If a client shows up to a therapy session intoxicated by drugs or alcohol, therapists typically handle the situation in a responsible and ethical manner. The specific steps taken may vary depending on the therapist's training, therapeutic approach, and the severity of the client's intoxication. Here are some common actions therapists may take in such situations:
Ensure immediate safety: The therapist's primary concern is the safety and well-being of the client. If the client is highly intoxicated and poses a risk to themselves or others, the therapist may need to take immediate action to ensure safety. This could involve contacting emergency services or asking the client for permission to reach out to a friend or family member who can assist them.
Assess the situation: The therapist may try to evaluate the client's level of intoxication and its impact on their ability to engage in the therapeutic process. This assessment can help determine whether it is safe and appropriate to proceed with the session.
Address the issue empathetically: The therapist will approach the situation with understanding and empathy, acknowledging the challenges the client may be facing due to substance use. They may gently confront the issue and discuss how substance use is affecting the client's life and therapeutic progress.
Set boundaries: Therapists typically have clear policies regarding substance use during therapy sessions. They may remind the client of these boundaries and discuss the importance of maintaining a sober and focused environment during therapy.
Decide on session continuation: Depending on the client's level of intoxication and willingness to engage in therapy, the therapist may make a judgment call on whether to proceed with the session, reschedule it, or terminate it early.
Explore underlying issues: If substance use is a recurring problem for the client, the therapist may use the session to explore the underlying issues contributing to the substance abuse. They may discuss the client's motivation to change and explore potential treatment options.
Offer resources and support: Therapists can provide information about support groups, addiction treatment programs, or other resources that can help the client address their substance use issues.
Document the incident: Therapists typically keep detailed records of their sessions. If a client attends a session while intoxicated, this incident will likely be documented to monitor progress and address recurring patterns.
Ultimately, therapists aim to work with clients in a non-judgmental and supportive manner, encouraging them to make positive changes in their lives. Substance use issues can be complex, and therapists play a crucial role in helping clients navigate their challenges and seek appropriate help when needed.