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The Underrated Superhero Tools for Substance Use Counselors

The Underrated Superhero

Resources
for Clinicians

If They Don’t Bring It Up, Should I?

DATE FEATURED: August 1, 2025
BOARD: Screening
DATE RETIRED: October 1, 2025
TOPIC(S):
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Snapshots

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An orange toned clinical message graphic titled If They Dont Bring It Up Should I emphasizes the importance of asking clients about sensitive topics like substance use It lists common reasons clients may not disclose not realizing its relevant fear of judgment or assuming providers will ask The message encourages clinicians to Make it safe Make it standard Make it routine and reminds them that Asking doesnt accuseit opens the door to care A simple line drawing of a medical provider is shown in the top right corner
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Hotspot Description

An orange-toned clinical message graphic titled “If They Don’t Bring It Up, Should I?” emphasizes the importance of asking clients about sensitive topics like substance use. It lists common reasons clients may not disclose: not realizing it's relevant, fear of judgment, or assuming providers will ask. The message encourages clinicians to “Make it safe. Make it standard. Make it routine.” and reminds them that “Asking doesn’t accuse—it opens the door to care.” A simple line drawing of a medical provider is shown in the top right corner.A yellow infographic titled “Phrasing Makes a Difference” contrasts common clinical questions with more empathetic alternatives. The “Don’t Ask” column includes phrases like “Do you use drugs?” and “Do you have an STD?” while the “Ask Instead” column suggests softer, more collaborative language, such as “Have any substances helped you cope lately?” and “Have you ever felt anxious about your sexual health or STIs?” The goal is to reduce defensiveness and support open dialogue.

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