Alcohol Dependence and Rehabilitation

Health · English ↔ Chinese

1. Social Worker · turn 1

   Hello, Mr Zhong. Thanks for coming in today. I’d like to have a chat with you and see how you’re doing these days. When we last spoke, you’d managed to stay sober for a couple of weeks. How have things been since then?

   你好，鍾先生。感謝你今天前來。我想和你聊聊，看看你最近情況如何。上次我們談話時，你已經成功保持清醒戒酒兩週了。從那之後情況怎麼樣？

2. Mr Zhong · turn 2

   你好，James 先生。老實說，我最近又開始喝酒了。我妻子因此很傷心。她不想看到我做出了這麼大的努力，最後還是前功盡棄。我自己也挺失望的，覺得之前的努力好像都白費了。

   Hello, James. To be honest, I've started drinking again recently. My wife is very upset about it. She doesn't want to see all the effort I made end up being wasted. I'm quite disappointed in myself too, and feel like all my previous efforts were in vain.

3. Social Worker · turn 3

   I see. Try not to think of one setback as wiping out all the progress you’ve made. A few setbacks can happen during recovery, particularly in the initial stages. You might need to set yourself a more realistic goal — say, not drinking for at least three days a week to begin with — and gradually build from there.

   我明白。盡量不要把一次挫折視為抹殺了你之前取得的所有進展。在康復過程中，特別是初期階段，遇到幾次挫折是很常見的。你可能需要為自己設定一個更切合實際的目標——例如先從每週至少三天不喝酒開始——然後逐步循序漸進。

4. Mr Zhong · turn 4

   我也知道要一步一步來，但問題是，我越不讓自己喝，就越是想喝。有時候那種酒癮一上來，我腦子裏想的全是酒。而且我清醒的時候總覺得心裏很空虛，也很害怕，醉了反而覺得舒服一點。

   I know I need to take it one step at a time, but the problem is, the more I stop myself from drinking, the more I crave it. Sometimes when the urge hits, all I can think about is alcohol. And when I'm sober, I always feel empty and scared inside, whereas being drunk actually feels a bit more comfortable.

5. Social Worker · turn 5

   What you’re describing sounds like cravings and withdrawal symptoms. They can occur because you’ve become dependent on alcohol, both physically and psychologically. To reduce that dependence, you’ll need to stay away from alcohol as much as possible and, at least for the time being, avoid situations where you’re likely to be tempted to drink. That may also mean keeping your distance from your old drinking buddies.

   你所描述的聽起來像是酒癮發作和戒斷症狀。這些症狀之所以會出現，是因為你對酒精產生了身體和心理上的雙重依賴。要減輕這種依賴，你需要盡可能遠離酒精，而且至少在目前階段，要避開可能誘惑你飲酒的場合。這也可能意味著你需要和以前的酒友保持距離。

6. Mr Zhong · turn 6

   這點我深有體會。上星期幾個老朋友找我出去，我本來已經說不去了，可他們硬要拉我去喝酒，還說「就喝一杯，怕甚麼」。結果一杯變成一瓶，我們最後喝了個通宵。第二天醒來，我頭痛得厲害，手還一直發抖。我真的不能一直這樣下去。

   I know that all too well. Last week, a few old friends asked me out. I originally said no, but they insisted on dragging me out for a drink, saying, 'Just one drink, what are you afraid of?' In the end, one glass turned into a bottle, and we ended up drinking all night. When I woke up the next day, I had a splitting headache and my hands wouldn't stop trembling. I really can't go on like this.

7. Social Worker · turn 7

   That’s a good example of why triggers are so important in recovery. Your friends may not mean any harm, but being around people who are drinking can make it much harder for you to resist the urge. The shaking you mentioned may also be a withdrawal symptom. If you develop severe shaking, confusion, hallucinations or seizures when you stop drinking, you should seek urgent medical attention rather than trying to manage it on your own.

   這正是誘因在康復過程中為何如此重要的一個典型例子。你的朋友可能並無惡意，但身處正在飲酒的人群中，會讓你自己更難抵制誘惑。你提到的手發抖也可能是一種戒斷症狀。如果你停止飲酒時出現劇烈發抖、神智不清、幻覺或抽搐痙攣，你應該立即尋求緊急醫療協助，而不是嘗試自己獨自應付。

8. Mr Zhong · turn 8

   其實我最擔心的就是戒酒以後身體受不了。有時候一整天沒喝，我晚上就睡不著，心跳得很快，還會出汗。我以前以為只是自己意志力不夠，現在才知道可能跟戒斷反應有關。

   Actually, my biggest worry is that my body won't be able to handle it after quitting alcohol. Sometimes when I go a whole day without drinking, I can't sleep at night, my heart beats very fast, and I sweat. I used to think it was just a lack of willpower, but now I know it might be related to withdrawal reactions.

9. Social Worker · turn 9

   Exactly. Alcohol dependence isn’t simply a matter of willpower. Given the symptoms you’ve described, I’d like you to speak to your GP as well. They can assess whether you need medical supervision while reducing your alcohol intake. We can work alongside your doctor and help you with the social and psychological side of your recovery.

   確實如此。酒精依賴絕非單純是意志力的問題。鑑於你描述的症狀，我希望你也能去諮詢一下你的家庭醫生。他們可以評估你在減少飲酒量期間是否需要醫療監護。我們可以配合你的醫生，在康復的社會和心理層面為你提供協助。

10. Mr Zhong · turn 10

    那我願意去看醫生。其實我妻子也一直勸我接受治療，只是我以前覺得去戒酒治療很丟臉，好像只有完全控制不了自己的人才需要去。

    Then I'm willing to see a doctor. In fact, my wife has also been urging me to get treatment, but previously I felt it was very shameful to go into alcohol rehabilitation, as if only people who had completely lost control of themselves needed to go.

11. Social Worker · turn 11

    There’s no shame in getting support. In fact, recognising that you need help is an important part of recovery. I’m glad you’ve realised the importance of having a positive environment around you. That’s why you need a strong support network that can help and encourage you throughout the process, particularly when you’re dealing with cravings or feel that you might relapse.

    尋求支援絕不是什麼丟臉的事。事實上，意識到自己需要幫助正是康復的重要一環。我很高興你已經認識到身邊擁有積極環境的重要性。這就是為什麼你需要一個強大的支援網絡，在整個過程中幫助你、鼓勵你，特別是當你應對酒癮或感到自己可能復發的時候。

12. Mr Zhong · turn 12

    我知道。可是說實話，我內心深處還是很不安。這幾年我的生活一團糟，工作也不穩定，跟妻子的關係又越來越差，我根本看不到希望。有時候我總覺得自己是個受害者，好像甚麼倒霉的事情都落在我頭上。

    I know. But to be honest, deep down I still feel very uneasy. Over the past few years, my life has been a complete mess, my job is unstable, and my relationship with my wife has been getting worse and worse; I simply can't see any hope. Sometimes I feel like a victim, as if every piece of bad luck falls on me.

13. Social Worker · turn 13

    I understand that things have been difficult, but getting caught up in self-pity is likely to lead you back into drinking again. Why not try to see things in a different way? You’ve come here voluntarily, you’re being honest about your relapse, and you’re taking steps to regain control of your life. That takes courage.

    我理解情況一直很艱難，但陷入自怨自艾很可能會讓你再次重蹈覆轍去喝酒。為什麼不試著換個角度來看待事情呢？你是自願來到這裡的，你對自己的復飲坦誠相告，而且你正在採取步驟重新掌控自己的生活。這需要很大的勇氣。

14. Mr Zhong · turn 14

    對啊。我應該樂觀一點。人們常說，「態度決定一切」。如果我每天都覺得自己沒救了，那我可能真的甚麼都改變不了。我要試著改變自己的態度。

    That's true. I should be more optimistic. As people often say, 'attitude determines everything.' If I go on thinking every day that I'm hopeless, then I probably really won't be able to change anything. I need to try to change my attitude.

15. Social Worker · turn 15

    That’s the spirit! But remember, being positive doesn’t mean pretending everything is fine. It means recognising that recovery takes time and knowing what to do when things get difficult. One practical thing we can do is identify your triggers and make a relapse-prevention plan.

    這就對了！但請記住，保持積極並不意味著假裝一切都很好。它意味著認識到康復需要時間，並且知道在困難出現時該怎麼做。我們可以做的一件切實可行的事情，就是找出你的誘發因素，並制定一份預防復發計劃。

16. Mr Zhong · turn 16

    那要怎麼做？我現在知道跟那些老朋友出去喝酒是一個很大的問題，但有時候我壓力大的時候，一個人在家也會突然很想喝。

    How do we do that? I now know that going out drinking with those old friends is a big issue, but sometimes when I'm stressed, I suddenly get a strong urge to drink even when I'm at home alone.

17. Social Worker · turn 17

    That’s where a plan can help. We’ll identify situations, emotions and people that trigger your cravings, and then work out alternatives. For example, instead of reaching for a drink when you’re stressed, you might call your wife, go for a walk, attend a support-group meeting or contact our service. The important thing is to have several options ready before the craving hits.

    這正是計劃能夠發揮作用的地方。我們會找出引發你酒癮的情境、情緒和人際關係，然後制定出替代方案。例如，當你感到壓力時，不要隨手拿起酒杯，而是可以打電話給妻子、出門散散步、參加互助小組會議或聯繫我們的機構。關鍵是要在酒癮襲來之前，就準備好幾種應對選項。

18. Mr Zhong · turn 18

    聽起來比光靠忍耐實際多了。我妻子應該也會支持我。只是我不希望甚麼事情都靠她，她這段時間已經被我折騰得夠累了。

    That sounds much more practical than relying purely on willpower. My wife would probably support me too. It's just that I don't want to rely on her for everything; she's already been exhausted enough by all the turmoil I've put her through lately.

19. Social Worker · turn 19

    That’s understandable, and your wife shouldn’t have to carry the whole burden either. We can discuss professional counselling, peer support and local rehabilitation programs so that you have a broader support network. If your wife would like some support herself, there are also services available for family members affected by someone else’s drinking.

    這很合乎情理，你的妻子確實不應該承擔全部重擔。我們可以探討專業心理諮詢、同伴互助和當地的康復項目，以便為你建立一個更廣泛的支援網絡。如果你的妻子自己也需要支持，這裡也有專門為受他人飲酒影響的家庭成員提供的支援服務。

20. Mr Zhong · turn 20

    好，那我願意試試。我以前總覺得戒酒就是靠自己咬牙撐過去，現在看來還是需要別人的幫助。

    Okay, then I'm willing to give it a try. I used to think that quitting drinking was just about gritting my teeth and toughing it out on my own, but now it seems I really do need help from others.

21. Social Worker · turn 21

    Absolutely. Recovery isn’t something you have to do alone. We’ll take it one step at a time. I’d also like to arrange another appointment in two weeks so we can review how you’re going, particularly your alcohol intake, cravings and any withdrawal symptoms.

    確實如此。康復並不是你必須獨自承擔的事情。我們會循序漸進、一步一步來。我還想為你安排兩週後再次面談，這樣我們可以回顧你的進展，特別是你的飲酒量、酒癮渴求以及任何戒斷症狀。

22. Mr Zhong · turn 22

    好的。我這次真的想堅持下去。就算中間再有挫折，我也不想像以前那樣一失敗就乾脆放棄。

    Alright. I really want to stick with it this time. Even if there are more setbacks along the way, I don't want to just give up as soon as I fail like I used to.

23. Social Worker · turn 23

    That’s a much healthier way of looking at it. Remember, you’re not in this alone. Give us a call or come back anytime you need support. And if you’re worried that you’re about to relapse, it’s better to reach out early rather than wait until things get out of hand.

    這是健康得多的心態。請記住，在這條路上你絕非孤立無援。每當你需要支持時，隨時給我們打電話或過來找我們。如果你擔心自己即將復飲，及早向外界尋求幫助，總好過等到事情失去控制。

24. Mr Zhong · turn 24

    太謝謝了。我會盡自己的努力讓生活重回正軌的。我也會跟妻子好好談談，然後盡快約家庭醫生看看戒斷反應的問題。

    Thank you so much. I will do my best to get my life back on track. I'll also have a good talk with my wife, and make an appointment with a GP as soon as possible to address the withdrawal symptoms.

25. Social Worker · turn 25

    Good. We’ll work through it together. I’ll give you the details of the support group and rehabilitation service before you leave today.

    很好。我們會共同克服這個難關。在今天離開之前，我會把互助小組和康復服務的具體資料提供給你。

26. Mr Zhong · turn 26

    好的，謝謝你。我覺得今天談完以後，心裏踏實多了。

    Alright, thank you. I feel much more at ease after our talk today.

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