How do you respond? What are the options for you both here? Discuss your dialog with him including anticipated reactions from him. Start your discussion with him right after he tells you all this and asks “So what do you think?

You are a clinician in an OASAS Licensed Program. Richard Ortega has seen you for 5 individual sessions of treatment for his opioid use disorder . He is a very charming , persuasive and likable 32 year old Puerto Rican American male. He is married with 3 pre-school children and has a good union job providing heating ventilation and air conditioning services to the Marriott hotel chain in the NYC Burroughs.

Discussion Questions
How do you respond? What are the options for you both here? Discuss your dialog with him including anticipated reactions from him. Start your discussion with him right after he tells you all this and asks “So what do you think?” What’s your first response? Where do you go from there? How does this end?