How should a practitioner respond to a patient who has unrealistic plans but is showing positive signs of recovery?

Providing education about good sleep hygiene and cautioning against alcohol use is the most appropriate response in this scenario. This approach supports the patient's recovery process while also addressing their struggles with unrealistic plans. Sleep hygiene education can help the patient find healthier ways to manage their sleep issues without resorting to medications that could potentially be harmful or add to their dependency issues.

Additionally, warning against alcohol use is crucial because alcohol can interfere with the recovery process and might lead to relapse. By focusing on these two elements, the practitioner is fostering a supportive environment that encourages the patient to engage with their recovery in a realistic and healthy manner. This helps empower the patient to make informed decisions about their lifestyle, which is vital for sustainable recovery.

While other options may seem valid, they do not address the underlying issues as effectively or could exacerbate potential problems. For instance, providing benzodiazepines could lead to increased dependency, and discussing the pharmacotherapy plan urgently may not consider the patient’s psychological readiness. Advising against attending unrealistic events too forcefully might dismiss the positive signs of recovery and discourage the patient, which could negatively impact their motivation.