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Question:
A married couple comes in to see a social worker because they are having problems in their relationship. They report feeling disconnected and having little intimacy. The husband admits that his drinking recently caused him to be fired from his job and he is currently unemployed. The wife reports that she is fearful of her husband because he often is loud when he drinks. She spends a lot of time out of the house. They have not had sex for several months and are behind in their mortgage payments. The FIRST issue that the social worker should help the couple address is:
A
The husband’s alcohol use
explanation
Many of the problems reported by the couple appear to be caused by the alcohol use of the husband, including his unemployment, their financial problems, and her absence from the home. The social worker should FIRST determine the husband’s willingness to address his drinking because many of the reported problems will not change if this behavior continues. Treating substance abuse and medical issues always comes first because they are often the etiological causes of negative impacts on psychosocial well-being
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