成瘾问题 Alcohol, Drugs and Gambling

By the end of this module you can…

• Ask about alcohol as a routine question, and count it in standard drinks.
• Ask three short alcohol questions and the single question about heavy drinking days.
• Warn heavy daily drinkers not to stop suddenly, and explain naloxone and fentanyl.
• Ask about cannabis, pills and gambling without judgment, and explain confidentiality and its limits.
• Use a 0 to 10 ruler to draw out the patient’s own reasons to change.

Key vocabulary

Sixteen words from this module. Tap the speaker to hear each one.

Alcohol

• 喝酒hē jiǔTo drink alcohol
• 啤酒pí jiǔBeer
• 白酒bái jiǔBaijiu (Chinese spirits)
• 标准杯biāo zhǔn bēiStandard drink
• 酒量jiǔ liàngHow much someone can drink
• 戒酒jiè jiǔTo quit drinking
• 戒断反应jiè duàn fǎn yìngWithdrawal symptoms
• 应酬yìng chouBusiness socializing (often with drinking)

Drugs, gambling and help

• 大麻dà máCannabis, marijuana
• 止痛药zhǐ tòng yàoPainkiller
• 成瘾chéng yǐnAddiction
• 过量guò liàngOverdose, too much
• 纳洛酮nà luò tóngNaloxone (Narcan)
• 赌博dǔ bóGambling
• 麻将má jiàngMahjong
• 欠债qiàn zhàiTo be in debt

Ten core phrases

The lines from this module’s take-home phrase sheet. In the course you can print them on one page for your pocket.

1. 我们会问每个病人喝酒的情况。Wǒ men huì wèn měi ge bìng rén hē jiǔ de qíng kuàng.We ask every patient about drinking.
2. 您一般一个星期喝几天酒？Nín yì bān yí ge xīng qī hē jǐ tiān jiǔ?How many days a week do you drink?
3. 最近一年，有没有哪一天喝了五个标准杯或者更多？Zuì jìn yì nián, yǒu méi yǒu nǎ yì tiān hē le wǔ ge biāo zhǔn bēi huò zhě gèng duō?Past year: any day with five or more?
4. 酒能让人睡得快，但是后半夜容易醒。Jiǔ néng ràng rén shuì de kuài, dàn shì hòu bàn yè róng yì xǐng.Alcohol: asleep faster, awake later in the night.
5. 每天喝很多的人，突然不喝可能有危险，要先跟医生商量。Měi tiān hē hěn duō de rén, tū rán bù hē kě néng yǒu wēi xiǎn, yào xiān gēn yī shēng shāng liang.Heavy daily drinkers: don’t stop suddenly; see a doctor.
6. 有没有在赌钱的事上，跟家里人说过谎？Yǒu méi yǒu zài dǔ qián de shì shang, gēn jiā lǐ rén shuō guo huǎng?Ever lied to family about gambling?
7. 有没有比医生说的多吃止痛药或者安眠药？Yǒu méi yǒu bǐ yī shēng shuō de duō chī zhǐ tòng yào huò zhě ān mián yào?More painkillers or sleeping pills than prescribed?
8. 如果有人叫不醒、呼吸很慢，马上打911，用纳洛酮。Rú guǒ yǒu rén jiào bu xǐng, hū xī hěn màn, mǎ shàng dǎ jiǔ yāo yāo, yòng nà luò tóng.Can’t wake, slow breathing: 911 and naloxone.
9. 对您来说，少喝一点有多重要？零到十分。Duì nín lái shuō, shǎo hē yì diǎn yǒu duō zhòng yào? Líng dào shí fēn.How important is cutting down? Zero to ten.
10. 为什么是这个分数，而不是零分？Wèi shén me shì zhè ge fēn shù, ér bú shì líng fēn?Why that number, and not zero?

What’s in Module 10

1. Part 1 · Warm-UpWarm-Up: Drinks and Habits
2. Part 2 · The Words for Substance UseReading the Pinyin · Saying 爱喝酒 vs. Charting 酒精使用障碍 · Vocabulary · Flash Cards · Counting Standard Drinks
3. Part 3 · Asking About UseThe Alcohol Script · Making the Question Routine · Key Patterns · Three Questions About Alcohol · Stopping Safely · Gambling
4. Part 4 · Drugs and ChangeCannabis, Pills and Other Drugs · Fentanyl and Naloxone · How Ready Are You?
5. Part 5 · Concerns & Next StepsWhat Patients Say · When It’s a Family Member · Putting It Together
6. Part 6 · Role-PlayRound 1 · Guided Conversation · Round 2 · Controlled Practice · Rounds 3, 4 & 5 · Independent
7. Part 7 · Knowledge CheckModule 10 Knowledge Check
8. Part 8 · Wrap-UpModule 10 Homework · Take-Home Phrase Sheet · Module 10 Wrap-Up · 下次见