE TO TRY QUESTION 4. QUESTION 3, OPTION B – FEEDBACK Marge: No. Feedback: That wasn’t the best approach. Please select the alternate button. CLICK HERE TO TRY QUESTION 3 AGAIN.

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QUESTION #4: Option A: Marge, let me share something with you that you may not know. We look at alcoholism and other addictions as a disease. Some people have a genetic predisposition for it. It’s not a moral issue, Marge, or a matter of lack of will power. That puts a different light on your situation, doesn’t it, Marge? CLICK HERE TO CHOOSE OPTION A FOR QUESTION #4. Option B: Marge, I think I hear what you’re saying. You admit you drink too much, and you seem to think you can stop on your own without coming here for 30 days. You think you just haven’t tried hard enough, and you feel that you’re a weak and immoral person for that. Let me share something with you that you may not know. We look at alcoholism and other addictions as a disease. Some people have a genetic predisposition for it. People who are genetically predisposed to the disease when faced with the right combination of conditions can’t handle alcohol. They may start just drinking socially in a controlled way and then drink to deal with stress or other problems. Because of their genes, they need more and more and eventually need to drink just to keep from going into withdrawal. It’s not a moral issue, Marge, or a matter of lack of willpower. What are your thoughts about what I just said? CLICK HERE TO CHOOSE OPTION B FOR QUESTION #4.

The Case Study of Marge: Session 1

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QUESTION 4, OPTION A – FEEDBACK Marge: No. Feedback: That wasn’t the best approach. Please select the alternate button. CLICK HERE TO TRY QUESTION 4 AGAIN. QUESTION 4, OPTION B – FEEDBACK Marge: I never thought of it that way. Well, I guess I have, but I can see how that could be. A disease maybe? It could explain why even though I don’t really want to be like this I am and that I though I’ve really tried to stop I just haven’t known how. When we first got married and began to have our children, I would have glass of wine several times a week with dinner, or maybe even with Ken when we both got home after a long day at work and the children had gone to bed. Then it was every day, then in the morning, and then I was hiding my drinking habits and drinking just to feel normal. I was teaching, and it got to where I would drink vodka before I went to school. I thought no one would smell vodka, but it didn’t work. I was fired. My life has spiraled since then, my children, my marriage, my health, everything. If I don’t drink now I get horribly ill; you can’t imagine how ill. I start feeling things on my skin or seeing things; it’s bad. I get crazy, just like my father and uncle used to get. I know Ken has tried to protect me all these years. He means well. He would call the school when I was too drunk to go and tell them I was sick. That’s what he’s always told the children, “Your mother’s ill, she can’t help it.” Oh help me, please. Feedback: Well done. Click the “Next” button to continue. CLICK HERE TO TRY QUESTION 5.

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QUESTION #5: Option A: Marge, you just turned the corner, and I’m proud of you. You’ve just made a giant step today, and you’ve just started on your road to recovery. What are your thoughts and feelings now as we conclude our first session? CLICK HERE TO CHOOSE OPTION A FOR QUESTION #5. Option B: Marge, I know this is hard, but until you admit you have a problem, your drinking will only continue to get worse and cause you and your family more problems. I want you to think about that before we meet again, OK? CLICK HERE TO CHOOSE OPTION B FOR QUESTION #5.

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QUESTION 5, OPTION A – FEEDBACK Marge: I guess I just feel grateful that someone is listening to me and understands. I feel so embarrassed. My husband has put up with so much, and I know the kids have needed me and I haven’t been around. I just wanted to take care of it by myself, do at least one thing without having to rely on someone else for help, you know? I should at least do that, since I’ve messed up so much already. I don’t want to leave the kids alone for 30 days, but I guess I’ve left them alone anyway. I’m scared, but I am willing to try. If you really think you can help me, I promise I’ll do my best. I have to make it work for my kids and for Ken. Feedback: Congratulations. You have now completed your counseling session with Marge. CLICK HERE TO START EXERCISE OVER. QUESTION 5, OPTION B – FEEDBACK Marge: Yes, I will. Listen, I know you mean well. But, I just don’t think you or anyone else in my life hears me. Feedback: That wasn’t the best approach. Please select the alternate button. CLICK HERE TO TRY QUESTION 5 AGAIN.

WAL_COUN6202_se3_programtranscript_EN.pdf

WAL_COUN6202_se1_programtranscript_EN.pdf

WAL_COUN6202_se3_programtranscript_EN.pdf

WAL_COUN6202_se1_programtranscript_EN.pdf

WAL_COUN6202_se3_programtranscript_EN.pdf