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How have experiences from your childhood and adolescence

Part #1 1.How have experiences from your childhood and adolescence affected your sensitivity to detecting substance abuse and addiction among teens? 2.What are your attitudes and feelings concerning “normal adolescent experimentation” with substances? 3.How comfortable are you that you can recognize problem substance abuse or addiction in a pediatric or adolescent patient? 4.Do you always ask about substance use in every interview of a pediatric or adolescent patient? If not, why? 5.Are you comfortable with regulations governing consent and confidentiality concerning adolescent patients and substance abuse? 6.Do you worry about “what to do” in the event that you discover problem substance abuse or addiction affecting an adolescent patient? If so, how does that worry affect your interviews with adolescent patients? 7.How does the age of an adolescent patient affect your questioning about substance use? Part #2 Questions for Reflection: 1.What are your views on the cause of the ongoing opioid epidemic, including the excessive death rates for opioids? 2.Reflect on your experiences with patients, family members, friends, and colleagues, who struggle with substance use disorders. How have those encounters affected your attitudes towards patients who use drugs or alcohol inappropriately? 3.What reservations do you have about the disease model of substance use disorders? 4.Why do clinicians often fail to ask substance use screening questions? 5.Describe how you feel when your patients do not reduce their substance use after you have counseled them. 6.Many clinicians use a threatening style of communication with patients who are abusing substances, such as “You will die if you do not stop using drugs!” What are the implications of this approach? 7.How do you respond to disrespectful, dismissive, irritated or angry responses when you ask patients about substance use? What patient behaviors are most likely to “push your buttons” and make it more difficult to respond therapeutically? 8.How would you respond when patients you know well and respect request prescriptions for controlled drugs that are not of clear medical value for them, such as diazepam or oxycodone for chronic back pain or headache, or inappropriate sedatives for insomnia? Would your response be different if the same request came from a patient you did not know as well?

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