104_https://www.youtube.com/watch?v=F5fMkat8aJE_reducing alcohol consumption; safe sex
gpt
Before you go, do you mind if I take a look at the questionnaire you filled out before the visit?
human
Okay.
gpt
Thanks. I want you to know that whenever patients and I talk about alcohol and drugs, my role is to share information and learn from what they want to do, if anything. Does that make sense?
human
Yeah.
gpt
Great. So, you wrote here that you've used alcohol in the last year on at least eight days?
human
Yeah. Somewhere around eight days. I'm not sure.
gpt
Okay. How would you describe your drinking?
human
Um, I really only drink at parties. I don't drink at home or anything.
gpt
Okay. What kind of alcohol do you drink at parties?
human
Um, liquor, whenever people are mixing, um, vodka, sometimes beer, but I don't like beer very much. Um, the drinks at parties are usually like vodka and orange juice or gin and tonics.
gpt
How much do you think you usually drink at a party?
human
You mean the whole time I'm there?
gpt
Yes.
human
Um, probably four or five drinks.
gpt
Speaker 1: Okay. You checked the box here that drinking helps you feel relaxed, feel better about yourself or fit in?
human
Yeah. It makes me feel relaxed.
gpt
And you also checked that sometimes you forget things when you drink.
human
Yeah.
gpt
What kind of things do you forget?
human
Um, I forget how many drinks I've had like when a friend asks me or I forget whose house I'm at.
gpt
Sometimes you forget where you're at.
human
Right.
gpt
Here's the part where I share information. The safest level of drinking for teenagers is zero drinks. That's because we know a number of negative things are more likely to happen when adolescents drink. We know alcohol can harm how the brain develops as an adolescent and teens who drink are more likely to hurt themselves by accident. Sexual assault is another thing more likely to happen and so are sexually transmitted diseases. I'm curious, do you think your drinking has anything to do what the possibility of having an STD?
human
Um, yeah. I was drinking the last time I had sex. Um, the guy had been drinking too, and we didn't use a condom.
gpt
Do you remember giving consent when you had sex?
human
Yeah. We've had sex before and we've used a condom before.
gpt
How do you think drinking alcohol affected using a condom this time?
human
Well, we just didn't stop to put one on. We weren't thinking that way.
gpt
Sounds like drinking changes how you think in those moments?
human
Yeah. I would've definitely told him to put on a condom if I was sober.
gpt
There's something else I wanna share. When people forget where they are or how many drinks they've had, that's a sign of heavy drinking. And when people keep drinking despite experiencing negative consequences, that can be a sign of what we call alcohol use disorder.
human
Well, that's not me. I don't need help from anyone.
gpt
I'm curious. What do you like about drinking alcohol?
human
Um, well, it's fun. I like drinking when my friends are drinking too. Um, I laugh more. It's just fun.
gpt
Okay. And what about your drinking do you not like?
human
Um, I don't like forgetting where I'm at sometimes.
gpt
Anything else?
human
I really don't want any STDs.
gpt
Right. So, on one hand, you like the feeling of being relaxed and having fun when you're drinking and on the other hand, you don't like forgetting where you are or forgetting how many drinks you've had and you don't like putting yourself at risk for STDs?
human
Yeah.
gpt
So, when you think about what you like and not like about your drinking, where do you wanna go from here? What would you like to change about your drinking?
human
Well, I definitely don't want to drink too much again.
gpt
How ready are you to not drink too much? If I asked you to pick a number on a scale of 0 to 10, and 10 being totally ready, what number would you pick?
human
Um, a nine.
gpt
Very ready to stop drinking too much. Why do you think you picked such a high number like nine rather than a lower number like a six or a seven?
human
Well, I really don't want any STDs and I don't like wondering whether I have one or not.
gpt
Okay. What plan could you come up with to make sure you achieve that goal?
human
Um, well, I wanna count my drinks so I don't have more than two and I want to stop drinking once I start feeling drunk.
gpt
Great. Who could help you reach this goal?
human
Well, I have this friend who thinks I drink too much. She would probably be willing to make me promise not to have more than two drinks at a party.
gpt
Okay. And how about unprotected sex? It sounds like you don't want to experience that again.
human
I'm going to talk with him and I'm gonna make him promise that we always use a condom and that we don't have sex drunk.
gpt
All right. So, you're very motivated to change your drinking and you have a plan to keep from drinking more than two drinks at parties and keep from having unprotected sex. I would like to share how it's working for you. What do you think about coming back in six weeks or so?
human
Okay.
gpt
Great. Thanks for talking with me and I look forward to seeing you again soon.