What is a common psychological pattern in clients who deny their alcohol problem?

• A. Avoidance of responsibility
• B. Clear acknowledgment of troubles
• C. Proactive behavior to change
• D. Openness about health risks

Answer: (A)

Clients who deny their alcohol problem often exhibit avoidance of responsibility, which is a significant psychological pattern in such cases. This denial may stem from a need to protect their self-image or avoid the discomfort associated with acknowledging a substance use disorder. By refusing to accept that they have a problem, individuals divert attention away from the negative consequences of their drinking and distance themselves from admitting any wrongdoing or need for help.

In these situations, the denial acts as a defense mechanism, allowing them to continue their behaviors without confronting the reality of the harm caused by their alcohol use. This pattern can impede progress in treatment, as recognition of the problem is a critical first step toward seeking and accepting assistance.

The other choices highlight the opposite behaviors one would expect to see in individuals willing to confront their issues. Clear acknowledgment of troubles, proactive behavior to change, and openness about health risks suggest a readiness to engage in treatment and address the substance use, which is contrary to the behavior of someone who is in denial.