What should a counselor do when a dually-diagnosed client wants to quit smoking?

The most appropriate course of action for a counselor when working with a dually-diagnosed client who wants to quit smoking is to consult with the client’s physician regarding potential nicotine and medication interactions. This step is crucial because clients with co-occurring mental health and substance use disorders often take various medications that may interact negatively with nicotine replacement therapies or smoking cessation medications. By consulting with a physician, the counselor ensures that the client is supported in a safe manner that takes into account all aspects of their health.

This approach not only prioritizes the client's well-being but also underscores the importance of collaboration in treatment. Successful smoking cessation in such clients may require a coordinated effort that combines psychological support with medical guidance, making it essential for counselors to be aware of the medications their clients are using and how they might affect or be affected by smoking cessation efforts.

In contrast, other options may not fully address the complexities of a dually-diagnosed individual. For example, arbitrarily advising a quit date does not consider the client's unique treatment plan or readiness to quit, while encouraging nicotine replacement without medical consultation might overlook potential interactions. Additionally, suggesting a gradual reduction in cigarettes may not provide the immediate support that the client needs to address both smoking and their other diagnoses adequately.