Drug Testing in Substance Abuse Counseling

Your patient is visiting you after missing both his appointments last week. You ask him to submit a urine sample, and he refuses.

1) As the substance use professional working with him, what would you say to him? What is the best way to handle this situation?

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During your discussion, your patient confides to you that he relapsed a few days ago and hasnt been able to remain sober since.

2) What would you tell your patient at this point?