Physician: So how have things been going this past month?

Ms. Martinez: Pretty good I guess. I’ve had some wine twice, but only 2 glasses each time. Michelle and I talked about it and I understand that wasn’t such a good idea.

Physician: You’re right – stopping drinking completely is difficult, but abstinence is the best approach. It sounds like you’re committed to quitting and you’ve certainly made great strides since we last met. Aside from the drinking, how are you feeling?

Ms. Martinez: Much better.

Physician: Have your depression and insomnia improved?

Ms. Martinez: Yes – I started feeling better within the first couple of weeks. I’ve been getting out of the house more. I’ve even reconnected with some friends.

Physician: How about the AA meetings? Have you been going? Have they been helpful?

Ms. Martinez: I tried one the first week and I really didn’t like it. Michelle gave me a list of some other meetings that I could try. I went to a women’s group last week that may be good. I’ll go back and see how it goes.

Physician: That’s good. Research has shown that your medication is most effective when combined with mutual support meetings like AA. It will be important for you to find a group you’re comfortable with and then stay with it.

Ms. Martinez: OK. I’ll try.

Physician: Great. It’s also important to keep taking the medicine, even though you’re feeling better. Let’s maintain your visits with Michelle every other week. I’d like to see you again in 2 months to check your progress and make sure you are doing well.


Click here to return to Case 3