What should clinicians avoid when taking a patient's history to maintain trust?

Maintaining a confrontational stance is crucial to avoid when taking a patient's history, as it can severely damage the therapeutic alliance and trust between the clinician and the patient. A confrontational approach can lead to defensiveness or withdrawal from the patient, making it difficult for them to share relevant information about their health and substance use. Trust is fundamental in a clinical setting, especially in the context of medication-assisted treatment, where open communication is necessary for effective care and accurate assessment.

Creating a supportive environment encourages patients to share openly about their substance use history, past treatments, and any concerns they may have. This collaboration is essential for developing a treatment plan that is tailored to the individual's needs and fosters a positive, non-judgmental atmosphere where patients feel safe to discuss sensitive topics. When clinicians adopt a non-confrontational approach, patients are more likely to engage and participate actively in their treatment, ultimately leading to better outcomes.